Development and Evaluation of a Home-Based Dual-Task Training Program to Improve Balance Performance for Older Adults
21 juillet 2015 mis à jour par: Patima Silsupadol, Chiang Mai University
The purpose of this study is to (1) develop and test the effectiveness of home-based interventions on dual-task performance in older adults; and (2) determine the generalizability of the four trainings (i.e.
single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings) to novel tasks.
Aperçu de l'étude
Statut
Complété
Intervention / Traitement
Description détaillée
Although, dual-task motor-cognitive training has proven to be more effective in improving dual-task balance performance than traditional single-task motor training, poor evidence of training-related transfer to a novel dual task has been shown. Additionally, another important impediment to the development of intervention to improve dual-task balance performance is that the previous studies have largely focused on training in a laboratory, or clinical setting, often with one-on-one supervision by a therapist or research assistant. Even though the home-based approach is more pragmatic, desirable, and encourages accessibility, no study has been done to examine the efficacy of home-based dual-task training.
Therefore, this study aims to address these gaps in the literature by conducting a home-based program designed to improve dual-task performance with a broader transfer-of-training effects in older adults. Participants will be randomly assigned to one of four groups (i.e. single-task motor training, single-task cognitive training, dual-task motor-cognitive training, and dual-task cognitive-cognitive trainings).
Type d'étude
Interventionnel
Inscription (Réel)
60
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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Chiang Mai
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Sripoom, Chiang Mai, Thaïlande, 50200
- Faculty of Associated Medical Sciences, Chiang Mai University
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
65 ans et plus (Adulte plus âgé)
Accepte les volontaires sains
Oui
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- Able to walk at least 10 meters without any assistive device
- Having greater than 16/23 for illiterate persons, greater than 20/30 for primary education level persons, and greater than 23/30 for secondary education level persons on the Mini-Mental State Examination-Thai 2002 (MMSE-Thai2002)
Exclusion Criteria:
- Severe neurological problems that could account for possible imbalance such as cerebral vascular accident, Parkinson's disease, transient ischemic attacks, and neuropathy
- Severe musculoskeletal problems that could impact gait such as severe osteoarthritis and active inflammatory joint disease
- Severe cardiopulmonary problems such as asthma and chronic obstructive pulmonary disease
- Visual impairment that cannot be corrected by lenses
- Severe auditory impairment such as deafness
- Depression as scored ≥ 13 by Thai Geriatric Depression Scale (TGDS)
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: Single-task motor training group
The participants will receive only balance training which will progress from stance activities, to stance activities plus hand manipulation, then gait activities, and finally gait activities plus hand manipulation.
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Balance activities, using a task-oriented approach, progress participants from body stability, to body stability plus hand manipulation, then body transport, and finally body transport plus hand manipulation.
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Expérimental: Single-task cognitive training group
The participants will receive cognitive training that will involve executive function, attention, and working memory.
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Cognitive training involves executive function, attention, and working memory.
Examples of cognitive training include finding the exit to a maze, calculation, visual-spatial skills, Sudoku, Stroop color-word task, word search, spot the differences, visual discrimination, and memory scanning skills.
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Expérimental: Dual-task motor-cognitive training group
The participants assigned to the dual-task motor-cognitive training group will receive the same exercises as single-task motor training while simultaneously performing secondary tasks as those in the single-task cognitive training group.
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Balance activities, using a task-oriented approach, progress participants from body stability, to body stability plus hand manipulation, then body transport, and finally body transport plus hand manipulation.
Cognitive training involves executive function, attention, and working memory.
Examples of cognitive training include finding the exit to a maze, calculation, visual-spatial skills, Sudoku, Stroop color-word task, word search, spot the differences, visual discrimination, and memory scanning skills.
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Expérimental: Dual-task cognitive-cognitive training group
The participants in the dual-task cognitive-cognitive trainings group will receive two cognitive tasks at the same time.
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The Dual-task cognitive-cognitive training involves applying two cognitive tasks at the same time.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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The Center of Mass velocity and Base of Support distance
Délai: At baseline and after 4-week training
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The Center of Mass velocity and Base of Support distance is referred as the direction of the center of mass velocity in relation to base of support.
It is used to measure the control of dynamic balance throughout gait under single-task and dual-task conditions in order to examine training effect.
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At baseline and after 4-week training
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Spatio-temporal gait parameters
Délai: At baseline and after 4-week training
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Spatio-temporal gait parameters is measured throughout gait under single-task and dual-task conditions in order to examine training effect.
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At baseline and after 4-week training
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 octobre 2014
Achèvement primaire (Réel)
1 juillet 2015
Achèvement de l'étude (Réel)
1 juillet 2015
Dates d'inscription aux études
Première soumission
30 octobre 2014
Première soumission répondant aux critères de contrôle qualité
30 octobre 2014
Première publication (Estimation)
2 novembre 2014
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
22 juillet 2015
Dernière mise à jour soumise répondant aux critères de contrôle qualité
21 juillet 2015
Dernière vérification
1 juillet 2015
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- The graduate school, CMU
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