Effects of Balance Training in Older Adults With Dementia

Effects of Task-oriented Balance Training in Institutionalized Older Adults With Dementia

Purpose -To investigate whether older adults with dementia who have balance and gait problems can improve their balance and gait function after an individualized 4-week tasks-oriented balance training with sensory manipulation.

Hypothesis

-There is significant difference of Timed Up and Go Test, Berg Balance Scale, walking speed, 30-s chair-stand test, Chair sit-and-reach test and Barthel Index between dementia patients who received tasks-oriented balance training and those didn't receive after 4-weeks training and one month follow-up.

Study Overview

• Status: Completed
• Conditions: Dementia
• Intervention / Treatment: Other: Task-oriented balance training; Other: Upper extremities exercise

• Study Type: Interventional
• Enrollment (Actual): 19
• Phase: Phase 2

Contacts and Locations

Study Locations

• Taiwan
  • Taipei, Taiwan, 886-108-67
    • The Catholic Foundation of Alzheimer's Disease and Related Dementia St. Joseph Home for Alzheimer's Disease and Related Dementia

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patient provides oral consent, and written consent obtains from next of kin
• Older than 65 years
• Diagnosis of dementia, based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) or The International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10)
• Can follow order to complete the screening test(Timed Up and Go test)
• Has balance and gait problems
• Can standing independently with/without assistive device or can standing with minimal assistance

Exclusion Criteria:

• Newly developed cardiopulmonary disease and other exercise contraindications
• Other neuromuscular or musculoskeletal disease that might affect the outcome(ex. Recent stroke, fracture or orthopedic surgery)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Balance training	Other: Task-oriented balance training; 4 weeks individualized task-oriented balance training, twice a week and 1 hour each session
Active Comparator: Control; Control group received 4 weeks upper extremities exercise in sitting position	Other: Upper extremities exercise; 4 weeks upper extremities exercise in sitting position, twice a week and 1 hour each session weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Timed Up and Go test	Change from Baseline of Timed Up and Go test	baseline, post-treatment, 1-month follow up
Berg Balance Scale	Change from Baseline of Berg Balance Scale	baseline, post-treatment, 1-month follow up
walking speed	Change from Baseline of walking speed	baseline, post-treatment, 1-month follow up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
30-s chair-stand test	Change from Baseline of 30-s chair-stand test	baseline, post-treatment, 1-month follow up
chair sit-and-reach test	Change from Baseline of chair sit-and-reach test	baseline, post-treatment, 1-month follow up
Saint Louis University mental status examination	Change from Baseline of Saint Louis University mental status examination	baseline, post-treatment, 1-month follow up
Barthel index	Change from Baseline of Barthel index	baseline, post-treatment, 1-month follow up

Collaborators and Investigators

• Sponsor: National Taiwan University Hospital
• Investigators: Study Chair: Ming-Hsia Hu, Ph.D., School of Physical Therapy, National Taiwan University

Study record dates

Study Major Dates

• Study Start: December 1, 2010
• Primary Completion (Actual): June 1, 2011
• Study Completion (Actual): July 1, 2011

Study Registration Dates

• First Submitted: January 20, 2011
• First Submitted That Met QC Criteria: February 25, 2014
• First Posted (Estimate): February 27, 2014

Study Record Updates

• Last Update Posted (Estimate): February 27, 2014
• Last Update Submitted That Met QC Criteria: February 25, 2014
• Last Verified: February 1, 2014

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Dementia
• Other Study ID Numbers: 201011010RB