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Effect of Single-task, Dual-task and Analogy Training During Gait Rehabilitation

23 marzo 2020 aggiornato da: 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.

Panoramica dello studio

Stato

Sconosciuto

Condizioni

Intervento / Trattamento

Tipo di studio

Interventistico

Iscrizione (Anticipato)

105

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

  • Hong Kong
      • Hong Kong, Hong Kong
        • Reclutamento
        • The HKJC Building for Interdisciplinary Research
        • Contatto:
          • Thomson Wong

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

65 anni e precedenti (Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Tutto

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Prevenzione
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Single-task Training Group
Single-task walking group
Comportamentale: Single-task Training
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).
Sperimentale: Dual-task Training Group
Dual-task walking group
Comportamentale: Dual-task Training
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).
Sperimentale: Analogy Training Group
Analogy walking group
Comportamentale: Analogy Training
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).

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Baseline propensity for conscious motor processing
Lasso di tempo: Before the start of training
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.
Before the start of training
Change from baseline propensity for conscious motor processing upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
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.
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline propensity for conscious motor processing at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
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.
6 months after the completion of Training

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Baseline single-task walking ability
Lasso di tempo: Before the start of training
10 meters comfortable and fast walking speed (Bohannon, 1997)
Before the start of training
Change from baseline single-task walking ability upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
10 meters comfortable and fast walking speed (Bohannon, 1997)
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline single-task walking ability at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
10 meters comfortable and fast walking speed (Bohannon, 1997)
6 months after the completion of Training
Baseline dual-task walking ability
Lasso di tempo: Before the start of training
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)
Before the start of training
Change from baseline dual-task walking ability upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
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)
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline dual-task walking ability at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
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)
6 months after the completion of Training
Baseline Tinetti Balance Assessment Tool score
Lasso di tempo: Before the start of training
Tinetti Balance Assessment Tool (Tinetti, 1986).
Before the start of training
Change from baseline Tinetti Balance Assessment Tool score upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
Tinetti Balance Assessment Tool (Tinetti, 1986)
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline Tinetti Balance Assessment Tool score at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
Tinetti Balance Assessment Tool (Tinetti, 1986)
6 months after the completion of Training
Baseline Timed 'Up & Go' Tests time
Lasso di tempo: Before the start of training
Timed 'Up & Go' Tests (TU&G(Podsiadlo & Richardson, 1991)
Before the start of training
Change from baseline Timed 'Up & Go' Tests time upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
Timed 'Up & Go' Tests (TU&G(Podsiadlo & Richardson, 1991)
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline Timed 'Up & Go' Tests time at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
Timed 'Up & Go' Tests (TU&G(Podsiadlo & Richardson, 1991)
6 months after the completion of Training
Baseline Berg Balance Scale score
Lasso di tempo: Before the start of training
Berg Balance Scale (BBS) (Berg, Wood Dauphinee, Williams & Gayton, 1989)
Before the start of training
Change from baseline Berg Balance Scale score upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
Berg Balance Scale (BBS) (Berg, Wood Dauphinee, Williams & Gayton, 1989)
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline Berg Balance Scale score at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
Berg Balance Scale (BBS) (Berg, Wood Dauphinee, Williams & Gayton, 1989)
6 months after the completion of Training
Cognitive function
Lasso di tempo: Before the start of training
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.
Before the start of training
Baseline fear of falling
Lasso di tempo: Before the start of training
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.
Before the start of training
Change from baseline fear of falling upon completion of training
Lasso di tempo: Upon completion of 12 Training Sessions (4 weeks of training)
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.
Upon completion of 12 Training Sessions (4 weeks of training)
Change from baseline fear of falling at 6 months after the completion of training
Lasso di tempo: 6 months after the completion of Training
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.
6 months after the completion of Training
Number of falls between T1 and T2 (post training to 6 months after completion of training)
Lasso di tempo: 6 months after the completion of Training
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.
6 months after the completion of Training

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

The University of Hong Kong

Investigatori

  • Investigatore principale: Thomson Wai Lung WONG, The University of Hong Kong

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

1 ottobre 2018

Completamento primario (Anticipato)

31 agosto 2021

Completamento dello studio (Anticipato)

31 agosto 2021

Date di iscrizione allo studio

Primo inviato

10 gennaio 2019

Primo inviato che soddisfa i criteri di controllo qualità

18 gennaio 2019

Primo Inserito (Effettivo)

22 gennaio 2019

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

25 marzo 2020

Ultimo aggiornamento inviato che soddisfa i criteri QC

23 marzo 2020

Ultimo verificato

1 marzo 2020

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Altri numeri di identificazione dello studio

  • UW17-049

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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