Effect of Single-task, Dual-task and Analogy Training During Gait Rehabilitation
23. března 2020 aktualizováno: Dr. Thomson Wai-Lung Wong, The University of Hong Kong
Examining Conscious Motor Processing and the Effect of Single-task, Dual-task and Analogy Training on Walking During Rehabilitation by Older Adults at Risk of Falling in Hong Kong: A Randomized Controlled Trial
The study aims to examine the effect of single-task, dual-task and analogy training during gait rehabilitation on conscious motor processing propensity, balance, walking ability and fear of falling by older adults at risk of falling in Hong Kong. One-hundred and five healthy older adults will be recruited from elderly community centres in Hong Kong by convenience sampling. They will be randomly assigned into 3 groups (i.e., single-task walking group (active control group), dual-task walking group and analogy walking group). Participants in different groups will have training sessions (about 45 minutes each) three times per week for 4 weeks in a group of 5 participants. A total of 12 sessions will be completed by each participant. All training sessions will be conducted by experienced Hong Kong registered Physiotherapists. In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with different instructions in different walking groups (20 minutes) and cool down (5 minutes). Participants in the different groups will receive different instructions during walking training. Well- developed single-task (explicit), dual-task and analogy instructions will be utilized in the single-task walking group, dual-task walking group and analogy walking group, respectively. Each participant will undergo assessment sessions (total 3 assessment sessions) before training at baseline (T0), just after completion of all training sessions (T1) and 6 months after completion of all training sessions (T2). In the baseline assessment, a structural questionnaire will be used to ask for demographics, detailed history of fall incident, detailed medical history, social history and social-economic status of the participants. A battery of assessments will be done to assess physical and cognitive abilities of the participants in all assessment sessions. Single-task walking ability, dual-task walking ability, functional gait and balance assessment, cognitive function, fearing of falling and propensity for conscious motor processing.
All participants will also be asked to record their number of falls prospectively at the time between T1 (completion of all training sessions) and T2 (6 months after completion of all training sessions) using a calendar. The number of falls within the 6-month follow- up period will then be collected.
Přehled studie
Postavení
Neznámý
Typ studie
Intervenční
Zápis (Očekávaný)
105
Fáze
- Nelze použít
Kontakty a umístění
Tato část poskytuje kontaktní údaje pro ty, kteří studii provádějí, a informace o tom, kde se tato studie provádí.
Studijní místa
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Hong Kong, Hongkong
- Nábor
- The HKJC Building for Interdisciplinary Research
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Kontakt:
- Thomson Wong
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Kritéria účasti
Výzkumníci hledají lidi, kteří odpovídají určitému popisu, kterému se říká kritéria způsobilosti. Některé příklady těchto kritérií jsou celkový zdravotní stav osoby nebo předchozí léčba.
Kritéria způsobilosti
Věk způsobilý ke studiu
65 let a starší (Starší dospělý)
Přijímá zdravé dobrovolníky
Ne
Pohlaví způsobilá ke studiu
Všechno
Popis
Inclusion Criteria:
- Age 65 or above;
- No history of cerebral vascular disease, Parkinson's disease or other neurological deficit;
- Chinese version of the Mini-Mental State Examination (MMSE-C) (Folstein, Folstein, & McHuge, 1975; Chiu, Lee, Chung, & Kwong, 1994) total score of equal or more than 24;
- Able to walk independently indoor for at least 10 meters;
- Older adults with moderate to high risk of falling, as indicated by the score of less than 24 out of 28 in the Tinetti Balance Assessment Tool (Tinetti, 1986).
Exclusion Criteria:
- Any potential participant who cannot meet the inclusion criteria.
Studijní plán
Tato část poskytuje podrobnosti o studijním plánu, včetně toho, jak je studie navržena a co studie měří.
Jak je studie koncipována?
Detaily designu
- Primární účel: Prevence
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
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Experimentální: Single-task Training Group
Single-task walking group
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In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with Single-task Training instructions (20 minutes) and cool down (5 minutes).
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Experimentální: Dual-task Training Group
Dual-task walking group
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In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with Dual-task Training instructions (20 minutes) and cool down (5 minutes).
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Experimentální: Analogy Training Group
Analogy walking group
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In each training session, all groups will have warm-up (5 minutes), balance training (5 minutes), body transport training (5 minutes), body transport with hand manipulation training (5 minutes), walking training with various difficulties in a 10 meters walkway with Analogy Training instructions (20 minutes) and cool down (5 minutes).
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Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Baseline propensity for conscious motor processing
Časové okno: Before the start of training
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The Chinese version Movement Specific Reinvestment Scale (MSRS-C) (Masters et al., 2005; Wong et al., 2015a; Wong et al., 2015b).
The MSRS-C includes two sub-scales: Conscious motor processing and Movement self-consciousness.
The scores for both sub-scales ranges from 5-30.
A higher score indicate a higher propensity for conscious motor processing.
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Before the start of training
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Change from baseline propensity for conscious motor processing upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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The Chinese version Movement Specific Reinvestment Scale (MSRS-C) (Masters et al., 2005; Wong et al., 2015a; Wong et al., 2015b).
The MSRS-C includes two sub-scales: Conscious motor processing and Movement self-consciousness.
The scores for both sub-scales ranges from 5-30.
A higher score indicate a higher propensity for conscious motor processing.
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline propensity for conscious motor processing at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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The Chinese version Movement Specific Reinvestment Scale (MSRS-C) (Masters et al., 2005; Wong et al., 2015a; Wong et al., 2015b).
The MSRS-C includes two sub-scales: Conscious motor processing and Movement self-consciousness.
The scores for both sub-scales ranges from 5-30.
A higher score indicate a higher propensity for conscious motor processing.
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6 months after the completion of Training
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Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Baseline single-task walking ability
Časové okno: Before the start of training
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10 meters comfortable and fast walking speed (Bohannon, 1997)
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Before the start of training
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Change from baseline single-task walking ability upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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10 meters comfortable and fast walking speed (Bohannon, 1997)
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline single-task walking ability at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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10 meters comfortable and fast walking speed (Bohannon, 1997)
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6 months after the completion of Training
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Baseline dual-task walking ability
Časové okno: Before the start of training
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10 meters comfortable and fast walking speed with concurrent verbal or visual-spatial dual-tasks of auditory stroop task (Siu, Catena, Chou, van Donkelaar, & Woollacott, 2008) or clock test (Plummer-D'Amato, Altmann, Saracino, Fox, Behrman, & Marsiske, 2008)
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Before the start of training
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Change from baseline dual-task walking ability upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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10 meters comfortable and fast walking speed with concurrent verbal or visual-spatial dual-tasks of auditory stroop task (Siu, Catena, Chou, van Donkelaar, & Woollacott, 2008) or clock test (Plummer-D'Amato, Altmann, Saracino, Fox, Behrman, & Marsiske, 2008)
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline dual-task walking ability at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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10 meters comfortable and fast walking speed with concurrent verbal or visual-spatial dual-tasks of auditory stroop task (Siu, Catena, Chou, van Donkelaar, & Woollacott, 2008) or clock test (Plummer-D'Amato, Altmann, Saracino, Fox, Behrman, & Marsiske, 2008)
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6 months after the completion of Training
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Baseline Tinetti Balance Assessment Tool score
Časové okno: Before the start of training
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Tinetti Balance Assessment Tool (Tinetti, 1986).
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Before the start of training
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Change from baseline Tinetti Balance Assessment Tool score upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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Tinetti Balance Assessment Tool (Tinetti, 1986)
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline Tinetti Balance Assessment Tool score at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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Tinetti Balance Assessment Tool (Tinetti, 1986)
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6 months after the completion of Training
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Baseline Timed 'Up & Go' Tests time
Časové okno: Before the start of training
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Timed 'Up & Go' Tests (TU&G(Podsiadlo & Richardson, 1991)
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Before the start of training
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Change from baseline Timed 'Up & Go' Tests time upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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Timed 'Up & Go' Tests (TU&G(Podsiadlo & Richardson, 1991)
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline Timed 'Up & Go' Tests time at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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Timed 'Up & Go' Tests (TU&G(Podsiadlo & Richardson, 1991)
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6 months after the completion of Training
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Baseline Berg Balance Scale score
Časové okno: Before the start of training
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Berg Balance Scale (BBS) (Berg, Wood Dauphinee, Williams & Gayton, 1989)
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Before the start of training
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Change from baseline Berg Balance Scale score upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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Berg Balance Scale (BBS) (Berg, Wood Dauphinee, Williams & Gayton, 1989)
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline Berg Balance Scale score at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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Berg Balance Scale (BBS) (Berg, Wood Dauphinee, Williams & Gayton, 1989)
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6 months after the completion of Training
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Cognitive function
Časové okno: Before the start of training
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The Chinese version Mini-Mental State Examination (MMSE-C) (Folstein et al., 1975; Chiu et al., 1994).
A mark of 24 or above out of 30 is required to meet the inclusion criteria.
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Before the start of training
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Baseline fear of falling
Časové okno: Before the start of training
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Fall Efficacy Scale (FES-13) (Tinetti, Richman, & Powell L, 1990; Tinetti, Leon, Doucette & Parker, 1994; Hellström & Lindmark, 1999).
The FES-13 score ranges from 16-64.
A higher score indicates greater fear of falling.
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Before the start of training
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Change from baseline fear of falling upon completion of training
Časové okno: Upon completion of 12 Training Sessions (4 weeks of training)
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Fall Efficacy Scale (FES-13) (Tinetti, Richman, & Powell L, 1990; Tinetti, Leon, Doucette & Parker, 1994; Hellström & Lindmark, 1999).
The FES-13 score ranges from 16-64.
A higher score indicates greater fear of falling.
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Upon completion of 12 Training Sessions (4 weeks of training)
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Change from baseline fear of falling at 6 months after the completion of training
Časové okno: 6 months after the completion of Training
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Fall Efficacy Scale (FES-13) (Tinetti, Richman, & Powell L, 1990; Tinetti, Leon, Doucette & Parker, 1994; Hellström & Lindmark, 1999).
The FES-13 score ranges from 16-64.
A higher score indicates greater fear of falling.
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6 months after the completion of Training
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Number of falls between T1 and T2 (post training to 6 months after completion of training)
Časové okno: 6 months after the completion of Training
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Record of the the number of falls prospectively at the time between T1 (completion of all training sessions) and T2 (6 months after completion of all training sessions) using a calendar.
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6 months after the completion of Training
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Spolupracovníci a vyšetřovatelé
Zde najdete lidi a organizace zapojené do této studie.
Sponzor
Vyšetřovatelé
- Vrchní vyšetřovatel: Thomson Wai Lung WONG, The University of Hong Kong
Termíny studijních záznamů
Tato data sledují průběh záznamů studie a předkládání souhrnných výsledků na ClinicalTrials.gov. Záznamy ze studií a hlášené výsledky jsou před zveřejněním na veřejné webové stránce přezkoumány Národní lékařskou knihovnou (NLM), aby se ujistily, že splňují specifické standardy kontroly kvality.
Hlavní termíny studia
Začátek studia (Aktuální)
1. října 2018
Primární dokončení (Očekávaný)
31. srpna 2021
Dokončení studie (Očekávaný)
31. srpna 2021
Termíny zápisu do studia
První předloženo
10. ledna 2019
První předloženo, které splnilo kritéria kontroly kvality
18. ledna 2019
První zveřejněno (Aktuální)
22. ledna 2019
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
25. března 2020
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
23. března 2020
Naposledy ověřeno
1. března 2020
Více informací
Termíny související s touto studií
Klíčová slova
Další identifikační čísla studie
- UW17-049
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Studuje produkt zařízení regulovaný americkým úřadem FDA
Ne
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