Comparative Evaluation of Immediate vs Progressive Standing Dual Task Training in Elderly With Mild and Moderate Cognitive Impairment

NCT07764250 | Recruiting DMC

• 1 other identifier: 009-26
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

older adults with mild and moderate cognitive impairment. compare immediate vs progressive standing dual-task training. assess balance, cognition, executive function, mobility, and quality of life.

Conditions

Cognitive Impairment; Cognitive Impairment, Mild; Moderate Cognitive Impairment

Keywords

CI; MCI; DTT; ISDTT; PSDDT

Outcome Measures

Primary Outcomes (4)

• MMSE

  4 WEEKS

• MOCA

  4 WEEKS

• TUG

  4 WEEKS

• BBS

  4 WEEKS

Secondary Outcomes (2)

• TMT

  4 WEEKS

• QOL

  4 WEEKS

Study Arms (4)

ARM 1: Immediate Standing + Mild CI

EXPERIMENTAL

Other: Immediate standing dual task training

Arm 2: Progressive Standing + Mild CI

EXPERIMENTAL

Other: progressive standing dual task training

Arm 3 Immediate Standing + Moderate CI

EXPERIMENTAL

Other: Immediate standing dual task training

Arm 4 Progressive Standing + Moderate CI

EXPERIMENTAL

Other: progressive standing dual task training

Interventions

Immediate standing dual task training OTHER

Motor-cognitive dual-task training is a rehabilitation intervention delivered by a physiotherapist over 8 weeks, with three sessions per week, each lasting 45 minutes. Every session consists of a 5-minute warm-up, 30-35 minutes of dual-task training, and a 5-minute cool-down. It simultaneously combines motor and cognitive tasks. Motor components include marching in place, finger tapping, hand transfer activities, side stepping, weight shifting, heel raises, heel-toe stepping, and balance challenges. Cognitive components include naming animals or fruits, counting forward, and months, serial subtraction by threes, backward digit span, alternate naming, and word recall. Participants allocated to the Immediate Standing intervention perform all dual-task activities in standing from the first treatment session.

Also known as: progressive standing dual task training

ARM 1: Immediate Standing + Mild CI; Arm 3 Immediate Standing + Moderate CI

progressive standing dual task training OTHER

Motor-cognitive dual-task training is a rehabilitation intervention delivered by a physiotherapist over 8 weeks, with three sessions per week, each lasting 45 minutes. Every session consists of a 5-minute warm-up, 30-35 minutes of dual-task training, and a 5-minute cool-down. It simultaneously combines motor and cognitive tasks. Motor components include marching in place, finger tapping, hand transfer activities, side stepping, weight shifting, heel raises, heel-toe stepping, and balance challenges. Cognitive components include naming animals or fruits, counting forward, and months, serial subtraction by threes, backward digit span, alternate naming, and word recall. Participants allocated to the Progressive Standing intervention initially perform dual-task activities sitting and progressively transition to standing during the intervention period.

Arm 2: Progressive Standing + Mild CI; Arm 4 Progressive Standing + Moderate CI

Eligibility Criteria

• Age: 55 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥55 years Mild or moderate cognitive impairment MoCA 10-25 MMSE 10-23 Able to participate Provides informed consent

You may not qualify if:

• Severe cognitive impairment Severe sensory or musculoskeletal impairments Unstable medical conditions Participation in another intervention study

Sponsors & Collaborators

• Shifa Tameer-e-Millat University: lead

Study Sites (1)

Pakistan institute of medical sciences

Islamabad, Capital, Pakistan

RECRUITING

MeSH Terms

Conditions

Cognitive Dysfunction

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Randomized Control Trial (RCT)

Study Record Dates

• First Submitted: August 9, 2026
• First Posted: August 13, 2026
• Study Start: June 25, 2026
• Primary Completion (Estimated): August 25, 2026
• Study Completion (Estimated): August 30, 2026
• Last Updated: August 13, 2026

Record last verified: 2026-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)