Effects Resistance Training on Motor Control and Cognition

NCT03017365 | Completed

• 1 other identifier: KFPS17
• Study Type: interventional
• Target: 82
• Locations: 0 countries
• Sites: N/A

Brief Summary

It is well documented that both balance and resistance training have the potential to mitigate intrinsic fall risk factors in older adults. Recently, it was shown that a simultaneously executed balance and resistance training, namely resistance training on uneven surfaces is an eligible, effective and safe alternative training program to mitigate intrinsic fall risk factors in older adults. However, knowledge about the effects of specific adductor and abductor training has advantages over traditional resistance training and resistance training on unstable surfaces regarding forward propulsion. Further, the effects of different kinds of resistance training on cognition, especially embodiment is investigated.

Conditions

Muscle Weakness

Keywords

Motor Control; Balance

Outcome Measures

Primary Outcomes (1)

• Clinical Gait Analysis

  changes in variance components (Vucm, Vort, Vtot) of an uncontrolled manifold analysis; measured in rad²

  Pre test -> Intervention (10 weeks) -> Post test (within 2-5 days after the intervention)

Secondary Outcomes (7)

• Maximal isometric leg extension strength (ILES)

  Pre test -> Intervention (10 weeks) -> Post test (within 2-5 days after the intervention)

• Fall self-efficacy Questionnaire

  Pre test -> Intervention (10 weeks) -> Post test (within 2-5 days after the intervention)

• Proactivec Balance (timed up and go test)

  Pre test -> Intervention (10 weeks) -> Post test (within 2-5 days after the intervention)

• Maximal isometric adductor and abductor strength

  Pre test -> Intervention (10 weeks) -> Post test (within 2-5 days after the intervention)

• Stroop Task

  Pre test -> Intervention (10 weeks) -> Post test (within 2-5 days after the intervention)

Study Arms (3)

M-SRT

ACTIVE COMPARATOR

Machine-based stable resistance training. Exercising 'traditional' machine-based resistance training.

Other: Stable Resistance Training

F-URT

EXPERIMENTAL

Free weight unstable resistance training; conducted free-weight resistance training on unstable devices using dumbbells instead of exercise-machines.

Other: Unstable Resistance Training

M-ART

EXPERIMENTAL

Machine-based adductor/abductor resistance training. Exercising with 'traditional' adductor/abductor machines.

Other: Adductor/Abductor Resistance Training

Interventions

Stable Resistance Training OTHER

traditional machine-based resistance training

M-SRT

Unstable Resistance Training OTHER

free weight resistance training using unstable devices

F-URT

Adductor/Abductor Resistance Training OTHER

machine-based adductor/abductor resistance training

M-ART

Eligibility Criteria

• Age: 65 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• between 65 and 80 years old
• ability to walk independently without any gait aid

You may not qualify if:

• pathological ratings of the Clock Drawing Test (CDT),
• Mini-Mental-State-Examination (MMSE, \< 24 points),
• Falls Efficacy Scale - International (FES-I, \> 24 points),
• Geriatric Depression Scale (GDS, \> 9 points),
• Freiburg Questionnaire of Physical Activity (FQoPA, \< 1hour)
• Frontal Assessment Battery (FAB-D, \< 18 points)
• any neurological, musculoskeletal or heart-related disease

Sponsors & Collaborators

• University of Kassel: lead

Related Publications (5)

• Eckardt N. Lower-extremity resistance training on unstable surfaces improves proxies of muscle strength, power and balance in healthy older adults: a randomised control trial. BMC Geriatr. 2016 Nov 24;16(1):191. doi: 10.1186/s12877-016-0366-3.

  PMID: 27881086 BACKGROUND

• Granacher U, Muehlbauer T, Gruber M. A qualitative review of balance and strength performance in healthy older adults: impact for testing and training. J Aging Res. 2012;2012:708905. doi: 10.1155/2012/708905. Epub 2012 Jan 23.

  PMID: 22315687 BACKGROUND

• Steadman J, Donaldson N, Kalra L. A randomized controlled trial of an enhanced balance training program to improve mobility and reduce falls in elderly patients. J Am Geriatr Soc. 2003 Jun;51(6):847-52. doi: 10.1046/j.1365-2389.2003.51268.x.

  PMID: 12757574 BACKGROUND

• Behm DG, Muehlbauer T, Kibele A, Granacher U. Effects of Strength Training Using Unstable Surfaces on Strength, Power and Balance Performance Across the Lifespan: A Systematic Review and Meta-analysis. Sports Med. 2015 Dec;45(12):1645-69. doi: 10.1007/s40279-015-0384-x.

  PMID: 26359066 BACKGROUND

• Eckardt N, Rosenblatt NJ. Instability Resistance Training Decreases Motor Noise During Challenging Walking Tasks in Older Adults: A 10-Week Double-Blinded RCT. Front Aging Neurosci. 2019 Feb 27;11:32. doi: 10.3389/fnagi.2019.00032. eCollection 2019.

  PMID: 30873017 DERIVED

MeSH Terms

Conditions

Muscle Weakness

Condition Hierarchy (Ancestors)

Muscular Diseases; Musculoskeletal Diseases; Neuromuscular Manifestations; Neurologic Manifestations; Nervous System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms

Study Officials

• Armin Kibele, PhD

  University of Kassel

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 4, 2017
• First Posted: January 11, 2017
• Study Start: January 1, 2017
• Primary Completion: April 1, 2017
• Study Completion: April 1, 2017
• Last Updated: February 7, 2018

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: SAP
• Time Frame: when the article is published
• Access Criteria: IPD will be published as supplementary material. Raw results will be published. Age will be described as intervals (65-69, 70-74, 75-80) and height will be removed, thus no backtracking is possible