Visual Stimulus-Based Cognitive-Motor Agility Exercise in Older Adults

NCT07714148 | Completed

• 1 other identifier: 2026-YONP-0051
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial examined the effects of adding a brief visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program in community-dwelling older adults. Participants were randomized to either an experimental group or an active control group. Both groups participated in supervised multicomponent exercise sessions twice weekly for 8 weeks. Each session lasted 45 minutes. During the final 10 minutes of each session, the experimental group performed the visual stimulus-based cognitive-motor agility exercises, whereas the active control group performed time-matched low-intensity activities. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory, and functional performance.

Conditions

Aging; Cognitive Performance; Psychomotor Performance; Exercise; Functional Performance

Keywords

older-adults; cognitive-motor exercise; reactive agility; psychomotor performance

Outcome Measures

Primary Outcomes (1)

• Change in Montreal Cognitive Assessment Score

  The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated. The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated.

  Baseline and 8 weeks

Secondary Outcomes (8)

• Change in Hand Visual-Motor Response Time

  Baseline and 8 weeks

• Change in Foot Visual-Motor Response Time

  Baseline and 8 weeks

• Change in Visual Working Memory Performance Time

  Baseline and 8 weeks

• Change in Visual Working Memory Accuracy

  Baseline and 8 weeks

• Change in Ten-Step Test Time

  Baseline and after 8 weeks

Study Arms (2)

Visual stimuli Cognitive-Motor Agility Exercise

EXPERIMENTAL

Participants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by both groups, followed by 10 minutes of Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise. The Light Trainer component included reactive visual-motor tasks requiring participants to respond to randomized visual stimuli using hand and foot movements.

Behavioral: Multicomponent Exercise Program; Behavioral: Visual Stimulus-Based Cognitive-Motor Agility Exercise

Active Control: Multicomponent Exercise With Low-Intensity Activities

ACTIVE COMPARATOR

Participants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by the experimental group, followed by 10 minutes of time-matched low-intensity activities. These activities included supervised stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.

Behavioral: Multicomponent Exercise Program; Behavioral: Time-Matched Low-Intensity Activities

Interventions

Multicomponent Exercise Program BEHAVIORAL

Participants completed a supervised 35-minute multicomponent exercise program twice weekly for 8 weeks. The program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, coordination exercises, low-resistance strengthening exercises, and functional movement combinations. This component was performed by both the experimental and active control groups.

Active Control: Multicomponent Exercise With Low-Intensity Activities; Visual stimuli Cognitive-Motor Agility Exercise

Visual Stimulus-Based Cognitive-Motor Agility Exercise BEHAVIORAL

The experimental group completed a 10-minute Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component during the final part of each supervised session. Tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. Each session included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across 8 weeks by increasing the number of modules from two to six and increasing task complexity.

Visual stimuli Cognitive-Motor Agility Exercise

Time-Matched Low-Intensity Activities BEHAVIORAL

The active control group completed a 10-minute time-matched low-intensity activity period during the final part of each supervised session. These activities included stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.

Active Control: Multicomponent Exercise With Low-Intensity Activities

Eligibility Criteria

• Age: 60 Years - 81 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Community-dwelling older adults aged 60 years or older
• Able to ambulate independently
• Able to understand and follow basic exercise and testing instructions
• Montreal Cognitive Assessment score of 23 or higher
• No health condition that would limit safe participation in exercise
• Able to participate regularly in the 8-week exercise program

You may not qualify if:

• Serious cardiovascular, neurological, orthopedic, or vestibular disease that could prevent safe participation in exercise
• Recent surgery
• Uncontrolled hypertension
• Severe visual or hearing problems
• Montreal Cognitive Assessment score below 23
• Use of medications known to substantially affect cognitive, psychomotor, balance, or motor performance
• Very low physical function preventing safe participation in the exercise program

Sponsors & Collaborators

• Çanakkale Onsekiz Mart University: lead

Study Sites (1)

Canakkale Onsekiz Mart University

Çanakkale, 17100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, Faculty of Sports Sciences, Çanakkale Onsekiz Mart University

Model Details: Participants were randomly assigned to one of two parallel groups: an experimental group receiving multicomponent exercise plus the visual stimulus-based cognitive-motor agility exercise, or an active control group receiving the same multicomponent exercise plus time-matched low-intensity activities.

Study Record Dates

• First Submitted: July 15, 2026
• First Posted: July 20, 2026
• Study Start: April 1, 2026
• Primary Completion: June 8, 2026
• Study Completion: June 8, 2026
• Last Updated: July 21, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)