Clinical trial NCT03981692: The Effect of Two Different Dual Task Balance Trainings in Older Adults
Official title: The Effect of Two Different Dual Task Balance Trainings on Balance and Gait in Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Dual Task Exercises in Elderly People
Keywords: Elderly
Balance
Gait speed
Cognitive
Dual task
Lead sponsor: Marmara University
Sponsor class: OTHER
First posted: 2019-06-11
Enrollment: 54
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: In the study; sit-up, stand on one leg (eye open-closed), standing 30 sec stop (eye open closed stop), 10 m walk backward, sitting on top of the ball (eye open-closed), transfer of weight on the top-left, walking in a straight line, 30 sec. stop on soft ground (eye open-close), balance training which does not force their efforts will be given in two groups.

Group 1: Integrated Dual Task Training Group performed balance and cognitive tasks simultaneously.

Group 2: Consecutive Dual Task Training Group performed balance and cognitive tasks sequentially.

The cognitive tasks; They were expected to find the letters Z in the mixed letters, search for the five words you read on the previous page, find the similarities between the concepts, find the letter in the given tables, derive the fruit names starting with the letter, count the days of the week, etc. Attention, memory and arithmetic training will be given the ability to run.
Primary purpose: SUPPORTIVE_CARE

Brief summary: The aim of our study is to investigate the effect of integrated and consecutive dual-task exercise trainings in elderly people on the balance, fear of falling and gait performance.

Detailed description: For the purpose, the number of 42 participants reached by the power analysis method was determined as 60 people considering the possible separations. 60 participants will be included in the study. Participants should not have any orthopedic, neurological and cognitive disabilities and the Montreal Cognitive Assessment (MOCA) scale score should be 21 or higher. Participants will be divided into two groups as random consecutive and integrated dual activity groups.

In the study sit-up, stand on one leg (eye open-closed), standing 30 sec stop (eye open closed stop), 10 m walk backward, sitting on top of the ball (eye open-closed), transfer of weight on the top-left, walking in straight line, 30 sec. stop on soft ground (eye open-close), balance training which does not force their efforts will be given in two groups.

For the sequential dual activity group, immediately after these trainings, you should expected to find the letters Z in the mixed letters, search for the five words you read on the previous page, find the similarities between the concepts, find the letter in the given tables, derive the fruit names starting with the letter, count the days of the week etc. Attention, memory and arithmetic training will be given the ability to run. For the integrated dual activity group will be given similar cognitive tasks during simple balance training.

The training program will be prolonged 8 weeks and 2 days per week for both groups.

The assessment tests was performed before and after the program. Primer Outcome Measure: Berg Balance Scale, Timed Up and Go Test (Standart-Cognitive), 10m Walking Speed Test (under single and dual task conditions).

Although there are many studies to increase and measure the balance and physical capacity of elderly people in the literature, there is no study using consecutive exercises and comparing the benefits of consecutive and integrated cognitive dual task training.

A major cause of morbidity and mortality is a fall injury in the elderly. Therefore, preventing falls in elderly people and increasing the ability to balance is an important public health priority.

Our study aims to benefit the public health, the reduction of health expenses of our country, the physiotherapists working with elderly people and the literature.

Eligibility criteria: Inclusion Criteria:

* Accepts to start routine exercise programs under the supervision of the medical team,
* Over age 65,
* Does not have orthopedic problems that may prevent him from exercising,
* The MOCA score is 21 or higher,
* Participants who have no other neurological problems that may cause loss of balance will be taken.

Exclusion Criteria:

* Having orthopedic problems that prevent him from exercising,
* Being under the MOCA score 21,
* To have any neurological problem that will affect the balance,
* Not wanting to participate in the study.

Primary outcomes:
measure: Berg Balance Scale (BBS)
timeFrame: 15 minutes
Secondary outcomes:
measure: Timed Up and Go test (TUGST)
timeFrame: 5 minutes
measure: Timed Up and Go test Cognitive (TUGCOG)
timeFrame: 5 minutes
measure: 10 Meters Walking Test Under Dual Task Condition (10MWTDT)
timeFrame: 5 minutes
measure: 10 Meters Walking Test Under Single Task Condition (10MWTST)
timeFrame: 5 minutes
measure: Tinetti Falls Efficacy Scale (FES)
timeFrame: 5 minutes
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Darüşşafaka Physical Therapy and Rehabilitation Center
state: Maltepe
Study officials:
affiliation: Darüşşafaka Physical Therapy and Rehabilitation Center
name: Volkan Yüzlü, PT MSc
role: PRINCIPAL_INVESTIGATOR
affiliation: Marmara University
name: Semra Oğuz, PhD
role: STUDY_DIRECTOR
affiliation: Marmara University
name: Mine Gülden Polat, Prof PhD
role: STUDY_CHAIR
References:
citation: Yuzlu V, Oguz S, Timurtas E, Aykutoglu E, Polat MG. The Effect of 2 Different Dual-Task Balance Training Methods on Balance and Gait in Older Adults: A Randomized Controlled Trial. Phys Ther. 2022 Mar 1;102(3):pzab298. doi: 10.1093/ptj/pzab298.