Effect of Single-task, Dual-task and Analogy Training During Gait Rehabilitation
2020년 3월 23일 업데이트: 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.
연구 개요
상태
알려지지 않은
연구 유형
중재적
등록 (예상)
105
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
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Hong Kong, 홍콩
- 모병
- The HKJC Building for Interdisciplinary Research
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연락하다:
- Thomson Wong
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
65년 이상 (고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
설명
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.
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 방지
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: 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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실험적: 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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실험적: 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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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Baseline propensity for conscious motor processing
기간: 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
기간: 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
기간: 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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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Baseline single-task walking ability
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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
기간: 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)
기간: 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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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Thomson Wai Lung WONG, The University of Hong Kong
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2018년 10월 1일
기본 완료 (예상)
2021년 8월 31일
연구 완료 (예상)
2021년 8월 31일
연구 등록 날짜
최초 제출
2019년 1월 10일
QC 기준을 충족하는 최초 제출
2019년 1월 18일
처음 게시됨 (실제)
2019년 1월 22일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2020년 3월 25일
QC 기준을 충족하는 마지막 업데이트 제출
2020년 3월 23일
마지막으로 확인됨
2020년 3월 1일
추가 정보
이 연구와 관련된 용어
키워드
기타 연구 ID 번호
- UW17-049
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이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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