protocolSection identificationModule nctId: NCT06388434, orgStudyIdInfo id: HP-00100309, briefTitle: Protective Arm Balance Responses, acronym: PAT, statusModule overallStatus: RECRUITING, startDateStruct date: 2023-10-01, primaryCompletionDateStruct date: 2024-07, completionDateStruct date: 2024-08, studyFirstPostDateStruct date: 2024-04-29, lastUpdatePostDateStruct date: 2024-04-29, sponsorCollaboratorsModule leadSponsor name: University of Maryland, Baltimore, class: OTHER, descriptionModule briefSummary: The overall objective of this study is to investigate the effect of attention control training on reach-grasp stabilizing responses during fall-induced perturbations. The central hypothesis is that training attention control during reach to grasp balance perturbations will lead to increased grasp accuracies and reduced in-task falls. This research will mark the first explore the effects of training attention control on protective arm responses and fall rate during a balance perturbation paradigm and the first feasibility testing of a fully integrated cognitive and physical rehabilitation paradigm, moving beyond correlative designs and parallel treatments. The overall public health significance of the proposed research is that with improved protective arm responses and grasp accuracies, a larger randomized control study may be designed to mitigate falls among community dwelling older adults.Participants will be involved in 6 sessions. Session 1 will include the assessment, questionnaires, and training. Session 2 will include just the training. Session 3 will include the assessment and training. Sessions 4-5 will include just the training. Session 6 will include the assessment, questionnaires, and training., conditionsModule conditions: Old Age; Debility, conditions: Peripheral Neuropathy, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: NA, interventionModel: SEQUENTIAL, interventionModelDescription: The study will include two groups (older adults and people with peripheral neuropathy) which will be assessed pre- and post-intervention, primaryPurpose: OTHER, maskingInfo masking: NONE, enrollmentInfo count: 30, type: ESTIMATED, armsInterventionsModule interventions name: Protective Arm Balance Response Training, outcomesModule primaryOutcomes measure: Grasp Accuracy, primaryOutcomes measure: In-task falls incidence, secondaryOutcomes measure: Electromyography (EMG) of the shoulder muscles, secondaryOutcomes measure: Physiological responses (heart rate variability), secondaryOutcomes measure: Physiological responses (electrodermal activity), secondaryOutcomes measure: Activity specific balance confidence scale, secondaryOutcomes measure: Stait Trait Anxiety Inventory, secondaryOutcomes measure: Subjective Units of Distress Scale, secondaryOutcomes measure: Mini Mental State Examination (MMSE), secondaryOutcomes measure: Beck Anxiety Inventory, secondaryOutcomes measure: Somatosensation, eligibilityModule sex: ALL, minimumAge: 45 Years, maximumAge: 88 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Allied Health Research Building, status: RECRUITING, city: Baltimore, state: Maryland, zip: 21201, country: United States, contacts name: Kelly P Westlake, PhD, role: CONTACT, phone: 410-706-5919, email: kwestlake@som.umaryland.edu, geoPoint lat: 39.29038, lon: -76.61219, hasResults: False