Effect of Dual Task Balance Training on Cognitive Functions in People With Mental Retarded
Phase: NA
Conditions: Cognitive Rehabilitation
Sponsor: Istanbul Medipol University Hospital

1.         Open name of research :Effect of dual task balance training on cognitive functions in people 
with mental retarded. 
2. 
Open name of the researcher / researchers:  
2.1.1. Name-Surname:  Ebrar ATAK 
2.1.2. Title / Specialization: MSc/PT 
2.1.3. Adress:  ismetpaşa mah. Sakarya sok. Barış 2 apt. no: 26/2 merkez/yalova 
2.1.4. Phone Number:05052049391 
2.1.5. Fax: 
2.1.6. E-mail: ebrarata@hotmail.com 
2. 
Open name of the researcher / Consultant Teacher  
2.2.1. Name- Surname:  Z. Candan ALGUN 
2.2.2. Title / Specialization: Prof/PT 
2.2.3. Adress: Istanbul Medipol University 
2.2.4.    Phone number: 05322631630 
2.2.5. Faks numarası:- 
2.2.6. E-mail: calgun@medipol.edu.tr 
 
3. 
Purpose of the study: 
 With this study, it will be tried to determine whether the addition of physiotherapy program to the 
education of mentally disabled individuals is effective and necessary in terms of mental performance. 
4. 
MATERİELS  AND METHOTS 
Mental disability levels IQ = 50-79 individuals with mild / border mental disabilities will be included in 
the study. The disability status of the individuals will be determined by the health report, and the 
cognitive status of the individuals will be determined by the report given as a result of the evaluation 
made by the Guidance Research Centers of the National Education Directorates. The 45-person study 
group will be randomized to 3 groups of 15 persons each. The first group will not be subjected to any 
application except education. The second group will be the control group and will be taken to the 
balance training in addition to normal education. In the third group, dual task balance training will be 
applied within the scope of cognitive rehabilitation. The study will be held from December 2018 to 
December 2019. Intelligence-related parts of the assessments will be carried out by the expert 
psychologist. The studies were planned to be 2 times a week for 12 weeks. Before the beginning of 
the study, at the end and 3 months after the end of the study, the assessments for the groups will be 
applied and the results will be evaluated statistically within and between the groups. Inclusion 

criteria; IQ 50-79, 6-13 years old, take command of Turkish, do not have physical disability, not have 
metabolic and systemic disease. To have a report on the mental disability and education required by 
the Ministry of National Education. 
Exclusion criteria; To have any situation that prevents the taking of commands related to the exercise 
program to be implemented, To have a chronic systemic disease, To have an educational diagnosis 
other than the mental disability. 
MOXO Attention Test: Attention, Timing, Impulsivity and Hyperactivity were found to be very 
effective in measuring performance levels; however, the rapidly increasing popularity of the test is 
due to the unique Distractor System found in MOXO. 
To be able to focus on a simple MOXO task, the individual must ignore the visual and auditory 
distractors in the test, just as they should do in the same daily life. Individual; In order to achieve this, 
they must ensure the active inhibition of distractors, which makes the test even more challenging 
and the advanced characteristics of the test. 
WISC-R INTELLIGENT TEST: It is a intelligence test prepared by David Wescler in 1939. This test, which 
first appeared for adults, was redesigned for children with the arrangements made. The WISC-R Child 
Intelligence Test is suitable for children aged 6 to 16 years. The individual test is 1-1,5 hours. 
Wisc-r intelligence test is a test performed by an expert. WISC-R Intelligence Tests are divided into 
two main parts. 
Verbal Intelligence Departments, Performance Intelligence 
There are 6 tests in both sections. Tests for these two sections are given one after the other. 
Bruininks-Oseretsky motor competence test: BOT-2 is a set of targeted activities to measure a wide 
range of motor skills in people aged 4 to 21 years. This test is a tool designed to provide an effective 
and reliable measurement of fine and rough motor control skills to physiotherapists, researchers and 
other practitioners. The Bruininks Oseretsky motor proficiency test (BOTMP; Bruininks), first 
published in 1978, was the most widely used standard measure (R. Bruininks and B. Bruininks, 2005 
(3)). While the Bruininks Oseretsky motor competency test (BOT-2) designed to facilitate the 
evaluation lasts 40-60 minutes for all children with 53 items, the highest score is 320 for this test. The 
application of the short form of the test, which consists of 14 items, lasts 15-20 minutes the highest 
score is 88 (R. Bruininks and B. Bruininks, 2005). 
COGNIBOARD: CogniBoard is a device that helps the healing process in patients with neurological or 
orthopedic injuries and diseases, provides multiple exercises, and develops and measures cognitive 
and motor performance in healthy individuals and athletes. CogniBoard consists of a 64-illuminated 
button placed on the panel that can be adjusted to the size of the individual. The layout of the keys 
creates a specially designed 5-ring. The individual is accompanied by lighted instructions and audible 
warnings are accompanied by exercise. Thus, tactile, visual, proprioceptive and auditory feedback is 
provided. 
 Functional Reach Test: The person is asked to lift his right arm about 90 degrees and to make a fist in 
his hand while he is standing at barefoot as a barefoot. The distance between the third metacarpal in 

each case indicates the functional extension. Decreased ability to reach in the future indicates that 
the risk of falling is approximately 8.2, the average is 4'dur never reach and those who can extend is 
less than 15.2cm. 
PEDIATRIC BALANCE SCALE: Pediatric balance scale is a balance scale which is designed to require 
minimal special material use which is rated between 0-4 points for each movement according to the 
measure of success, in which 14 basic movements are evaluated. 
Dual Task Balance Training Programs: Dual Task A progressive balance training program will be held 
twice a week for 12 weeks. Balance training 10 min. start with warming. The first 5 minutes of 
warming is planned on walking on the treadmill, the next 5 min. The 20-minute Dual Task balance 
training program is planned to be composed of two sections of 10 minutes. In the first 10 min 
section, the individual will exercise with the multi-task mode of CogniBoard on the balance ball. In 
this mode, when a random light goes out, the second light is turned on and the individual presses the 
button and the process is turned on for 10 minutes. Will be asked to continue throughout. This mode 
aims at neurocognitive procedures such as attention, short-term memory, hand-eye coordination, 
focusing and perception. Stroop study will be performed on the balance ball in the second 10 
minutes of the exercise. In this study, it is aimed to develop neurocognitive procedures such as 
focused attention, response inhibition, disruptive effect resistance, information processing speed. 
4.1. 
Number of volunteers::45 
4.2. 
STATİSTİCS 
In the analysis of the results to be obtained in our study, SPS statistics 22.0 version of SPSS statistics 
will be used under the Windows operating system Statistical Package for Social Sciences (SPSS). 
Descriptive statistical information shall be shown as arithmetic mean ± Standard Deviation (x 
istatistiksel ± Ss) or percentage (%) and the statistical significance level shall be considered as p 
±0.05. 
The difference between the groups will be tested by two-factor variance analysis. 
The two-factor variance analysis for correlated or repetitive measurements is an independent 
variable with two or more groups and associated or repeated measurements. Associated or 
repetitive measurements should be performed on the same subjects at specific time intervals. The 
purpose of this test is to determine the effect of the independent variable on the associated 
measurements. Specifically, it is to determine whether the groups of the independent variable have a 
different effect between the associated or repeated measures. TWO-WAY ANOVA 
 
5. 
Center / centers where the research will be carried out: The research will be conducted 
between December 2018 and December2019 in "Gerçek Dünya" special education and rehabilitation 
center and "Fark" special education and rehabilitation center. 
 
6. 
Applicant's: 

6.1. 
Name-Surname: Ebrar ATAK