Dual Task in Institutionalized Elderly

Dual Task in Institutionalized Elderly: Positive Impact on the Risk of Falls and Functionality

Objectives: To evaluate the effects of eight weeks of cognitive motor training (dual task) in the risk of falls, balance, independence in basic activities of daily living (BADL) and handgrip in institutionalized elderly.

Methods: The sample was divided in two groups: double task group (DTG), consists of five elderly, undergoing a training consists of motor and cognitive activities and control group (CG) consists of four seniors who underwent conventional kinesiotherapeutic training, based on global stretching and strengthening exercises, both held in 16 sessions.

Study Overview

• Status: Completed
• Conditions: Aging
• Intervention / Treatment: Other: Cognitive motor training; Other: kinesiotherapeutic conventional treatment

Detailed Description

Experimental, prospective and quantitative study, whose sample was selected for convenience in a long-term care institution for the elderly (LTCF) in the city of Uberaba - MG. The volunteers were divided into two groups, named dual task group (DTG) consists of five seniors, and control group (CG) consists of four elderly. All participants of both groups answered a questionnaire with sociodemographic and economic characteristics of the sample. Participants underwent a pre- and post evaluation containing vital signs parameters (blood pressure, respiratory rate and heart rate), anthropometric data (weight and height) and different tests to evaluate the balance, functional mobility, risk of falls, muscle strength and independence to carry out basic activities of daily living. The performed tests were Timed Up and Go (TUG) conventional, motor TUG and TUG cognitive, beyond Romberg test and Sensitized Romberg, Berg Balance Scale, and modified Katz scale (with maintenance of the six original activities of the scale, but with simulation to the performance of each task, measuring the spent time).

• Study Type: Interventional
• Enrollment (Actual): 6
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years to 80 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion criteria:

• individuals over the age of 60,
• minimum score of 18 points on the Mini-Mental State Examination (MMSE),
• individuals classified as sedentary according the International Physical Activity Questionnaire (short version IPAQ-),
• literate and visual acuity preserved or corrected.

Exclusion criteria:

• Individuals unable to remain standing upright
• individuals dependent from auxiliary device to walk
• those who performed another type of physical therapy intervention concomitantly

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Non-Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Cognitive motor training; Evaluate the effectiveness of a 12-week training based on dual-task (motor and cognitive) in institutionalized elderly.	Other: Cognitive motor training; Initially an intervention consisting of double duty activities (motor-cognitive) and the control group will be subjected to a conventional treatment based on stretching and strengthening will be held.
Active Comparator: Control Group; kinesiotherapeutic conventional treatment	Other: kinesiotherapeutic conventional treatment; Standardized global stretching and strengthening with squat exercise, plantar flexion in foot and elbow flexion supporting body weight in the hands arranged on the wall

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Risk of falls	Measured by the following tests: TUG, motor TUG, cognitive TUG, Romberg and sensitized Romberg (all measured in seconds)	8 weeks of training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Independence to carry out basic activities of daily living	Through the modified Katz scale: the simulation of the activities originally present in the Katz scale was performed by the participants, and the time taken to their execution was recorded.	8 weeks of training
Muscle strength	Through dynamometry	8 weeks of training

Collaborators and Investigators

• Sponsor: Universidade Federal do Triangulo Mineiro
• Investigators: Principal Investigator: Lislei Patrizzi, Professor, Universidade Federal do Triangulo Mineiro

Study record dates

Study Major Dates

• Study Start: February 1, 2014
• Primary Completion (Actual): June 1, 2015
• Study Completion (Actual): July 1, 2015

Study Registration Dates

• First Submitted: August 14, 2015
• First Submitted That Met QC Criteria: December 2, 2015
• First Posted (Estimate): December 3, 2015

Study Record Updates

• Last Update Posted (Estimate): December 3, 2015
• Last Update Submitted That Met QC Criteria: December 2, 2015
• Last Verified: December 1, 2015

More Information

Terms related to this study

• Keywords: aging; dual task
• Other Study ID Numbers: UFTM 2015