Comparison of Effect of Different Methods of Cognitive Loading on Gait of Normal Healthy Students

NCT06656078 | Completed

• 1 other identifier: REC/01885 Imran Amjad
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison of effect of different methods of cognitive loading on gait of normal healthy students.

Conditions

Cognitive Load, Performance

Outcome Measures

Primary Outcomes (21)

• Walking speed (m/s)

  For gait activity, the Gait and Balance mobile app (G\&B) measures the walking speed with moderate to excellent reliability while the participant is walking normally with (ICC=0.93). Walking speed usually decreases if the participant performs a task that challenges dynamic balance.

  Baseline

• Walking speed (m/s)

  For gait activity, the Gait and Balance mobile app (G\&B) measures the walking speed with moderate to excellent reliability while the participant is walking normally with (ICC=0.93). Walking speed usually decreases if the participant performs a task that challenges dynamic balance.

  During Cognitive loading tests

• Walking speed (m/s)

  For gait activity, the Gait and Balance mobile app (G\&B) measures the walking speed with moderate to excellent reliability while the participant is walking normally with (ICC=0.93). Walking speed usually decreases if the participant performs a task that challenges dynamic balance.

  Immediately after Cognitive loading tests

• Gait symmetry (%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures gait symmetry with moderate to excellent reliability while the participant is walking normally with (ICC=0.65) Gait symmetry tends to decrease if the participant undergoes a task that includes dynamic balance.

  Baseline

• Gait symmetry (%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures gait symmetry with moderate to excellent reliability while the participant is walking normally with (ICC=0.65) Gait symmetry tends to decrease if the participant undergoes a task that includes dynamic balance.

  During Cognitive loading tests

• Gait symmetry (%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures gait symmetry with moderate to excellent reliability while the participant is walking normally with (ICC=0.65) Gait symmetry tends to decrease if the participant undergoes a task that includes dynamic balance.

  Immediately after Cognitive loading tests

• Step length(m)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step length with moderate to excellent reliability while the participant is walking normally with (ICC=0.94). Step length usually increases with challenged dynamic balance-based activities.

  Baseline

• Step length(m)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step length with moderate to excellent reliability while the participant is walking normally with (ICC=0.94). Step length usually increases with challenged dynamic balance-based activities.

  During Cognitive loading tests

• Step length(m)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step length with moderate to excellent reliability while the participant is walking normally with (ICC=0.94). Step length usually increases with challenged dynamic balance-based activities.

  Immediately after Cognitive loading tests

• Step time(s)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time with moderate to excellent reliability while the participant is walking normally with (ICC=0.84). Step time increases under the effect of dynamic balance-based activities.

  Baseline

• Step time(s)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time with moderate to excellent reliability while the participant is walking normally with (ICC=0.84). Step time increases under the effect of dynamic balance-based activities.

  During Cognitive loading tests

• Step time(s)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time with moderate to excellent reliability while the participant is walking normally with (ICC=0.84). Step time increases under the effect of dynamic balance-based activities.

  Immediately after Cognitive loading tests

• Step time variability(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time with moderate to poor reliability while the participant is walking normally (ICC=0.51). Step time variability tends to increase if a participant undergoes dynamic balance-based activities.

  Baseline

• Step time variability(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time with moderate to poor reliability while the participant is walking normally (ICC=0.51). Step time variability tends to increase if a participant undergoes dynamic balance-based activities.

  During Cognitive loading tests

• Step time variability(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time with moderate to poor reliability while the participant is walking normally (ICC=0.51). Step time variability tends to increase if a participant undergoes dynamic balance-based activities.

  Immediately after Cognitive loading tests

• Step length variability(%)

  For gait activity, the G\&B app measures step length variability with moderate to poor reliability while the participant is walking normally (ICC=0.16). step length variability tends to increase with activities that involve dynamic balance.

  Baseline

• Step length asymmetry(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step length asymmetry with moderate to poor reliability while the participant is walking normally with (ICC=0.6). Step length asymmetry tends to increase with tasks that include dynamic balance.

  During Cognitive loading tests

• Step length asymmetry(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step length asymmetry with moderate to poor reliability while the participant is walking normally with (ICC=0.6). Step length asymmetry tends to increase with tasks that include dynamic balance.

  Immediately after Cognitive loading tests

• Step time asymmetry(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time asymmetry with moderate reliability while the participant is walking normally with (ICC=0.68). Step time asymmetry tends to increase with activities that include dynamic balance.

  Baseline

• Step time asymmetry(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time asymmetry with moderate reliability while the participant is walking normally with (ICC=0.68). Step time asymmetry tends to increase with activities that include dynamic balance.

  During Cognitive loading tests

• Step time asymmetry(%)

  For gait activity, the Gait and Balance mobile app (G\&B) measures step time asymmetry with moderate reliability while the participant is walking normally with (ICC=0.68). Step time asymmetry tends to increase with activities that include dynamic balance.

  Immediately after Cognitive loading tests

Study Arms (2)

Group 1 male

EXPERIMENTAL

All members of group number 1 who fall in the eligibility criteria will undergo three different types of cognitive loading. Three types of cognitive loading will be applied randomly to eliminate any bias. Each Method will be applied three times with pre and post-recordings to ensure reliability.

Other: 1. WORKING MEMORY TASK:; Other: 2. VISUAL AND VERBAL FLUENCY TASK; Other: 3. MOTOR TASK:

Group 2 female

EXPERIMENTAL

All members of group number 2 who fall in the eligibility criteria will undergo three different types of cognitive loading. Three types of cognitive loading will be applied randomly to eliminate any bias. Each Method will be applied three times along with pre and post-recordings to ensure reliability.

Other: 1. WORKING MEMORY TASK:; Other: 2. VISUAL AND VERBAL FLUENCY TASK; Other: 3. MOTOR TASK:

Interventions

1. WORKING MEMORY TASK: OTHER

Arithmetic task: backward counting with serial 3 subtractions out loud. Group 1 and Group 2 participants will be asked to count backwards with serial 3 subtractions out loud while walking 10 meters. There is considerable disruption of performance because of simultaneous articulatory suppression. However, when errors were observed they were calculated to be numerically close to the correct figure which suggests that performance was not completely disrupted by suppression of articulation.

Group 1 male; Group 2 female

2. VISUAL AND VERBAL FLUENCY TASK OTHER

Modified Stroop test or Stroop colour word test: Participants are asked to name the colour of ink that each word is printed. It is the most frequent test used to show attention bias in anxiety patients. This test will appear on the mobile phone in their hands while they walk to increase the effect of cognitive loading.

Group 1 male; Group 2 female

3. MOTOR TASK: OTHER

Carrying a tray with four glasses filled with water. Participants will be asked to hold a tray of glasses filled with water and walk 10 meters to calculate the effect of cognitive loading on gait.

Group 1 male; Group 2 female

Eligibility Criteria

• Age: 17 Years - 20 Years
• Gender Eligibility Details: All male and female healthy students are eligible to participate.
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Male and female students from colleges of Abbottabad.
• Age limit (17 to 20) According to (FSC admission criteria age of the student should not be more than 18 to enter the college.)
• Healthy individuals without any neurological and MSK disorder. (screening will be done before performing the test on the student, questions regarding the above-mentioned conditions and consent will be signed before starting the test)

You may not qualify if:

• Any student with visible physical deformity or MSK disorder will not be included in this research (15)
• Any student with a psychiatric or neurological disorder will not be included (16)
• Any student with cardiac abnormality will be excluded from this research (17)
• Any student who does not fall in this age group will not be included in this research.
• Colleges outside Abbottabad will not be included in this research.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah international university

Islamabad, Punjab Province, 44030, Pakistan

Location

Study Officials

• Imran Amjad, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Research

Study Record Dates

• First Submitted: October 8, 2024
• First Posted: October 24, 2024
• Study Start: October 24, 2024
• Primary Completion: December 30, 2024
• Study Completion: December 30, 2024
• Last Updated: January 13, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)