Task Training In Older Adults With Age-Related Hearing Loss

NCT05190081 | Completed

• 1 other identifier: 60116787-020/1933.
• Study Type: interventional
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to examine the effects of single and dual-task training on physical function, cognitive function, quality of life, balance, concerns about falling, and activities of daily living in the elderly with age-related hearing loss. The elderly who were diagnosed with age-related hearing loss in Pamukkale University Health, Practice and Research Center, Department of Otorhinolaryngology participated in the study. The elderly were allocated a single-task training group, dual-task training group, and control group. Thirteen patients in the single-task training group, 15 patients in the dual-task training group, 14 patients in the control group completed the study. Degrees of hearing loss were determined by pure tone audiometry. Evaluations, Senior Fitness Test, Montreal Cognitive Assessment, World Health Organization- Quality of Life- Old Module, Berg Balance Scale, Falls Efficacy Scale International, Functional Independence Measure, Dual Task Questionnaire, Dual Task Effect, were performed initially, after the interventions and at the 6th month. The interventions were carried out two days a week and 40 minutes, for five weeks.

Conditions

Hearing Loss; Age Related Hearing Loss; Physical Disability; Vestibular Disease

Keywords

Age Related Hearing Loss; Dual Task; Cognitive Function; Physical Function

Outcome Measures

Primary Outcomes (10)

• Senior Fitness Test

  This test is valid in the elderly population and provides comprehensive, continuous measurement, consisting of 6 sub-heading, including chair stand, arm curl, 2-minute step, chair sit-and-reach, back scratch, and 8-foot-up-and-go tests

  Initially, 1st week

• Senior Fitness Test

  This test is valid in the elderly population and provides comprehensive, continuous measurement, consisting of 6 sub-heading, including chair stand, arm curl, 2-minute step, chair sit-and-reach, back scratch, and 8-foot-up-and-go tests

  At 5th week

• Senior Fitness Test

  This test is valid in the elderly population and provides comprehensive, continuous measurement, consisting of 6 sub-heading, including chair stand, arm curl, 2-minute step, chair sit-and-reach, back scratch, and 8-foot-up-and-go tests

  Through study completion at 6th month

• Montreal Cognitive Assessment

  It evaluates 8 different cognitive functions: visuospatial/executive functions, naming, attention, concentration and calculation, language, abstraction, delayed recall, and orientation. The highest score is 30 in total. A score of 21 and above is considered normal

  Initially, 1st week

• Montreal Cognitive Assessment

  It evaluates 8 different cognitive functions: visuospatial/executive functions, naming, attention, concentration and calculation, language, abstraction, delayed recall, and orientation. The highest score is 30 in total. A score of 21 and above is considered normal

  At 5th week

• Montreal Cognitive Assessment

  It evaluates 8 different cognitive functions: visuospatial/executive functions, naming, attention, concentration and calculation, language, abstraction, delayed recall, and orientation. The highest score is 30 in total. A score of 21 and above is considered normal

  Through study completion at 6th month

• Pure tone audiometry

  Pure tone audiometry at 6 different frequencies (0.5, 1, 2, 4, 6, 8 kHz) frequently mentioned in the literature was performed by an audiologist with a clinical audiometer

  Initially, 1st week

• World Health Organization Quality of Life - Old Module

  It consists of 24 items in six facets. The facets of this module are "sensory abilities", "autonomy", "past, present and future activities", "social participation", "death and death", "intimacy". A high score indicates a high quality of life.

  Initially, 1st week

• World Health Organization Quality of Life - Old Module

  It consists of 24 items in six facets. The facets of this module are "sensory abilities", "autonomy", "past, present and future activities", "social participation", "death and death", "intimacy". A high score indicates a high quality of life.

  At 5th week

• World Health Organization Quality of Life - Old Module

  It consists of 24 items in six facets. The facets of this module are "sensory abilities", "autonomy", "past, present and future activities", "social participation", "death and death", "intimacy". A high score indicates a high quality of life.

  Through study completion at 6th month

Secondary Outcomes (12)

• Berg Balance Scale

  Initially, 1st week

• Berg Balance Scale

  At 5th week

• Berg Balance Scale

  Through study completion at 6th month

• International Fall Efficiency Scale

  Initially, 1st week

• International Fall Efficiency Scale

  At 5th week

Study Arms (3)

single-task training group

EXPERIMENTAL

Tasks were completed separately in the single-task training group

Other: TASK TRAINING

dual-task training group

EXPERIMENTAL

Tasks were completed at the same time in the dual-task training group

Other: TASK TRAINING

control group

NO INTERVENTION

No intervention was performed in the control group

Interventions

TASK TRAINING OTHER

A special program including motor and cognitive tasks was prepared. Both lower and upper extremity motor tasks and verbal, arithmetic, auditory, and visual cognitive tasks were planned based on evidence. The dual-task and single-task training were held 2 days a week, 40 minutes, for a total of 10 sessions for 5 weeks. A patient-appropriate task was selected for each cognitive task each week.

dual-task training group; single-task training group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Being \>65 years old
• Montreal Cognitive Assessment Scale score \> 21
• Diagnosed with Age-Related Hearing Loss
• Having bilateral symmetrical hearing loss (average ±10dB difference)
• Having normal visual functions
• Ability to ambulate independently (may use a self-help device)

You may not qualify if:

• Using a hearing aid
• Receiving a physical therapy intervention for Age-Related Hearing Loss
• Having an orthopedic or neurological condition that may affect cognition or postural control
• Using medication that may affect cognition or postural control
• Having vertigo or being hospitalized in the emergency room due to vertigo attacks
• Missing or refusing the follow-up

Sponsors & Collaborators

• Pamukkale University: lead

Study Sites (1)

Pamukkale University

Denizli, Kinikli, 20070, Turkey (Türkiye)

Location

Related Publications (2)

• Bruce H, Lai L, Bherer L, Lussier M, St-Onge N, Li KZH. The effect of simultaneously and sequentially delivered cognitive and aerobic training on mobility among older adults with hearing loss. Gait Posture. 2019 Jan;67:262-268. doi: 10.1016/j.gaitpost.2018.10.020. Epub 2018 Oct 23.

  PMID: 30390596 BACKGROUND

• Bruce H, Aponte D, St-Onge N, Phillips N, Gagne JP, Li KZH. The Effects of Age and Hearing Loss on Dual-Task Balance and Listening. J Gerontol B Psychol Sci Soc Sci. 2019 Jan 10;74(2):275-283. doi: 10.1093/geronb/gbx047.

  PMID: 28486677 BACKGROUND

MeSH Terms

Conditions

Hearing Loss; Presbycusis; Vestibular Diseases

Condition Hierarchy (Ancestors)

Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Hearing Loss, Sensorineural; Labyrinth Diseases

Study Officials

• HANDE USTA, PHD

  Pamukkale University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor, Research Assisstant

Model Details: Intervention groups were formed as single-task training, dual-task training, and control group. Distribution was made into groups using a simple randomized number selection technique.

Study Record Dates

• First Submitted: November 6, 2021
• First Posted: January 13, 2022
• Study Start: January 1, 2019
• Primary Completion: January 23, 2021
• Study Completion: March 1, 2021
• Last Updated: September 29, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)