Effect of Action Observation Training on Gait Variables and Global Cognitive Functions

Study Overview
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Brief Summary
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This study will investigate the effect of Action Observation Teaining (AOT) on gait variables and global cognitive functions in older adults with mild cognitive impairment (MCI). The specific objectives are 1) to compare gait variables and global cognitive functions among the AOT with gait training, gait training, and control groups at before training, after training, and follow up and 2) to compare gait variables and global cognitive functions among before training, after training, and follow up in each of the groups.

Detailed Description
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Participants in this study will be older adults recruiting from the Physical Therapy Center of Mahidol University, Siriraj hospital, and community at Phuttamonthon area (n = 39). They will be diagnosed as a MCI, using core clinical criteria of the National Institute on Aging and the Alzheimer's Association by a physiotherapist. Prior to participate in the study, participants will be informed the details of the study and sign the informed consent. All participants will be recorded the demographic data and will be assessed visual acuity, hearing, sensation and muscle strength of lower extremity, balance, gait variables, and global cognitive function. Participants who pass the criteria will be randomly assigned to either the AOT with gait training group (n = 13), the gait training group (n = 13), and the control group (n = 13) by stratified randomization. Gait variables will be collected by the Force Distribution Measurement platform during walking at comfortable speed (single task) and during counting backwards from 100 by sevens (dual tasks). Global cognitive function will be assessed by the Montral Cognitve Assessment (MoCA). All varaibles will be assessed 3 times which will be at before training, after 4-week of training, and 4-week follow-up.

Official Title
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The Effect of Action Observation Training on Gait Variables and Global Cognitive Functions in Older Adult With Mild Cognitive Impairment: A Randomized Controlled Trial

Conditions
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Mild Cognitive Impairment

Intervention / Treatment
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* Procedure: AOT with gait training
* Procedure: Gait training
* Other: Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged 60-80 years old. Having subjective evidence of cognitive decline from patients, or from closely informants, or from a clinicians. Having objective evidence of cognitive decline, deﬁned by using a Montreal Cognitive Assessment (MoCA) 18-24 points. Independent function in daily life Independent walking without using gait aids. Having fall risk, defined by the fall risk threshold (gait velocity < 1 m/s in walking while counting backwards from 100 by sevens). Able to understand Thai language and follow study protocol. Exclusion Criteria: Having history of stroke or heart attack or Parkinsonism symptoms. The presence of major depression disorder deﬁned by a Patient Health Questionnaire-9 > 9 points. Diagnosis as dementia by neurologists. Any cardiac or respiratory disease that could cause gait limiting. Musculoskeletal disorder that affected gait performance. Balance disorder in assessment day, such as vertigo and dizziness. Visual acuity with a glasses worse than 6/15 (metric system) in both their eyes.

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 80 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: AOT with gait training group<br>Action observation training with gait training | Procedure: AOT with gait training<br>* AOT with gait training composes of program of watching video in different views of normal walk for 5 min. After that, participants will receive gait training program. The program consists of warm-up, gait training, cool-down, and stretching. Gait training is classified into the different levels of difficulty in each week. The 1st week will be walking over the markers followed by 100 steps/min of metronome. The second week will be walking over the markers followed by 120 step/min of metronome. The 3rd week will be walking followed by 120 step/min of metronome but not has the markers. The 4th week will imagine and imitate the walking in the 2nd week but not has the markers and metronome.<br>|
| Active Comparator: Gait training group<br>Gait training | Procedure: Gait training<br>* To control a total time of training, the gait training group will watch video of Vincent van Gogh's painting for 5 min. After that, participants will training the gait as protocol of experimental group. The program consists of warm-up, gait training, cool-down, and stretching. Gait training is classified into the different levels of difficulty in each week. The 1st week will be walking over the markers followed by 100 steps/min of metronome. The second week will be walking over the markers followed by 120 step/min of metronome. The 3rd week will be walking followed by 120 step/min of metronome but not has the markers. The 4th week will imagine and imitate the walking in the 2nd week but not has the markers and metronome.<br>|
| Other: Control group<br>Education | Other: Education<br>* There will be no intervention exercise program provide for the control group. They will receive education about dementia such as definition, etiology, sign and symptom, and caring.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changed score of stride time variability in single-task condition | Stride time variability in self-selected speed of walking. It is duration between successive points of heel contact of the same foot. The coeffcient of variation (CV), which measures the variability of stride time, will be calculated as a ratio of the standard deviation of the mean stride time to the mean stride time multiplied by 100. | 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changed score of stride time variability in dual -task condition | Stride time variability in walking while counting backwards from 100 by sevens. It is duration between successive points of heel contact of the same foot. The coeffcient of variation (CV), which measures the variability of stride time, will be calculated as a ratio of the standard deviation of the mean stride time to the mean stride time multiplied by 100. | 8 weeks | 
| Changed score of gait velocity in single-task condition | It will be calculated from distance divided by time. | 8 weeks | 
| Changed score of gait velocity in dual -task condition | Gait velocity in walking while counting backwards from 100 by sevens, will be calculated from distance divided by time. | 8 weeks | 
| Changed score of MoCA | Global cognitive functions will be collected using a Montreal Cognitive Assessment (MoCA) | 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Action Observation Training, Gait