Cognitive and Psychomotor Stimulation in the Physical and Cognitive Function in the Functional Capacity of Older Adults

Study Overview
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Brief Summary
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The population is increasingly older and this means that there are more and more dependent older people, for this reason it is necessary to achieve the best quality of life for the older adult population by promoting active and healthy aging.

Official Title
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Cognitive and Psychomotor Stimulation in the Physical and Cognitive Function and in the Functional Capacity of Older Adults

Conditions
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Mild Cognitive Impairment

Intervention / Treatment
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* Other: Cognitive and psychomotor stimulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Have a mild dependency according to the Barthel Index (score greater than 60 points). Not present serious cognitive impairment, nor serious psychiatric or somatic disorders, nor disruptive and inappropriate behaviors. Be able to understand each of the self-administered questionnaires and perform the tests. Exclusion Criteria: Have vision problems. Be enrolled in a physical exercise program.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br>This group receives training in cognitive and psychomotricity stimulation activities. | Other: Cognitive and psychomotor stimulation<br>* Each cognitive stimulation session aimed to maintain and/or improve cognition through memory, language, executive functions, attention, concentration, and perception activities. All the people in the two groups performed the same cognitive stimulation activities adapted to their cognitive and sensory abilities. The psychomotricity sessions were aimed at maintaining and/or improving the motor, cognitive, social and affective functioning of the person through activities that work on postural tone, body scheme, laterality, fine and gross motor skills, balance, flexibility, among others, adding a cognitive component. All the psychomotricity activities were adapted to the motor and cognitive abilities of the users.<br>|
| No Intervention: Control group<br>This group does not receive any treatment. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Tinetti Scale | Scale for the assessment of gait and balance. Indicated for early detection of the risk of falls in the elderly. The higher the score, the lower the risk of falls. The maximum score for the gait subscale is 12, for the balance subscale 16. The sum of both scores for the risk of falls. | Up to twelve weeks | 
| Handgrip Strength | Dynamometer will be employed to assess handgrip strength. | Up to twelve weeks | 
| MMSE (mini-mental state examination) | A tool that can be used to systematically and thoroughly assess mental status. | Up to twelve weeks | 
| TUG test (Timed Up and Go test) | Is a simple test used to assess a person's mobility and physical function. | Up to twelve weeks | 
| The Lawton & Brody scale | Evaluates independence and functionality in instrumental activities of daily life) such as shopping, cooking, cleaning, washing, finances, medication, transportation and use of the telephone; and considers instrumental disability the inability to perform one or more activities. Each area is scored according to the description that best corresponds to the subject. Therefore, each area scores a maximum of 1 point and a minimum of 0 points. The maximum dependence would be marked by obtaining 0 points, while a sum of 8 points would express total independence. | Up to twelve weeks | 
| The Barthel Index | Assesses functional dependence when performing basic activities of daily living (BADL), consists of 10 items with scores between 0 and 15 maximum each (Mahoney and Barthel, 1965). The highest possible score is 100 points, this being the greatest independence, if the score is greater than 60 the dependency is slight, if the score is between 40 and 55 the dependency is moderate, when between 20 and 35 points the dependency is serious and if it is less than 20 points the dependency is total. | Up to twelve weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| BMI (Body Mass Index) | Is calculated from the formula, Weight (kg) / Height2 (m2), whose unit is kg/m2. It is a rough indicator of total body fat. | Up to twelve weeks | 
| Body Weight | Is the sum of Body Fat and Fat Free Mass. | Up to twelve weeks | 
| Height | It measures a person's height, measured from the sole of the foot to the top of the head. | Up to twelve weeks |