The Effect of Two Different Dual Task Balance Trainings in Older Adults

NCT ID: NCT03981692

Last Updated: 2021-06-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-08

Study Completion Date

2019-06-24

Brief Summary

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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

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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.

Conditions

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Dual Task Exercises in Elderly People

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

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 Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Consecutive Dual Task Training

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 to the group. Immediately after these trainings, they 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.

Group Type ACTIVE_COMPARATOR

Consecutive dual task

Intervention Type OTHER

8 weeks and 2 days per week, one session 45 min. Consecutive dual task creates the idea that it may provide more workable work without creating stress while doing secondary task during dual task.

Integrated Dual Task Training

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 to the group. They will be done similar cognitive activities during with this simple balance trainings.

Group Type ACTIVE_COMPARATOR

Integrated dual task

Intervention Type OTHER

8 weeks and 2 days per week, one session 45 min. Integrated dual task is a proven mode of work that has positive effects on geriatrics

Interventions

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Consecutive dual task

8 weeks and 2 days per week, one session 45 min. Consecutive dual task creates the idea that it may provide more workable work without creating stress while doing secondary task during dual task.

Intervention Type OTHER

Integrated dual task

8 weeks and 2 days per week, one session 45 min. Integrated dual task is a proven mode of work that has positive effects on geriatrics

Intervention Type OTHER

Eligibility Criteria

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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.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Marmara University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Volkan Yüzlü, PT MSc

Role: PRINCIPAL_INVESTIGATOR

Darüşşafaka Physical Therapy and Rehabilitation Center

Semra Oğuz, PhD

Role: STUDY_DIRECTOR

Marmara University

Mine Gülden Polat, Prof PhD

Role: STUDY_CHAIR

Marmara University

Locations

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Darüşşafaka Physical Therapy and Rehabilitation Center

Istanbul, Maltepe, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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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.

Reference Type DERIVED
PMID: 34972869 (View on PubMed)

Other Identifiers

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09.2019.181

Identifier Type: -

Identifier Source: org_study_id

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