Dual Task in Institutionalized Elderly

Study Overview
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Brief Summary
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Objectives: To evaluate the effects of eight weeks of cognitive motor training (dual task) in the risk of falls, balance, independence in basic activities of daily living (BADL) and handgrip in institutionalized elderly. Methods: The sample was divided in two groups: double task group (DTG), consists of five elderly, undergoing a training consists of motor and cognitive activities and control group (CG) consists of four seniors who underwent conventional kinesiotherapeutic training, based on global stretching and strengthening exercises, both held in 16 sessions.

Detailed Description
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Experimental, prospective and quantitative study, whose sample was selected for convenience in a long-term care institution for the elderly (LTCF) in the city of Uberaba - MG. The volunteers were divided into two groups, named dual task group (DTG) consists of five seniors, and control group (CG) consists of four elderly. All participants of both groups answered a questionnaire with sociodemographic and economic characteristics of the sample. Participants underwent a pre- and post evaluation containing vital signs parameters (blood pressure, respiratory rate and heart rate), anthropometric data (weight and height) and different tests to evaluate the balance, functional mobility, risk of falls, muscle strength and independence to carry out basic activities of daily living. The performed tests were Timed Up and Go (TUG) conventional, motor TUG and TUG cognitive, beyond Romberg test and Sensitized Romberg, Berg Balance Scale, and modified Katz scale (with maintenance of the six original activities of the scale, but with simulation to the performance of each task, measuring the spent time).

Official Title
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Dual Task in Institutionalized Elderly: Positive Impact on the Risk of Falls and Functionality

Conditions
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Aging

Intervention / Treatment
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* Other: Cognitive motor training
* Other: kinesiotherapeutic conventional treatment


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: individuals over the age of 60, minimum score of 18 points on the Mini-Mental State Examination (MMSE), individuals classified as sedentary according the International Physical Activity Questionnaire (short version IPAQ-), literate and visual acuity preserved or corrected. Exclusion criteria: Individuals unable to remain standing upright individuals dependent from auxiliary device to walk those who performed another type of physical therapy intervention concomitantly

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cognitive motor training<br>Evaluate the effectiveness of a 12-week training based on dual-task (motor and cognitive) in institutionalized elderly. | Other: Cognitive motor training<br>* Initially an intervention consisting of double duty activities (motor-cognitive) and the control group will be subjected to a conventional treatment based on stretching and strengthening will be held.<br>|
| Active Comparator: Control Group<br>kinesiotherapeutic conventional treatment | Other: kinesiotherapeutic conventional treatment<br>* Standardized global stretching and strengthening with squat exercise, plantar flexion in foot and elbow flexion supporting body weight in the hands arranged on the wall<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Risk of falls | Measured by the following tests: TUG, motor TUG, cognitive TUG, Romberg and sensitized Romberg (all measured in seconds) | 8 weeks of training | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Independence to carry out basic activities of daily living | Through the modified Katz scale: the simulation of the activities originally present in the Katz scale was performed by the participants, and the time taken to their execution was recorded. | 8 weeks of training | 
| Muscle strength | Through dynamometry | 8 weeks of training | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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dual task, aging