Clinical trial NCT06927362: LSVT Big and Dual Task Training in Cognitive Impaired Patients
Official title: Effects of Lee Silverman Voice Treatment Big and Dual Task Training on Balance, Cognition and Functional Mobility in Older Adults With Cognitive Impairment.
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Cognitive Impairment
Balance Changes
Cognition Disorders in Old Age
Functional Mobility
Keywords: LSVT big
dual task training
cognitive impaired patients
cognition
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-04-15
Enrollment: 50
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: interventional study model for this study is a parallel-group randomized controlled trial (RCT). This model involves two distinct groups: Group A will receive SLVT BIG intervention and group B will receive cognitive motor dual task training. Warm up and stretching exercises will be done for both groups.

comparisons between two therapies are unbiased. This parallel structure means each group undergoes its specific intervention throughout the study period without crossover to the other group's intervention. This approach helps assess the difference in effects of the two therapies on balance, cognition and functional mobility in older adults with cognitive impairment.
Primary purpose: TREATMENT

Brief summary: The goal of this study ifs to determine the comparative effects of Lee Silverman voice treatment Big and dual task training on balance, cognition and functional mobility in older adults with cognitive impairment.

Perform LSVT big four times in a week for about 4 months. Perform dual task training four times in a week for about 4 months. Complete assessments at baseline, the 4th, 8th, 12th weeks, and a follow-up at the 16th week.

Outcome measures include Mini BESTest, MoCA, stroop test and time up and go test. Statistical analyses will assess within-group and between-group effects based on data distribution.

Detailed description: This study, titled "Effects of of lee Silverman voice treatment big and dual task training on balance, cognition and functional mobility in older adults with cognitive impairment" aims to assess the combined effectiveness of Lee Silverman voice treatment and dual task training in older adults with cognitive impairment.

Eligibility criteria: Inclusion Criteria:

* Both male and female patients.
* Age limit for patients will be above 65.
* Patients with Mild and moderate cognitive impairment patients MoCA 13-25.
* Patients with Berge balance scale value 41-50.
* Patients who give consent to participate in study and undergo relevant test.

Exclusion Criteria:

* Patients with any musculoskeletal disorder in which these exercises are contraindicated.
* Patients using any walking aids.
* Patients with hearing impairment.
* Patients with other neurological conditions with limit the patient participation in planned exercise like stroke, Parkinson's.
* Patients with diagnosed psychiatric disorder or taking medication that affect cognitive function within 24 hours.

Primary outcomes:
measure: Mini BESTest
timeFrame: 4th week
measure: MoCA (Montreal Cognitive Assessment (For Cognition)
timeFrame: 4th week
measure: Stroop test
timeFrame: 4th week
measure: Time up and go test
timeFrame: 4th week
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Riphah International University
name: Arooba Saeed, phD
role: PRINCIPAL_INVESTIGATOR
References:
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