Attentional Focus Instructions and Conscious Movement Processing in Older Adults

The Hong Kong Polytechnic University

Status: Active, not recruiting

Conditions: Fall Injury; Gait, Unsteady; Walking, Difficulty

Treatments: Other: Walking trials

Study type: Observational

Funder types: Other

Identifiers

NCT05411536

15601021

Details and patient eligibility

About

This study aims to provide a novel scientific contribution through addressing critical knowledge gaps, examining the effects of attentional focus instructions on real-time (state) conscious movement processing propensity, gait parameters, and muscle efficiency in older adults in Hong Kong at risk of falling while walking in a challenging environment. The study results could update our scientific understanding of the mechanisms of conscious movement processing and the interventional effects of attentional focus instructions in older adults. It could ultimately enhance the methodology used for developing the most appropriate psychomotor gait re-education intervention in rehabilitation and provide clear guidelines on the exact attentional focus training that older adults require. Further, it could mitigate the effect of conscious movement processing and risk of falling in older adults.

Enrollment: 106 estimated patients

Sex: All

Ages: 65 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age 65 or above;
• able to walk independently indoor for at least 20 metres without a walking aid.

Exclusion criteria

• a total score of less than 24 on the MMSE-C (Chiu et al., 1994; Folstein et al., 1975);
• the presence of any untreated cerebral vascular disease, Parkinson's disease, or any other major neurological deficit;
• the presence of an unstable medical condition affecting safety while walking ;
• a history of a major fall incident within the last year;
• a static visual acuity poorer than 20/40 vision (assessed using the Tumbling E eye chart).

Trial design

106 participants in 2 patient groups

high reinvestor group (HRG)

Description:

The participants were divided into two groups, the high reinvestor group (HRG) and the low reinvestor group (LRG), using the conventional median split of their scores on the MSRS-C (Chu \& Wong, 2019; Mak et al., 2020).

Treatment:

Other: Walking trials

low reinvestor group (LRG)

Description:

The participants were divided into two groups, the high reinvestor group (HRG) and the low reinvestor group (LRG), using the conventional median split of their scores on the MSRS-C (Chu \& Wong, 2019; Mak et al., 2020).

Treatment:

Other: Walking trials