Dual Task Training for Balance in Older Adults

NCT04577092 | Completed

• 1 other identifier: 13
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Dual task training (DTT) have been showed that have satisfying effects on older adults. The aim of this study was to compare the effect of motor-cognitive DTT (mCdtt) and motor-motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults. The participants were divided into two groups; who received mCdtt (Group 1) and who received mMdtt (Group 2). The intervention program had lasted for 8 weeks.

Conditions

Geriatrics

Outcome Measures

Primary Outcomes (2)

• Berg Balance Scale (BBS)

  BBS is a widely used, reliable and valid scale, which was developed to measure balance in older adults with functional postures and movements. It consists of 14 items scoring from 0 (unable/unsafe) to 4 (independent/safe). The highest score was 56 and means the best ability of balance. Score of 0-20, 21-40 and 41-56 mean bad, fair and good ability of balance, respectively

  baseline (first assessment)

• Berg Balance Scale (BBS)

  BBS is a widely used, reliable and valid scale, which was developed to measure balance in older adults with functional postures and movements. It consists of 14 items scoring from 0 (unable/unsafe) to 4 (independent/safe). The highest score was 56 and means the best ability of balance. Score of 0-20, 21-40 and 41-56 mean bad, fair and good ability of balance, respectively

  End of the training (8 weeks after)

Secondary Outcomes (6)

• Falls Efficacy Scale International (FES-I)

  baseline (first assessment)

• Falls Efficacy Scale International (FES-I)

  End of the training (8 weeks after)

• Timed Up and Go (TUG)

  baseline (first assessment)

• Timed Up and Go (TUG)

  End of the training (8 weeks after)

• Muscle Testing (MT)

  baseline (first assessment)

Other Outcomes (1)

• Charlson Comorbidity Index (CCI)

  baseline (first assessment)

Study Arms (2)

Motor-Cognitive

ACTIVE COMPARATOR

In 10-minute warm up period; neck flexion/extension/side flexion/circumflexion (clockwise and counterclockwise), rounding shoulder back and forth, circumflexion of arm back and forth, side flexion of trunk and rising on the fingertips. After warm up period; participants had been asked to count back from the two-digit number while performing; in standing position, straight walk, side walk, abduction/flexion/extension of hip and hip and knee flexion; in sitting position, hip flexion, knee extension, ankle dorsi - plantar flexion. In 10-minute cool down period, stretching of quadriceps femoris muscle, hamstring muscle, achill tendon and cervical muscles were performed.

Other: Warm-up exercise; Other: Motor-Cognitive exercise; Other: Cool-down exercise

Motor-Motor

ACTIVE COMPARATOR

In 10-minute warm up period; neck flexion/extension/side flexion/circumflexion (clockwise and counterclockwise), rounding shoulder back and forth, circumflexion of arm back and forth, side flexion of trunk and rising on the fingertips. After warm up period; participants had been asked to hold with both hand half-filled glasses with 90 degree of flexion elbow and near the trunk while performing; in standing position, straight walk, side walk, abduction/flexion/extension of hip and hip and knee flexion; in sitting position, hip flexion, knee extension, ankle dorsi - plantar flexion. In cool down period, stretching of quadriceps femoris muscle, hamstring muscle, achill tendon and cervical muscles were performed.

Other: Warm-up exercise; Other: Motor-Motor exercise; Other: Cool-down exercise

Interventions

Warm-up exercise OTHER

In 10-minute warm up period; neck flexion/extension/side flexion/circumflexion (clockwise and counterclockwise), rounding shoulder back and forth, circumflexion of arm back and forth, side flexion of trunk and rising on the fingertips.

Motor-Cognitive; Motor-Motor

Motor-Cognitive exercise OTHER

After warm up period; participants had been asked to count back from the two-digit number while performing; in standing position, straight walk, side walk, abduction/flexion/extension of hip and hip and knee flexion; in sitting position, hip flexion, knee extension, ankle dorsi - plantar flexion.

Motor-Cognitive

Motor-Motor exercise OTHER

participants had been asked to hold with both hand half-filled glasses with 90 degree of flexion elbow and near the trunk while performing; in standing position, straight walk, side walk, abduction/flexion/extension of hip and hip and knee flexion; in sitting position, hip flexion, knee extension, ankle dorsi - plantar flexion.

Motor-Motor

Cool-down exercise OTHER

In 10-minute cool down period, stretching of quadriceps femoris muscle, hamstring muscle, achill tendon and cervical muscles were performed.

Motor-Cognitive; Motor-Motor

Eligibility Criteria

• Age: 60 Years - 90 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• (1) age over 60 years old
• (2) score ≥ 24 on the Mini-Mental State Exam
• (3) category of walking ability ≥ 4 according to the Functional Ambulation Category
• (4) no problem in visual ability and hearing

You may not qualify if:

• (1) a history of specific balance problems (i.e., diagnosed neurological, musculoskeletal or vestibular disorder)
• (2) history of cerebrovascular occasion
• (3) history of hip-knee surgery
• (4) use of medication(s) such as sedatives and hypnotics, antidepressants and benzodiazepines.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Istanbul Aydin University

Istanbul, 34160, Turkey (Türkiye)

Location

Related Publications (1)

• Akin H, Senel A, Taskiran H, Kaya Mutlu E. Do motor-cognitive and motor-motor dual task training effect differently balance performance in older adults? Eur Geriatr Med. 2021 Apr;12(2):371-378. doi: 10.1007/s41999-020-00434-8. Epub 2021 Jan 3.

  PMID: 33389715 DERIVED

MeSH Terms

Interventions

Warm-Up Exercise; Cool-Down Exercise

Intervention Hierarchy (Ancestors)

Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Post-Exercise Recovery Techniques; Physical Therapy Modalities; Therapeutics; Rehabilitation

Study Officials

• Hanifegul Taskiran, PT, Prof

  Istanbul Aydın University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant, Sub-investigator, Physiotherapist, MSc

Model Details: Randomized controlled study

Study Record Dates

• First Submitted: September 25, 2020
• First Posted: October 6, 2020
• Study Start: September 1, 2017
• Primary Completion: February 12, 2018
• Study Completion: March 18, 2018
• Last Updated: October 6, 2020

Record last verified: 2020-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)