Effect of Single-task, Dual-task and Analogy Training During Gait Rehabilitation

NCT03811782 | Unknown

• 1 other identifier: UW17-049
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to examine the effect of single-task, dual-task and analogy training during gait rehabilitation on conscious motor processing propensity, balance, walking ability and fear of falling by older adults at risk of falling in Hong Kong. One-hundred and five healthy older adults will be recruited from elderly community centres in Hong Kong by convenience sampling. They will be randomly assigned into 3 groups (i.e., single-task walking group (active control group), dual-task walking group and analogy walking group). Participants in different groups will have training sessions (about 45 minutes each) three times per week for 4 weeks in a group of 5 participants. A total of 12 sessions will be completed by each participant. All training sessions will be conducted by experienced Hong Kong registered Physiotherapists. In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with different instructions in different walking groups (20 minutes) and cool down (5 minutes). Participants in the different groups will receive different instructions during walking training. Well- developed single-task (explicit), dual-task and analogy instructions will be utilized in the single-task walking group, dual-task walking group and analogy walking group, respectively. Each participant will undergo assessment sessions (total 3 assessment sessions) before training at baseline (T0), just after completion of all training sessions (T1) and 6 months after completion of all training sessions (T2). In the baseline assessment, a structural questionnaire will be used to ask for demographics, detailed history of fall incident, detailed medical history, social history and social-economic status of the participants. A battery of assessments will be done to assess physical and cognitive abilities of the participants in all assessment sessions. Single-task walking ability, dual-task walking ability, functional gait and balance assessment, cognitive function, fearing of falling and propensity for conscious motor processing. All participants will also be asked to record their number of falls prospectively at the time between T1 (completion of all training sessions) and T2 (6 months after completion of all training sessions) using a calendar. The number of falls within the 6-month follow- up period will then be collected.

Conditions

Fall; Balance; Reinvestment Propensity; Gait Rehabilitation

Keywords

conscious motor processing; single-task training; dual-task training; analogy training; gait rehabilitation; reinvestment propensity; balance; fear of falling; older adults; Hong Kong

Outcome Measures

Primary Outcomes (3)

• Baseline propensity for conscious motor processing

  The Chinese version Movement Specific Reinvestment Scale (MSRS-C) (Masters et al., 2005; Wong et al., 2015a; Wong et al., 2015b). The MSRS-C includes two sub-scales: Conscious motor processing and Movement self-consciousness. The scores for both sub-scales ranges from 5-30. A higher score indicate a higher propensity for conscious motor processing.

  Before the start of training

• Change from baseline propensity for conscious motor processing upon completion of training

  The Chinese version Movement Specific Reinvestment Scale (MSRS-C) (Masters et al., 2005; Wong et al., 2015a; Wong et al., 2015b). The MSRS-C includes two sub-scales: Conscious motor processing and Movement self-consciousness. The scores for both sub-scales ranges from 5-30. A higher score indicate a higher propensity for conscious motor processing.

  Upon completion of 12 Training Sessions (4 weeks of training)

• Change from baseline propensity for conscious motor processing at 6 months after the completion of training

  The Chinese version Movement Specific Reinvestment Scale (MSRS-C) (Masters et al., 2005; Wong et al., 2015a; Wong et al., 2015b). The MSRS-C includes two sub-scales: Conscious motor processing and Movement self-consciousness. The scores for both sub-scales ranges from 5-30. A higher score indicate a higher propensity for conscious motor processing.

  6 months after the completion of Training

Secondary Outcomes (20)

• Baseline single-task walking ability

  Before the start of training

• Change from baseline single-task walking ability upon completion of training

  Upon completion of 12 Training Sessions (4 weeks of training)

• Change from baseline single-task walking ability at 6 months after the completion of training

  6 months after the completion of Training

• Baseline dual-task walking ability

  Before the start of training

• Change from baseline dual-task walking ability upon completion of training

  Upon completion of 12 Training Sessions (4 weeks of training)

Study Arms (3)

Single-task Training Group

EXPERIMENTAL

Single-task walking group

Behavioral: Single-task Training

Dual-task Training Group

EXPERIMENTAL

Dual-task walking group

Behavioral: Dual-task Training

Analogy Training Group

EXPERIMENTAL

Analogy walking group

Behavioral: Analogy Training

Interventions

Single-task Training BEHAVIORAL

In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with Single-task Training instructions (20 minutes) and cool down (5 minutes).

Single-task Training Group

Dual-task Training BEHAVIORAL

In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with Dual-task Training instructions (20 minutes) and cool down (5 minutes).

Dual-task Training Group

Analogy Training BEHAVIORAL

In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with Analogy Training instructions (20 minutes) and cool down (5 minutes).

Analogy Training Group

Eligibility Criteria

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

You may qualify if:

• Age 65 or above;
• No history of cerebral vascular disease, Parkinson's disease or other neurological deficit;
• Chinese version of the Mini-Mental State Examination (MMSE-C) (Folstein, Folstein, \& McHuge, 1975; Chiu, Lee, Chung, \& Kwong, 1994) total score of equal or more than 24;
• Able to walk independently indoor for at least 10 meters;
• Older adults with moderate to high risk of falling, as indicated by the score of less than 24 out of 28 in the Tinetti Balance Assessment Tool (Tinetti, 1986).

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (1)

The HKJC Building for Interdisciplinary Research

Hong Kong, Hong Kong

RECRUITING

Study Officials

• Thomson Wai Lung WONG

  The University of Hong Kong

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Thomson Wai Lung WONG

CONTACT

(852) 28315258; wongtwl@hku.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: January 10, 2019
• First Posted: January 22, 2019
• Study Start: October 1, 2018
• Primary Completion: August 31, 2021
• Study Completion: August 31, 2021
• Last Updated: March 25, 2020

Record last verified: 2020-03

Locations

HK (1)