Motor and Cognitive Dual-task Gait Training Effect Functional Outcome in Intellectual Disability

Study Overview
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Brief Summary
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To find out the comparative effects of motor and cognitive dual gait training on improving the balance control and mobility skills among intellectual disable patients.

Detailed Description
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Previous studies had done a lot of work in improving balance and mobility skills by combining both motor and cognitive dual gait training (CDT and MDT) techniques among Down syndrome, Parkinsonism and so on but not a single study was conducted in order to determine the comparative effects of CDT and MDT especially in intellectual disability individuals to improve balance so the study was conducted in order to find the comparative effect for the better understanding of the treatment effects.

Official Title
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Comparative Effects of Motor and Cognitive Dual-task Gait Training on Balance and Mobility in Persons With Intellectual Disabilities

Conditions
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Intellectual Disability

Intervention / Treatment
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* Other: Motor dual-task gait training
* Other: Cognitive dual-task gait training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both genders having IQ range between 50-69 Walk without assistive devices Having a Grade I-IV on the RLACFS Exclusion Criteria: Genetic disorders (Down syndrome). Age-related diseases like Parkinsonism and Alzheimer disease. Cerebrovascular accident, dementia, Cerebral palsy Severe visual impairment. Medications (sedatives or narcotics)

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 20 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: Motor dual-task gait training<br>Motor dual task gait training was the protocol which performed by the patients after the measurement of the balance and gait ability | Other: Motor dual-task gait training<br>* Patients were instructed to walk either on treadmill or on the land. During walk; patients were instructed to perform five tasks. The patients performed tossing and catching the ball, rehanging loops on hoops, buttoning and unbuttoning the shirts, holding the cup in water without the spilling and receiving with returning the water. Each activity were performed for three minute and 15 minutes were provided for performing all the tasks<br>|
| Experimental: Cognitive dual-task gait training<br>Cognitive dual task gait training was the protocol which performed by the patients after the measurement of the balance and gait ability | Other: Cognitive dual-task gait training<br>* Patients were instructed to walk either on treadmill or on the land. During walk; patients were instructed to perform five tasks. The patients performed sharp coloring, subtraction, counting, verbal analogical reasoning and backward spelling. Each activity were performed for three minute and 15 minutes were provided for performing all the tasks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rancho Los Amigos Cognitive functional scales | Ranchos Los Amigos Scale is the reliable tool for assessing the cognitive function of the patient as the scale score form grade 1 to 8 with ten level descriptive scale where grade 1 have zero response while grade 8 shows the activate participation of the patient with cut off value for 5. It is the most reliable and valid assessment tool | 4th week | 
| Berg Balance Scale | Berg Balance Scale is the most reliable tool used for the assessment of balance performance among patients having balance problems and disease causing balance issues. | 4th week | 
| Walking while talking test | Walking while talking is the time measuring tool for assessing the risk of fall and gait performance in the intellectual disable patients as in this test the patient asked to narrate repeated words during walking for 20 feet having ICC= 0.89-0.99 | 4th week | 
| Stair climb test | Stair climbing test is the valid tool for assessing the velocity and level of mobility within the time as the patient asked to climb up and down the stairs and therapist record the number of the steps which are taken within the time period having MIC of -0.6 with 95% confidence interval | 4th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Motor and cognitive dual task gait training