Rhythmically Entrained Exercise in Community-Dwelling Older Adults

NCT05462977 | Completed

• 1 other identifier: FY22-106
• Study Type: interventional
• Target: 18
• Locations: 1 country
• Sites: 1

Brief Summary

Researchers at the University of North Carolina at Greensboro conduct a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment.

Conditions

Exercise; Gait; Cognitive Decline; Caregiver Burden; Cognitive Impairment; Dementia; Alzheimer Disease; Mild Cognitive Impairment; Respite Care; Mental Health; Depression; Music Therapy; Psychosocial Intervention; Cognition; Geriatric Assessment; Cognitive Dysfunction; Cognitive Aging; Outcome Assessment, Health Care; Balance; Fall; Walking; Affect; Physical Exertion; Memory Deficit; Memory Disorders; Memory Impairment; Neuropsychological Tests; Executive Function; Middle Aged; Healthy Aging; Elderly

Keywords

Physical Activity; Rhythmic Entrainment; Synchronous Music; Rhythmic Auditory Stimulation; Rhythmic Auditory Cue; Gait Training; Mobility; Movement; Perceived Exertion; Musical Pleasure; Groove; Memory; Executive Function; Older Adults

Outcome Measures

Primary Outcomes (6)

• Change of fall risks

  Participants' fall risks will be measured by Timed Up \& Go Test

  Baseline and change from baseline at month 5

• Change of walking endurance

  Participants' gait and walking endurance will be measured by 6-Minute Walk Test

  Baseline and change from baseline at month 5

• Change of balance control

  Participants' balance control will be measured by 4-Stage Balance Test

  Baseline and change from baseline at month 5

• Change of lower body strength

  Participants' lower body strength will be measured by 30-second Chair Stand Test

  Baseline and change from baseline at month 5

• Change of cognitive function

  Participants' cognitive function will be measured through Montreal Cognitive Assessment , Flanker Inhibitory Control and Attention test, and Pattern Comparison Processing Speed Test.

  Baseline and change from baseline at month 5

• Change of health-related quality of life

  EuroQol Health Questionnaire

  Baseline and change from baseline at month 5

Study Arms (1)

Group exercise with beat-accented synchronous music stimulation

EXPERIMENTAL

Participants will be asked to participate in a music-based group exercise program for 24 weeks (up to 6 days/week, 30 - 45 min/day), which is designed for older adults with functional limitations to safely exercise on a chair or in a supported standing posture for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace based on the tempo of the beat-accented synchronous music playlists.

Behavioral: Group exercise program

Interventions

Group exercise program BEHAVIORAL

Participants will be asked to join a music-based group exercise program for 24 weeks (up to 6 days/week, 30 - 45 min/day), which is designed for older adults with functional limitations to safely exercise on a chair or in a supported standing posture for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace in synchrony with music.

Group exercise with beat-accented synchronous music stimulation

Eligibility Criteria

• Age: 55 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years old
• Capable of being ambulatory with or without an assistive device.
• No cardiac or pulmonary conditions or any neurological or musculoskeletal comorbidity or pain that would make light-intensity exercise dangerous, determined by the Physical Activity Readiness Questionnaire for Everyone or confirmed by their local medical practitioner if necessary.
• Having adequate hearing for a conversation (including with hearing aids)
• Capable of following the study procedures
• No severe anxiety or depression
• Mild to moderate cognitive impairment

You may not qualify if:

• Age younger than 55 or older than 99
• Severe anxiety or depression
• Severe cognitive impairment

Sponsors & Collaborators

• University of North Carolina, Greensboro: lead

Study Sites (1)

UNC Greensboro

Greensboro, North Carolina, 27412, United States

Location

Related Publications (1)

• Park KS, Buseth L, Hong J, Etnier JL. Music-based multicomponent exercise training for community-dwelling older adults with mild-to-moderate cognitive decline: a feasibility study. Front Med (Lausanne). 2023 Aug 21;10:1224728. doi: 10.3389/fmed.2023.1224728. eCollection 2023.

  PMID: 37671396 RESULT

Related Links

• Related Info

MeSH Terms

Conditions

Motor Activity; Cognitive Dysfunction; Caregiver Burden; Dementia; Alzheimer Disease; Psychological Well-Being; Depression; Memory Disorders

Condition Hierarchy (Ancestors)

Behavior; Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Stress, Psychological; Behavioral Symptoms; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Tauopathies; Neurodegenerative Diseases; Personal Satisfaction; Neurobehavioral Manifestations; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Shin Park, PhD

  University of North Carolina, Greensboro

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be invited to participate in a music-based group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week).

Study Record Dates

• First Submitted: October 13, 2021
• First Posted: July 18, 2022
• Study Start: May 1, 2022
• Primary Completion: April 28, 2023
• Study Completion: September 30, 2023
• Last Updated: November 2, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)