Clinical trial NCT03189342: Effects of Training on Fall Risk and Balance Performances
Official title: Effects of Dual-Task Training and Exercise-Cognitive Activity Combined Training on Fall Risk and Balance Performance in Elderly at Risk of Falls: A Randomised Controlled Trial Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Accidental Falls
Keywords: Balance
Dual-task interference
Falls
Gait
Older Adults
Lead sponsor: Istanbul Medipol University Hospital
Sponsor class: OTHER
First posted: 2017-06-16
Enrollment: 45
Sex: ALL
Minimum age (years): 65
Maximum age (years): 83
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Exercise training The volunteers were assigned to one of three interventions for 4 weeks. Group 1 performed balance and gait exercises. Group 2 performed cognitive activity simultaneously with balance and gait exercises. Group 3 performed cognitive, balance and gait activity training asynchronously at different times during the same day.
Primary purpose: PREVENTION

Brief summary: Dual task training has been shown to reduce the risk of falls more than single task training. However, there have been no studies which compared the effects of single task training, dual task training and asynchronous cognitive, balance exercise training during same day on the risk of falls among healthy older individuals. Therefore, the aim of this study was to investigate differences among the effects of single task training, dual task training and exercise-cognitive activity combined training on balance and gait performances and fall risk in elderly at risk of fall.

Detailed description: The term "dual task" refers to the ability of performing 2 tasks simultaneously, for example, a cognitive and a motor task. Previous studies demonstrated that dual task training is more effective than single task training in reducing falls among elderly. These studies demonstrated that the improvements in balance and gait speed resulted in a decrease of fall frequency. Although dual task training has been shown to reduce the risk of falls more than single task training, to date, there have been no studies which compared the effects of single task training, dual task training and asynchronous cognitive, balance exercise training during same day on the risk of falls among healthy older individuals. Therefore, the aim of this study was to investigate differences among the effects of single task training, dual task training and exercise-cognitive activity combined training on balance and gait performances and fall risk in elderly at risk of fall.

Eligibility criteria: Inclusion Criteria:

* Age 65 years or older
* literate
* having a fall incident during the past year
* ability to walk 10 meter without any support
* getting more than 13.5 seconds at Timed up and Go test
* getting less than 24 points at Standardized Mini-Mental State Examination

Exclusion Criteria:

* neurological or musculoskeletal diagnosis such as Parkinson's or Alzheimer's disease,
* orthopaedic involvement or significant visual and auditory impairments

Primary outcomes:
measure: Gait speed under single task condition
timeFrame: 4 weeks
measure: Gait speed under dual task condition
timeFrame: 4 weeks
measure: Timed Up and Go test
timeFrame: 4 weeks
measure: Berg Balance Scale
timeFrame: 4 weeks
measure: Falls Efficacy Scale
timeFrame: 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Medipol Mega University Hospital
Study officials:
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