Comparison of the Effects of Motor and Cognitive Dual Task Exercises on Fall Risk, Balance, and Gait

NCT07823166 | Completed

• 1 other identifier: AYBU-FTR-BA-11
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to compare the effects of motor and cognitive dual-task exercise programs on fall risk, balance, and gait performance in older adults residing in nursing homes.The main question it aims to answer is: An eight-week motor or cognitive dual-task exercise program did not provide additional benefits over standard single-task exercise in improving fall risk, balance, or gait performance in nursing home residents. All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks. Assessments were conducted before and after the intervention using the Five-Repetition Sit-to-Stand Test, 2-Minute Walk Test, Single-Leg Stance Test, Timed Up and Go (TUG) Test, Tinetti Balance and Gait Scale, and Functional Reach Test.

Conditions

Geriatric; Nursing Home Resident

Keywords

Dual-task exercise; balance; older adults; nursing home; rehabilitation

Outcome Measures

Primary Outcomes (3)

• 2-Minute Walk Test (2MWT)

  Walking capacity was assessed over a 30-meter walkway during a two-minute period. Participants wore comfortable clothing and footwear and rested for 10 minutes before testing. The total walking distance was recorded in meters. Distance walked during two minutes, measured in meters. Higher values indicate better walking endurance and functional capacity.

  8 weeks

• Five Times Sit-to-Stand Test (FTSST)

  The FTSST was used to assess lower extremity strength, functional mobility, and fall risk. Participants were instructed to stand up from a standard chair and sit down five consecutive times as quickly as possible while keeping their arms crossed over the chest. Total completion time was recorded using a stopwatch. Time required to complete five consecutive sit-to-stand movements, measured in seconds. Lower values indicate better lower-extremity functional performance; higher values indicate worse outcome.

  8 weeks

• Timed Up and Go (TUG) Test

  Functional mobility was assessed by measuring the time required for participants to stand up from a chair, walk 3 meters, turn around, return to the chair, and sit down. Time was recorded in seconds using a stopwatch. Time required to complete the test, measured in seconds. Lower values indicate better mobility and functional performance; higher values indicate worse outcome.

  8 weeks

Secondary Outcomes (3)

• Single-Leg Stance Test

  8 weeks

• Tinetti Balance and Gait Assessment Scale

  8 weeks

• Functional Reach Test

  8 weeks

Study Arms (3)

Motor Dual-Task Exercise Group

EXPERIMENTAL

Behavioral: Motor Dual-Task Exercise

Cognitive Dual-Task Exercise Group

EXPERIMENTAL

Behavioral: Cognitive Dual-Task Exercise

Control Group

ACTIVE COMPARATOR

Behavioral: Control group

Interventions

Motor Dual-Task Exercise BEHAVIORAL

Participants in the motor dual-task group performed a structured exercise program consisting of the Five Times Sit-to-Stand Test, Timed Up and Go test (3 m), single-leg stance, 10-meter tandem walking, 10-meter normal walking, and a 20-meter marching activity while simultaneously carrying a tray filled with water. All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.

Motor Dual-Task Exercise Group

Cognitive Dual-Task Exercise BEHAVIORAL

Participants in the cognitive dual-task group performed the same exercise program combined with a concurrent cognitive task. During each exercise, participants were instructed to verbally generate proper nouns beginning with the letter "A". All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.

Cognitive Dual-Task Exercise Group

Control group BEHAVIORAL

The control group performed a conventional exercise program of equivalent duration and frequency without any additional dual-task component. All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.

Control Group

Eligibility Criteria

• Age: 65 Years - 95 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• residing in nursing homes who were aged between 65 and 95 years
• Individuals able to walk independently
• Individuals who are literate
• Individuals willing to participate in the study
• Individuals cognitively capable of understanding and performing the required assessments and exercises.

You may not qualify if:

• Individuals with malignancy
• Individuals with osteoporosis
• Individuals with a history of fracture
• Individuals with coagulation disorders
• Individuals with an active infection
• Individuals with orthostatic hypotension
• Individuals with pacemaker implantation

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Altınçatı Nursing Home and Elderly Care Center

Ankara, ÇANKAYA, 06550, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Control Groups

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• BİHTER AKINOĞLU, Assoc. Prof. Dr., PT.

  Ankara Yildirim Beyazıt University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: A total of 69 eligible participants were allocated into three groups using a systematic allocation sequence based on the order of enrollment.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Dr., PT.

Model Details: Participants were sequentially allocated to three parallel groups in a 1:1:1 ratio based on the order of enrollment: motor dual-task exercise, cognitive dual-task exercise, and conventional exercise (control) groups

Study Record Dates

• First Submitted: September 11, 2026
• First Posted: September 16, 2026
• Study Start: November 25, 2023
• Primary Completion: September 15, 2024
• Study Completion: November 25, 2024
• Last Updated: September 22, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)