Clinical trial NCT04577092: Dual Task Training for Balance in Older Adults
Official title: Do Motor-cognitive and Motor-motor Dual Task Training Effect Differently Balance Performance in Older Adults?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Geriatrics
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2020-10-06
Enrollment: 50
Sex: ALL
Minimum age (years): 60
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Randomized controlled study
Primary purpose: SUPPORTIVE_CARE

Brief summary: Dual task training (DTT) have been showed that have satisfying effects on older adults. The aim of this study was to compare the effect of motor-cognitive DTT (mCdtt) and motor-motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults. The participants were divided into two groups; who received mCdtt (Group 1) and who received mMdtt (Group 2). The intervention program had lasted for 8 weeks.

Detailed description: Dual task training (DTT) have been showed that have satisfying effects on older adults. The aim of this study is comparing the effect of motor-cognitive DTT (mCdtt) and motor-motor DTT (mMdtt) on balance, fear of falling, walking functionality and muscle strength in older adults. A total of 50 participants aged 60 and over (mean age: 67.72±7.33 years), having a score ≥ 24 on the Mini-Mental State Exam (MMSE), being in category of walking ability ≥ 4 according to the Functional Ambulation Category (FAC), having no problem in visual ability and hearing were included for this study. The participants who received mCdtt (Group 1) counted back from the two-digit number and the participants who received mMdtt (Group 2) held half-filled glasses with 90o flexion elbow with both hand while performing exercises. The intervention program had lasted for 8 weeks. To assess balance, fear of falling, walking functionality and muscle strength of participants, Berg Balance Scale (BBS), Falls Efficacy Scale International (FES-I), Timed Up and Go (TUG) and Hand-held dynamometer were used, respectively.

Eligibility criteria: Inclusion Criteria:

* (1) age over 60 years old
* (2) score ≥ 24 on the Mini-Mental State Exam
* (3) category of walking ability ≥ 4 according to the Functional Ambulation Category
* (4) no problem in visual ability and hearing

Exclusion Criteria:

* (1) a history of specific balance problems (i.e., diagnosed neurological, musculoskeletal or vestibular disorder)
* (2) history of cerebrovascular occasion
* (3) history of hip-knee surgery
* (4) use of medication(s) such as sedatives and hypnotics, antidepressants and benzodiazepines.

Primary outcomes:
measure: Berg Balance Scale (BBS)
timeFrame: baseline (first assessment)
measure: Berg Balance Scale (BBS)
timeFrame: End of the training (8 weeks after)
Secondary outcomes:
measure: Falls Efficacy Scale International (FES-I)
timeFrame: baseline (first assessment)
measure: Falls Efficacy Scale International (FES-I)
timeFrame: End of the training (8 weeks after)
measure: Timed Up and Go (TUG)
timeFrame: baseline (first assessment)
measure: Timed Up and Go (TUG)
timeFrame: End of the training (8 weeks after)
measure: Muscle Testing (MT)
timeFrame: baseline (first assessment)
measure: Muscle Testing (MT)
timeFrame: End of the training (8 weeks after)
Other outcomes:
measure: Charlson Comorbidity Index (CCI)
timeFrame: baseline (first assessment)
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Aydin University
Study officials:
affiliation: Istanbul Aydın University
name: Hanifegul Taskiran, PT, Prof
role: STUDY_DIRECTOR
References:
citation: Akin H, Senel A, Taskiran H, Kaya Mutlu E. Do motor-cognitive and motor-motor dual task training effect differently balance performance in older adults? Eur Geriatr Med. 2021 Apr;12(2):371-378. doi: 10.1007/s41999-020-00434-8. Epub 2021 Jan 3.