Dual-task Training for Frail Older Adults With Chronic Musculoskeletal Pain (Pilot)
NCT ID: NCT07035327
Last Updated: 2025-12-10
Study Results
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Basic Information
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COMPLETED
NA
38 participants
INTERVENTIONAL
2025-07-01
2025-10-31
Brief Summary
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Main question: Is a 10-week dual-task training program, that combines resistance and cognitive training, feasible and accepted by community-dwelling older adults who have frailty and chronic musculoskeletal pain, and what is the effect of a 10-week dual-task training program on the frailty status in community-dwelling older adults who have frailty and chronic musculoskeletal pain?
Participants will attend supervised training sessions (either dual-task training \[Intervention group\] or resistance exercise \[Control group\]) for 10 weeks.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Intervention group - Dual-task training program
Participants in the intervention group will engage in a dual-task training program, in which resistance training will be incorporated with cognitive tasks (2 sessions per week for 10 weeks consecutively). The training sessions will take place in an academic institution under the guidance and supervision from the members of research team.
Dual-task training program
Participants in the intervention group will engage in a dual-task training program, in which resistance training will be incorporated with cognitive tasks.
\- Resistance training: Participants will be instructed to perform the following exercises with proper form: (1) squat to chair, (2) seated unilateral hip flexion, (3) seated unilateral knee extension, (4) standing unilateral knee flexion and (5) bilateral calf raise. The lower limb exercises will be followed by four upper limb exercises: (6) seated elbow flexion, (7) twisting a towel, (8) seated horizontal opening of arms and elbow, (9) seated diagonal opening of arm and elbow.
\- Cognitive task: Subjects will be asked to perform a verbal fluency task or mental arithmetic tasks simultaneously with the resistance training exercises.
Control group - Resistance exercise
Subjects in the control group will perform the resistance exercises only (2 sessions per week for 10 weeks consecutively) without receiving any cognitive training. The training sessions will take place in an academic institution under the guidance and supervision from the members of our research team.
Resistance exercise
Subjects in the control group will perform the resistance exercises only without receiving any cognitive training. Ten-minute warm-up and cool-down sessions will precede and follow each exercise session.
Interventions
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Dual-task training program
Participants in the intervention group will engage in a dual-task training program, in which resistance training will be incorporated with cognitive tasks.
\- Resistance training: Participants will be instructed to perform the following exercises with proper form: (1) squat to chair, (2) seated unilateral hip flexion, (3) seated unilateral knee extension, (4) standing unilateral knee flexion and (5) bilateral calf raise. The lower limb exercises will be followed by four upper limb exercises: (6) seated elbow flexion, (7) twisting a towel, (8) seated horizontal opening of arms and elbow, (9) seated diagonal opening of arm and elbow.
\- Cognitive task: Subjects will be asked to perform a verbal fluency task or mental arithmetic tasks simultaneously with the resistance training exercises.
Resistance exercise
Subjects in the control group will perform the resistance exercises only without receiving any cognitive training. Ten-minute warm-up and cool-down sessions will precede and follow each exercise session.
Eligibility Criteria
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Inclusion Criteria
* living in Hong Kong, being able to read and communicate verbally,
* screened frail using the Tilburg Frailty Indicator (TFI) (total score ≥5) with report of memory problems (question 9) (Gobbens et al., 2010),
* experiencing any CMP with a pain level higher or equal to 4 in the numerical pain rating scale over a consecutive 3-month period.
Exclusion Criteria
* absence of frailty,
* surgical procedure in the lower limbs or the vertebral column;
* wheelchair bound or inability to walk for five minutes;
* severe balance impairment;
* uncompensated cardiac or vascular condition;
* acute inflammatory musculoskeletal conditions;
* ongoing cancer; dementia;
* neurological diseases such as stroke, Parkinson's disease, cerebellar disease, myelopathy, and peripheral neuropathy;
* mental illnesses such as schizophrenia, bipolar, psychosis, borderline personality disorder;
* illiteracy.
60 Years
ALL
No
Sponsors
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The Hong Kong Polytechnic University
OTHER
Responsible Party
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YAU King Wai Derek
Assistant Professor
Principal Investigators
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Derek Yau
Role: PRINCIPAL_INVESTIGATOR
The Hong Kong Polytechnic University
Locations
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PolyU Institutional Review Board, The Hong Kong Polytechnic University
Hong Kong, , Hong Kong
Countries
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References
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Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Related Links
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Izquierdo, M., Casas-Herrero, A., Zambom-Ferraresi, F., Martínez-Velilla, N., Alonso-Bouzón, C., \& Rodriguez-Mañas, L. (2017). A practical guide for prescribing a multi-component physical training program to prevent weakness and falls in people over 70.
Other Identifiers
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HSEARS20250310005
Identifier Type: -
Identifier Source: org_study_id
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