Effects of Balance Training in Older Adults With Dementia

Study Overview
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Brief Summary
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Purpose -To investigate whether older adults with dementia who have balance and gait problems can improve their balance and gait function after an individualized 4-week tasks-oriented balance training with sensory manipulation. Hypothesis -There is significant difference of Timed Up and Go Test, Berg Balance Scale, walking speed, 30-s chair-stand test, Chair sit-and-reach test and Barthel Index between dementia patients who received tasks-oriented balance training and those didn't receive after 4-weeks training and one month follow-up.

Official Title
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Effects of Task-oriented Balance Training in Institutionalized Older Adults With Dementia

Conditions
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Dementia

Intervention / Treatment
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* Other: Task-oriented balance training
* Other: Upper extremities exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient provides oral consent, and written consent obtains from next of kin Older than 65 years Diagnosis of dementia, based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) or The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Can follow order to complete the screening test(Timed Up and Go test) Has balance and gait problems Can standing independently with/without assistive device or can standing with minimal assistance Exclusion Criteria: Newly developed cardiopulmonary disease and other exercise contraindications Other neuromuscular or musculoskeletal disease that might affect the outcome(ex. Recent stroke, fracture or orthopedic surgery)

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Balance training<br> | Other: Task-oriented balance training<br>* 4 weeks individualized task-oriented balance training, twice a week and 1 hour each session<br>|
| Active Comparator: Control<br>Control group received 4 weeks upper extremities exercise in sitting position | Other: Upper extremities exercise<br>* 4 weeks upper extremities exercise in sitting position, twice a week and 1 hour each session weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timed Up and Go test | Change from Baseline of Timed Up and Go test | baseline, post-treatment, 1-month follow up | 
| Berg Balance Scale | Change from Baseline of Berg Balance Scale | baseline, post-treatment, 1-month follow up | 
| walking speed | Change from Baseline of walking speed | baseline, post-treatment, 1-month follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 30-s chair-stand test | Change from Baseline of 30-s chair-stand test | baseline, post-treatment, 1-month follow up | 
| chair sit-and-reach test | Change from Baseline of chair sit-and-reach test | baseline, post-treatment, 1-month follow up | 
| Saint Louis University mental status examination | Change from Baseline of Saint Louis University mental status examination | baseline, post-treatment, 1-month follow up | 
| Barthel index | Change from Baseline of Barthel index | baseline, post-treatment, 1-month follow up |