The Dual-task Training Under Different Priority Instructions on Gait Speed in Community-dwelling Older Adults

July 14, 2021 updated by: Francis Trombini de Souza, University of Pernambuco

The Effectiveness of Dual-task Training With Variable- and Fixed-priority Instructions on Gait Speed in Community-dwelling Older Adults

This study analyzed the effect of different modalities of dual-task training in the improvement of gait biomechanics, postural balance, falls episodes, executive functioning, and quality of life in community-dwelling older adults. Half of the participants have undertaken a dual-task protocol training with progression from variable-priority to fixed-priority instructions, while the other half have undertaken a dual-task protocol training under variable-priority instructions.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Although dual-task training for improving postural balance is an emerging interest area, the effects of dual tasks and dual-task training on static and dynamic postural stability remain unclear. Even though variable (alternating) instructional priority dual-task training has been shown higher effect than fixed (concurrent) priority dual-task training approach to improving the balance impairments, we must consider in everyday pragmatic situations, motor, and cognitive tasks are often demanded simultaneously and this requires an individual's attention toward an external source of attention while performing a primary task. Then, our rationale for this study is older adults who underwent a training protocol composed of a dual task with variable and fixed instructional priority will achieve better improvements regarding the studied variables in comparison to the group who will be submitted a protocol composed only by dual-task with variable priority training. Therefore, this protocol for a six-month, double-blind, randomized controlled trial with six-month follow-up post-training analyzed whether examine whether a dual-task protocol training with progression from variable priority to fixed priority instructions is effective in improvement of gait biomechanics, postural balance, falls episodes, executive functioning and quality of life in community-dwelling older adults.

Study Type

Interventional

Enrollment (Actual)

60

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Brazil
    • Pernambucano
      • Petrolina, Pernambucano, Brazil, 56302685
        • Francis Trombini de Souza

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

60 years to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion criteria:

  • Participants of both sexes
  • Age between 60 and 80 years old
  • Participants with a score greater or equal to 52 (up to a maximum of 56) in the Berg Balance Scale
  • Participants with a score greater or equal to 24 (up to a maximum of 30) in the Mini-mental State Exam
  • Participants who are able to walk uninterruptedly for a distance of 10-meter at a self-selected velocity of at least 1.0 m/s without the need from another person, cane or walker

Exclusion criteria:

  • Self-report of two or more falls in the last 12 months
  • Any contraindication to balance postural training
  • Any contraindication to cognitive exercise training
  • With self-report of two or more falls in the last 12 months
  • Who is participating or have participated, in the last 6 months, in any regular and structured physical exercise program, for 3 or more times per week
  • Any chronic health condition, including cardiovascular disease, respiratory disease, stroke, active cancer, neurological or neuromuscular conditions whose exercise is contraindicated
  • Any upper or lower limb fracture in the last 6 months
  • Evidence of any surgical procedures in the knees, ankles, and hips or muscle damage in the last 6 months
  • Uncontrolled diabetes.
  • No able to speak and understand the Portuguese language
  • Refusal to give informed consent

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Dual task with variable- and fixed-priority instructions
Sixty-minute training sessions, 2 times a week for 24 weeks. From the 1st to 12th week the participants were trained under variable-priority instructions (half the session was focused on balance motor task and half the session focused on cognitive task performance). From the 13th to 24th week) the participants performed dual tasks under fixed-priority instructions (simultaneous focus attention on balance and cognitive tasks). The motor tasks were performed in a circuit composed of hula hoops, ropes (in a straight line and zigzag), agility ladder, traffic cones, steps, cardboard box, and other obstacles arranged on the floor (stable surface) or on mattresses (unstable surface), depending on the aiming of each training stage. The cognitive tasks will include activities such as saying fruits, animals, cities, and/or person names started with a specific letter, solving mathematical accounts, singing songs, reciting verses, working memory, among other cognitive tasks.
Other: Dual task with variable- and fixed-priority instructions
The participants were asked to perform dual-task activities focused, interchangeable or simultaneously, on balance (motor tasks) and on cognitive tasks performance, according to the instructional priority established by the physical therapist.
Active Comparator: Dual-task with variable-priority instructions
Sixty-minute training sessions, 2 times a week for 24 weeks (48 sessions). From the 1st to 24th week, the participants were trained under variable-priority instructions, in which they were asked to spend half the session focused on balance (motor task) and half the session focused on cognitive task performance. The motor tasks (gait and postural balance) of this protocol were performed in a circuit composed of hula hoops, ropes (in a straight line and zigzag), agility ladder, traffic cones, steps, cardboard box, and other obstacles arranged on the floor (stable surface) or on mattresses (unstable surface), depending on the aiming of each training stage. The cognitive tasks included activities such as saying fruits, animals, cities, and/or person names started with a specific letter, solving mathematical accounts, singing songs, reciting verses, rescue working memory, among other cognitive tasks.
Other: Dual-task with variable-priority instructions
The participants were asked to spend half the session focused on balance (motor tasks) and half the session focused on cognitive tasks performance, according to the instructional priority established by the physical therapist.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Gait spatiotemporal variables
Time Frame: Post-randomization at week 12
These variables will be acquired by a couple of inertial sensors attached on participant's feet during walking on a 30-meter flat and level corridor under a single-task (only gait), dual-task under variable- (gait alternating with a cognitive task) and fixed-priority (gait and cognitive task performing simultaneously).
Post-randomization at week 12
Gait spatiotemporal variables
Time Frame: Post-randomization at week 24
These variables will be acquired by a couple of inertial sensors attached on participant's feet during walking on a 30-meter flat and level corridor under a single-task (only gait), dual-task under variable- (gait alternating with a cognitive task) and fixed-priority (gait and cognitive task performing simultaneously).
Post-randomization at week 24
Gait spatiotemporal variables
Time Frame: Post-intervention at week 12
These variables will be acquired by a couple of inertial sensors attached on participant's feet during walking on a 30-meter flat and level corridor under a single-task (only gait), dual-task under variable- (gait alternating with a cognitive task) and fixed-priority (gait and cognitive task performing simultaneously).
Post-intervention at week 12
Gait spatiotemporal variables
Time Frame: Post-intervention at week 24
These variables will be acquired by a couple of inertial sensors attached on participant's feet during walking on a 30-meter flat and level corridor under a single-task (only gait), dual-task under variable- (gait alternating with a cognitive task) and fixed-priority (gait and cognitive task performing simultaneously).
Post-intervention at week 24

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during gait under single task
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during gait under single task will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during gait under single task
Time Frame: Post-radomization at week 24
These biomechanical variable acquired during gait under single task will be assessed by an inertial sensor fixed on the participant's waist.
Post-radomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during gait under single task
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during gait under single task will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during gait under single task
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during gait under single task will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with variable-priority instruction
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during gait under dual-task with variable-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with variable-priority instruction
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during gait under dual-task with variable-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with variable-priority instruction
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during gait under dual-task with variable-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with variable-priority instruction
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during gait under dual-task with variable-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with fixed-priority instruction
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during gait under dual-task with fixed-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with fixed-priority instruction
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during gait under dual-task with fixed-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with fixed-priority instruction
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during gait under dual-task with fixed-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during gait under dual-task with fixed-priority instruction
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during gait under dual-task with fixed-priority instruction will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during conventional timed up and go test.
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during conventional timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during conventional timed up and go test.
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during conventional timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during conventional timed up and go test.
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during conventional timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during conventional timed up and go test.
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during conventional timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during manual timed up and go test.
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during manual timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during manual timed up and go test.
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during manual timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during manual timed up and go test.
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during manual timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during manual timed up and go test.
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during manual timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during cognitive timed up and go test.
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during cognitive timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during cognitive timed up and go test.
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during cognitive timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during cognitive timed up and go test.
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during cognitive timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during cognitive timed up and go test.
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during cognitive timed up and go test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Stroop test in quasi-static standing posture
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during performing the Stroop test in quasi-static standing posture will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Stroop test in quasi-static standing posture
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during performing the Stroop test in quasi-static standing posture will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Stroop test in quasi-static standing posture
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during performing the Stroop test in quasi-static standing posture will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Stroop test in quasi-static standing posture
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during performing the Stroop test in quasi-static standing posture will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during performing the Clinical Test of Sensory Interaction and Balance (CTSIB).
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during performing the Clinical Test of Sensory Interaction and Balance (CTSIB) will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during performing the Clinical Test of Sensory Interaction and Balance (CTSIB).
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during performing the Clinical Test of Sensory Interaction and Balance (CTSIB) will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity and displacement of the body center of mass during performing the Clinical Test of Sensory Interaction and Balance (CTSIB).
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during performing the Clinical Test of Sensory Interaction and Balance (CTSIB) will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity and displacement of the body center of mass during performing the Clinical Test of Sensory Interaction and Balance (CTSIB).
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during performing the Clinical Test of Sensory Interaction and Balance (CTSIB) will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Anterior Functional Reach test.
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during performing the Anterior Functional Reach test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Anterior Functional Reach test.
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during performing the Anterior Functional Reach test will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Anterior Functional Reach test.
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during performing the Anterior Functional Reach test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Anterior Functional Reach test.
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during performing the Anterior Functional Reach test will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Five Times Sit-to-stand test from a chair.
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during performing the Five Times Sit-to-stand test from a chair will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Five Times Sit-to-stand test from a chair.
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during performing the Five Times Sit-to-stand test from a chair will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Five Times Sit-to-stand test from a chair.
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during performing the Five Times Sit-to-stand test from a chair will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Five Times Sit-to-stand test from a chair.
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during performing the Five Times Sit-to-stand test from a chair will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Sitting-rising test from the floor.
Time Frame: Post-randomization at week 12
These biomechanical variable acquired during performing the Sitting-rising test from the floor will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Sitting-rising test from the floor.
Time Frame: Post-randomization at week 24
These biomechanical variable acquired during performing the Sitting-rising test from the floor will be assessed by an inertial sensor fixed on the participant's waist.
Post-randomization at week 24
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Sitting-rising test from the floor.
Time Frame: Post-intervention at week 12
These biomechanical variable acquired during performing the Sitting-rising test from the floor will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 12
Tri-axial acceleration, angular velocity, and displacement of the body center of mass during performing the Sitting-rising test from the floor.
Time Frame: Post-intervention at week 24
These biomechanical variable acquired during performing the Sitting-rising test from the floor will be assessed by an inertial sensor fixed on the participant's waist.
Post-intervention at week 24
Timed Up and Go conventional (TUG conventional)
Time Frame: Post-randomization at week 12
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair.
Post-randomization at week 12
Timed Up and Go conventional (TUG conventional)
Time Frame: Post-randomization at week 24
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair.
Post-randomization at week 24
Timed Up and Go conventional (TUG conventional)
Time Frame: Post-intervention at week 12
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair.
Post-intervention at week 12
Timed Up and Go conventional (TUG conventional)
Time Frame: Post-intervention at week 24
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair.
Post-intervention at week 24
Timed Up and Go manual (TUG manual)
Time Frame: Post-randomization at week 12
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair, while the participant carries a dish with a cup on it.
Post-randomization at week 12
Timed Up and Go manual (TUG manual)
Time Frame: Post-randomization at week 24
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair, while the participant carries a dish with a cup on it.
Post-randomization at week 24
Timed Up and Go manual (TUG manual)
Time Frame: Post-intervention at week 12
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair, while the participant carries a dish with a cup on it.
Post-intervention at week 12
Timed Up and Go manual (TUG manual)
Time Frame: Post-intervention at week 24
Test of basic mobility skills analyzed during rising from a chair, walking, turning the obstacle, and sitting again on the chair, while the participant carries a dish with a cup on it.
Post-intervention at week 24
Timed Up and Go cognitive (TUG cognitive)
Time Frame: Post-randomization at week 12
Test the basic mobility skills analyzed during raising from a chair, walking, bypassing the obstacle, and sitting back in the chair while the participant performs a concurrent cognitive task (solving mathematical subtraction operations).
Post-randomization at week 12
Timed Up and Go cognitive (TUG cognitive)
Time Frame: Post-randomization at week 24
Test the basic mobility skills analyzed during raising from a chair, walking, bypassing the obstacle, and sitting back in the chair while the participant performs a concurrent cognitive task (solving mathematical subtraction operations).
Post-randomization at week 24
Timed Up and Go cognitive (TUG cognitive)
Time Frame: Post-intervention at week 12
Test the basic mobility skills analyzed during raising from a chair, walking, bypassing the obstacle, and sitting back in the chair while the participant performs a concurrent cognitive task (solving mathematical subtraction operations).
Post-intervention at week 12
Timed Up and Go cognitive (TUG cognitive)
Time Frame: Post-intervention at week 24
Test the basic mobility skills analyzed during raising from a chair, walking, bypassing the obstacle, and sitting back in the chair while the participant performs a concurrent cognitive task (solving mathematical subtraction operations).
Post-intervention at week 24
Postural Balance Test (PBT)
Time Frame: Post-randomization at week 12
The Postural Balance Test evaluate the static and dynamic balance, in order to verify the typology of motor regulation, i.e. the exteroceptive or visual (six items) and interoceptive or vestibular (eight items), besides the general - proprioceptive information - of the movements.
Post-randomization at week 12
Postural Balance Test (PBT)
Time Frame: Post-randomization at week 24
The Postural Balance Test evaluate the static and dynamic balance, in order to verify the typology of motor regulation, i.e. the exteroceptive or visual (six items) and interoceptive or vestibular (eight items), besides the general - proprioceptive information - of the movements.
Post-randomization at week 24
Postural Balance Test (PBT)
Time Frame: Post-intervention at week 12
The Postural Balance Test evaluate the static and dynamic balance, in order to verify the typology of motor regulation, i.e. the exteroceptive or visual (six items) and interoceptive or vestibular (eight items), besides the general - proprioceptive information - of the movements.
Post-intervention at week 12
Postural Balance Test (PBT)
Time Frame: Post-intervention at week 24
The Postural Balance Test evaluate the static and dynamic balance, in order to verify the typology of motor regulation, i.e. the exteroceptive or visual (six items) and interoceptive or vestibular (eight items), besides the general - proprioceptive information - of the movements.
Post-intervention at week 24
Clinical Test of Sensory Interaction and Balance (CTSIB)
Time Frame: Post-randomization at week 12
This test will be used to assess the sensory integration on postural balance during standing on a stable and unstable surface with eyes open and closed.
Post-randomization at week 12
Clinical Test of Sensory Interaction and Balance (CTSIB)
Time Frame: Post-randomization at week 24
This test will be used to assess the sensory integration on postural balance during standing on a stable and unstable surface with eyes open and closed.
Post-randomization at week 24
Clinical Test of Sensory Interaction and Balance (CTSIB)
Time Frame: Post-intervention at week 12
This test will be used to assess the sensory integration on postural balance during standing on a stable and unstable surface with eyes open and closed.
Post-intervention at week 12
Clinical Test of Sensory Interaction and Balance (CTSIB)
Time Frame: Post-intervention at week 24
This test will be used to assess the sensory integration on postural balance during standing on a stable and unstable surface with eyes open and closed.
Post-intervention at week 24
Stroop test in sit posture
Time Frame: Post-randomization at week 12
This test will be used to measure a participant's selective attention capacity and skills, as well as his/her processing speed ability in sit posture
Post-randomization at week 12
Stroop test in sit posture
Time Frame: Post-randomization at week 24
This test will be used to measure a participant's selective attention capacity and skills, as well as his/her processing speed ability in sit posture
Post-randomization at week 24
Stroop test in sit posture
Time Frame: Post-intervention at week 12
This test will be used to measure a participant's selective attention capacity and skills, as well as his/her processing speed ability in sit posture
Post-intervention at week 12
Stroop test in a quasi-static standing posture
Time Frame: Post-intervention at week 24
This test will be used to measure a participant's selective attention capacity and skills, as well as his/her processing speed ability in quasi-static standing posture.
Post-intervention at week 24
Trail making test (TMT)
Time Frame: Post-randomization at week 12
Trail making test will be used to assess the participants executive abilities, which requires a variety of mental abilities including letter and number recognition mental flexibility, visual scanning, and motor function of upper limbs
Post-randomization at week 12
Trail making test (TMT)
Time Frame: Post-randomization at week 24
Trail making test will be used to assess the participants executive abilities, which requires a variety of mental abilities including letter and number recognition mental flexibility, visual scanning, and motor function of upper limbs
Post-randomization at week 24
Trail making test (TMT)
Time Frame: Post-intervention at week 12
Trail making test will be used to assess the participants executive abilities, which requires a variety of mental abilities including letter and number recognition mental flexibility, visual scanning, and motor function of upper limbs
Post-intervention at week 12
Trail making test (TMT)
Time Frame: Post-intervention at week 24
Trail making test will be used to assess the participants executive abilities, which requires a variety of mental abilities including letter and number recognition mental flexibility, visual scanning, and motor function of upper limbs
Post-intervention at week 24
Five Times Sit-to-Stand test from a chair
Time Frame: Post-randomization at week 12
The functional performance of the lower limbs taken to lifting and sitting on a chair for five times. The time will be measured by a stopwatch
Post-randomization at week 12
Five Times Sit-to-Stand test from a chair
Time Frame: Post-randomization at week 24
The functional performance of the lower limbs taken to lifting and sitting on a chair for five times. The time will be measured by a stopwatch
Post-randomization at week 24
Five Times Sit-to-Stand test from a chair
Time Frame: Post-intervention at week 12
The functional performance of the lower limbs taken to lifting and sitting on a chair for five times. The time will be measured by a stopwatch
Post-intervention at week 12
Five Times Sit-to-Stand test from a chair
Time Frame: Post-intervention at week 24
The functional performance of the lower limbs taken to lifting and sitting on a chair for five times. The time will be measured by a stopwatch
Post-intervention at week 24
Sitting-and-rising test from the floor
Time Frame: Post-randomization at week 12
Sitting-and-rising test from the floor will be used to quantify how many supports (hands and/or knees or, still, hands on the knees or legs) the individual uses to sit and lift from the floor.
Post-randomization at week 12
Sitting-and-rising test from the floor
Time Frame: Post-randomization at week 24
Sitting-and-rising test from the floor will be used to quantify how many supports (hands and/or knees or, still, hands on the knees or legs) the individual uses to sit and lift from the floor.
Post-randomization at week 24
Sitting-and-rising test from the floor
Time Frame: Post-intervention at week 12
Sitting-and-rising test from the floor will be used to quantify how many supports (hands and/or knees or, still, hands on the knees or legs) the individual uses to sit and lift from the floor.
Post-intervention at week 12
Sitting-and-rising test from the floor
Time Frame: Post-intervention at week 24
Sitting-and-rising test from the floor will be used to quantify how many supports (hands and/or knees or, still, hands on the knees or legs) the individual uses to sit and lift from the floor.
Post-intervention at week 24
Anterior functional reach test
Time Frame: Post-randomization at week 12
Anterior functional reach test will be used to determine how far the participants are able to move forward within their stability limit. It is widely used to identify the risk of falling in older adults
Post-randomization at week 12
Anterior functional reach test
Time Frame: Post-randomization at week 24
Anterior functional reach test will be used to determine how far the participants are able to move forward within their stability limit. It is widely used to identify the risk of falling in older adults
Post-randomization at week 24
Anterior functional reach test
Time Frame: Post-intervention at week 12
Anterior functional reach test will be used to determine how far the participants are able to move forward within their stability limit. It is widely used to identify the risk of falling in older adults
Post-intervention at week 12
Anterior functional reach test
Time Frame: Post-intervention at week 24
Anterior functional reach test will be used to determine how far the participants are able to move forward within their stability limit. It is widely used to identify the risk of falling in older adults
Post-intervention at week 24
Falls Efficacy Scale-International (FES-I)
Time Frame: Post-randomization at week 12
The 16-item Falls Efficacy Scale-International will be used to measure the participant's fear of falling (the concerns about falling). The sum of all 16 items is considered to compute a total score. The higher the total score achieved by the participant, the higher the concerns about falling.
Post-randomization at week 12
Falls Efficacy Scale-International (FES-I)
Time Frame: Post-randomization at week 24
The 16-item Falls Efficacy Scale-International will be used to measure the participant's fear of falling (the concerns about falling). The sum of all 16 items is considered to compute a total score. The higher the total score achieved by the participant, the higher the concerns about falling.
Post-randomization at week 24
Falls Efficacy Scale-International (FES-I)
Time Frame: Post-intervention at week 12
The 16-item Falls Efficacy Scale-International will be used to measure the participant's fear of falling (the concerns about falling). The sum of all 16 items is considered to compute a total score. The higher the total score achieved by the participant, the higher the concerns about falling.
Post-intervention at week 12
Falls Efficacy Scale-International (FES-I)
Time Frame: Post-intervention at week 24
The 16-item Falls Efficacy Scale-International will be used to measure the participant's fear of falling (the concerns about falling). The sum of all 16 items is considered to compute a total score. The higher the total score achieved by the participant, the higher the concerns about falling.
Post-intervention at week 24
Activities-specific Balance Confidence (ABC Scale)
Time Frame: Post-randomization at week 12
The 16-item Activities-specific Balance Confidence Scale will be used to measure the level of balance confidence of the individual during the accomplishment in performing daily activities. The higher the total score achieved by the participant, the higher the level of balance confidence and functioning in daily activities
Post-randomization at week 12
Activities-specific Balance Confidence (ABC Scale)
Time Frame: Post-randomization at week 24
The 16-item Activities-specific Balance Confidence Scale will be used to measure the level of balance confidence of the individual during the accomplishment in performing daily activities. The higher the total score achieved by the participant, the higher the level of balance confidence and functioning in daily activities
Post-randomization at week 24
Activities-specific Balance Confidence (ABC Scale)
Time Frame: Post-intervention at week 12
The 16-item Activities-specific Balance Confidence Scale will be used to measure the level of balance confidence of the individual during the accomplishment in performing daily activities. The higher the total score achieved by the participant, the higher the level of balance confidence and functioning in daily activities
Post-intervention at week 12
Activities-specific Balance Confidence (ABC Scale)
Time Frame: Post-intervention at week 24
The 16-item Activities-specific Balance Confidence Scale will be used to measure the level of balance confidence of the individual during the accomplishment in performing daily activities. The higher the total score achieved by the participant, the higher the level of balance confidence and functioning in daily activities
Post-intervention at week 24
Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)
Time Frame: Post-randomization at week 12
Medical Outcomes Study 36-Item Short-Form Health Survey will be used to evaluate the quality of life of the participants. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability
Post-randomization at week 12
Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)
Time Frame: Post-randomization at week 24
Medical Outcomes Study 36-Item Short-Form Health Survey will be used to evaluate the quality of life of the participants. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability
Post-randomization at week 24
Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)
Time Frame: Post-intervention at week 12
Medical Outcomes Study 36-Item Short-Form Health Survey will be used to evaluate the quality of life of the participants. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability
Post-intervention at week 12
Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)
Time Frame: Post-intervention at week 24
Medical Outcomes Study 36-Item Short-Form Health Survey will be used to evaluate the quality of life of the participants. The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability i.e., a score of zero is equivalent to maximum disability and a score of 100 is equivalent to no disability
Post-intervention at week 24
Short form of the Geriatric Depression Scale (GDS-15)
Time Frame: Post-randomization at week 12
This 15-item instrument will be used to evaluate the suggestive depression symptoms in the participants. Its items require a yes/no response. Answers indicating depression are in bold and italicized; score one point for each one selected. Each answer "yes" marked with X in questions 3, 4, 6, 8, 9, 10, 12, 14 and 15 or answer "no" noted in questions 1, 5, 7, 11 and 13, computes 1 point. A score of 0 to 5 is normal. A score greater than 5 indicates depression
Post-randomization at week 12
Short form of the Geriatric Depression Scale (GDS-15)
Time Frame: Post-randomization at week 24
This 15-item instrument will be used to evaluate the suggestive depression symptoms in the participants. Its items require a yes/no response. Answers indicating depression are in bold and italicized; score one point for each one selected. Each answer "yes" marked with X in questions 3, 4, 6, 8, 9, 10, 12, 14 and 15 or answer "no" noted in questions 1, 5, 7, 11 and 13, computes 1 point. A score of 0 to 5 is normal. A score greater than 5 indicates depression
Post-randomization at week 24
Short form of the Geriatric Depression Scale (GDS-15)
Time Frame: Post-intervention at week 12
This 15-item instrument will be used to evaluate the suggestive depression symptoms in the participants. Its items require a yes/no response. Answers indicating depression are in bold and italicized; score one point for each one selected. Each answer "yes" marked with X in questions 3, 4, 6, 8, 9, 10, 12, 14 and 15 or answer "no" noted in questions 1, 5, 7, 11 and 13, computes 1 point. A score of 0 to 5 is normal. A score greater than 5 indicates depression
Post-intervention at week 12
Short form of the Geriatric Depression Scale (GDS-15)
Time Frame: Post-intervention at week 24
This 15-item instrument will be used to evaluate the suggestive depression symptoms in the participants. Its items require a yes/no response. Answers indicating depression are in bold and italicized; score one point for each one selected. Each answer "yes" marked with X in questions 3, 4, 6, 8, 9, 10, 12, 14 and 15 or answer "no" noted in questions 1, 5, 7, 11 and 13, computes 1 point. A score of 0 to 5 is normal. A score greater than 5 indicates depression
Post-intervention at week 24
The falls events
Time Frame: Post-randomization at week 12
Fall events will be evaluated through a falls diary, delivered monthly by each participant. The participants should note in this diary the day and the fall causes and circumstances.
Post-randomization at week 12
The falls events
Time Frame: Post-randomization at week 24
Fall events will be evaluated through a falls diary, delivered monthly by each participant. The participants should note in this diary the day and the fall causes and circumstances.
Post-randomization at week 24
The falls events
Time Frame: Post-intervention at week 12
Fall events will be evaluated through a falls diary, delivered monthly by each participant. The participants should note in this diary the day and the fall causes and circumstances.
Post-intervention at week 12
The falls events
Time Frame: Post-intervention at week 24
Fall events will be evaluated through a falls diary, delivered monthly by each participant. The participants should note in this diary the day and the fall causes and circumstances.
Post-intervention at week 24

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Pernambuco

Collaborators

Conselho Nacional de Desenvolvimento Científico e Tecnológico

Investigators

  • Principal Investigator: Francis T de Souza, PhD, University of Pernambuco

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

April 30, 2019

Primary Completion (Actual)

March 5, 2020

Study Completion (Actual)

March 5, 2020

Study Registration Dates

First Submitted

March 12, 2019

First Submitted That Met QC Criteria

March 20, 2019

First Posted (Actual)

March 22, 2019

Study Record Updates

Last Update Posted (Actual)

July 21, 2021

Last Update Submitted That Met QC Criteria

July 14, 2021

Last Verified

July 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

  • U1111-1229-1346

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Gait

Clinical Trials on Dual task with variable- and fixed-priority instructions

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Equatorial Guinea

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

3
Subscribe