Dual Task Training for Balance in Older Adults

Istanbul University - Cerrahpasa (IUC)

Status: Completed

Conditions: Geriatrics

Treatments: Other: Warm-up exercise; Other: Cool-down exercise; Other: Motor-Motor exercise; Other: Motor-Cognitive exercise

Study type: Interventional

Funder types: Other

Identifiers

NCT04577092

13

Details and patient eligibility

About

Dual task training (DTT) have been showed that have satisfying effects on older adults. The aim of this study was to compare the effect of motor-cognitive DTT (mCdtt) and motor-motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults. The participants were divided into two groups; who received mCdtt (Group 1) and who received mMdtt (Group 2). The intervention program had lasted for 8 weeks.

Full description

Dual task training (DTT) have been showed that have satisfying effects on older adults. The aim of this study is comparing the effect of motor-cognitive DTT (mCdtt) and motor-motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults. A total of 50 participants aged 60 and over (mean age: 67.72±7.33 years), having a score ≥ 24 on the Mini-Mental State Exam (MMSE), being in category of walking ability ≥ 4 according to the Functional Ambulation Category (FAC), having no problem in visual ability and hearing were included for this study. The participants who received mCdtt (Group 1) counted back from the two-digit number and the participants who received mMdtt (Group 2) held half-filled glasses with 90o flexion elbow with both hand while performing exercises. The intervention program had lasted for 8 weeks. To assess balance, fear of falling, walking functionality and muscle strength of participants, Berg Balance Scale (BBS), Falls Efficacy Scale International (FES-I), Timed Up and Go (TUG) and Hand-held dynamometer were used, respectively.

Enrollment: 50 patients

Sex: All

Ages: 60 to 90 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• (1) age over 60 years old
• (2) score ≥ 24 on the Mini-Mental State Exam
• (3) category of walking ability ≥ 4 according to the Functional Ambulation Category
• (4) no problem in visual ability and hearing

Exclusion criteria

• (1) a history of specific balance problems (i.e., diagnosed neurological, musculoskeletal or vestibular disorder)
• (2) history of cerebrovascular occasion
• (3) history of hip-knee surgery
• (4) use of medication(s) such as sedatives and hypnotics, antidepressants and benzodiazepines.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Motor-Cognitive

Active Comparator group

Description:

In 10-minute warm up period; neck flexion/extension/side flexion/circumflexion (clockwise and counterclockwise), rounding shoulder back and forth, circumflexion of arm back and forth, side flexion of trunk and rising on the fingertips. After warm up period; participants had been asked to count back from the two-digit number while performing; in standing position, straight walk, side walk, abduction/flexion/extension of hip and hip and knee flexion; in sitting position, hip flexion, knee extension, ankle dorsi - plantar flexion. In 10-minute cool down period, stretching of quadriceps femoris muscle, hamstring muscle, achill tendon and cervical muscles were performed.

Treatment:

Other: Warm-up exercise

Other: Motor-Cognitive exercise

Other: Cool-down exercise

Motor-Motor

Active Comparator group

Description:

In 10-minute warm up period; neck flexion/extension/side flexion/circumflexion (clockwise and counterclockwise), rounding shoulder back and forth, circumflexion of arm back and forth, side flexion of trunk and rising on the fingertips. After warm up period; participants had been asked to hold with both hand half-filled glasses with 90 degree of flexion elbow and near the trunk while performing; in standing position, straight walk, side walk, abduction/flexion/extension of hip and hip and knee flexion; in sitting position, hip flexion, knee extension, ankle dorsi - plantar flexion. In cool down period, stretching of quadriceps femoris muscle, hamstring muscle, achill tendon and cervical muscles were performed.

Treatment:

Other: Warm-up exercise

Other: Motor-Motor exercise

Other: Cool-down exercise