Effects of Simultaneous Versus Sequential Motor-cognitive Task Training on Balance and Coordination Among Elderly Individuals

Foundation University Islamabad

Status: Completed

Conditions: Balance; Cognitive Functions

Treatments: Procedure: Sequential motor-cognitive task training; Procedure: Simultaneous motor-cognitive task training

Study type: Interventional

Funder types: Other

Identifiers

NCT06967844

FUI/CTR/2024/60

Details and patient eligibility

About

A randomized control trial will be done on elderly individuals in Community Homes of Rawalpindi/Islamabad. Motor-cognitive impairments impact the life of elderly individuals. The purpose of the study is to determine the effects of simultaneous versus sequential motor-cognitive task training on balance, coordination, dual task performance and cognitive functions using the Berg Balance Scale, Mini Mental State Examination, Fall Efficacy Scale and time up and go test, The Simultaneous Motor-cognitive task traning includes activities like walking while counting, balancing on one foot while naming or solving puzzles, and ball toss with recall for forty minutes. The sequential motor-cognitive task training includes standing on one foot, heel-to-toe walk, and leg swings for 20 minutes; and after 20 min rest time followed by memory games and problem-solving tasks for 20 minutes. 12 sessions for 6 weeks will be given.

Enrollment: 45 patients

Sex: All

Ages: 65+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age 65 years or older
• MMSE scoring 24 or higher
• BBS scoring 41-56

Exclusion criteria

• cardio, neurological, musculoskeletal, and psychiatric problems.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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45 participants in 2 patient groups

Simultaneous motor-cognitive task training

Experimental group

Description:

It includes elderly individuals receiving simultaneous motor-cognitive task training for balance, coordination, dual-task performance and cognition for 40 min duration (6 weeks with 2 sessions per week). 1. Walking while counting walk 5 meters while counting backward by ones walk 10 meters while counting backward by threes walk 15 meters while counting backward by sevens 2. Balancing on one foot while naming and solving puzzle stand on one foot for 20 seconds while naming animals stand on one foot for 30 seconds while solving simple puzzle stand on one foot for40 seconds while solving complex puzzle 3. Ball toss and recall toss a ball at 3 meters while recalling three word list toss a ball at 5 meters while recalling five word list toss a ball at 7 meters while recalling seven word list

Treatment:

Procedure: Simultaneous motor-cognitive task training

Sequential motor-cognitive task training

Active Comparator group

Description:

It includes elderly individuals receiving sequential motor-cognitive task training for balance, coordination, dual-task performance and cognition for 20 minutes duration each (motor and cognition training) with a 20 min rest in between (6 weeks with 2 sessions per week). Motor-training : 1. Balancing on one foot standing on one foot for 10 seconds standing on one foot for 20 seconds standing on one foot for 30 seconds 2. Heel-to-toe walk walk heel to toe 5 meters walk heel to toe 10 meters walk heel to toe 15 meters 3. Leg swings 10 swings per leg 15 swings per leg 20 swings per leg Cognitive-training : 1. Memory games recall three word list recall five word list recall seven word list 2. Problem-solving tasks simple arithmetic problems moderate level arithmetic problems difficult arithmatic problems

Treatment:

Procedure: Sequential motor-cognitive task training