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Visual Stimulus-Based Cognitive-Motor Agility Exercise in Older Adults

18 lipca 2026 zaktualizowane przez: Gulsah Sahin, Çanakkale Onsekiz Mart University

Effects of Visual Stimulus-Based Cognitive-Motor Agility Exercise on Cognitive, Psychomotor, and Functional Performance in Older Adults: A Randomized Controlled Trial

This randomized controlled trial examined the effects of adding a brief visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program in community-dwelling older adults. Participants were randomized to either an experimental group or an active control group. Both groups participated in supervised multicomponent exercise sessions twice weekly for 8 weeks. Each session lasted 45 minutes. During the final 10 minutes of each session, the experimental group performed the visual stimulus-based cognitive-motor agility exercises, whereas the active control group performed time-matched low-intensity activities. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory, and functional performance.

Przegląd badań

Status

Zakończony

Warunki

Interwencja / Leczenie

Szczegółowy opis

This study was designed as an 8-week, parallel-group randomized controlled exercise intervention in community-dwelling older adults. The study aimed to determine whether adding a brief Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program would provide additional benefits for cognitive, psychomotor, and functional performance.

After completion of baseline assessments, eligible participants were randomized to either an experimental group or an active control group. Both groups participated in supervised exercise sessions twice weekly for 8 weeks, for a total of 16 sessions. Each session lasted 45 minutes. The first 35 minutes of each session consisted of the same multicomponent exercise program in both groups. This program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, agility exercise, coordination exercises, low-resistance strengthening exercises, and functional movement combinations.

During the final 10 minutes of each session, participants in the experimental group completed visual stimulus-based cognitive-motor agility exercises using the Light Trainer system. These tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. The Light Trainer component included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across the 8-week intervention by increasing the number of modules from two to six and by increasing task complexity, stimulus randomness, movement direction changes, response speed requirements, and cognitive-motor demands.

Participants in the active control group completed the same 35-minute multicomponent exercise program followed by a time-matched 10-minute low-intensity activity period. These activities included supervised stretching, mobility, agility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.

Assessments were performed at baseline and after the 8-week intervention period. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory performance time and accuracy, Ten-Step Test, 30-second Chair Stand Test, 30-second Arm Curl Test, and 8-Foot Up-and-Go Test. The study was conducted in community-dwelling older adults aged 60 years or older who were able to ambulate independently and follow basic exercise and testing instructions.

Typ studiów

Interwencyjne

Zapisy (Rzeczywisty)

41

Faza

  • Nie dotyczy

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

  • Turcja (Türkiye)
      • Çanakkale, Turcja (Türkiye), 17100
        • Canakkale Onsekiz Mart University

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Dorosły
  • Starszy dorosły

Akceptuje zdrowych ochotników

Tak

Opis

Inclusion Criteria:

  • Community-dwelling older adults aged 60 years or older
  • Able to ambulate independently
  • Able to understand and follow basic exercise and testing instructions
  • Montreal Cognitive Assessment score of 23 or higher
  • No health condition that would limit safe participation in exercise
  • Able to participate regularly in the 8-week exercise program

Exclusion Criteria:

  • Serious cardiovascular, neurological, orthopedic, or vestibular disease that could prevent safe participation in exercise
  • Recent surgery
  • Uncontrolled hypertension
  • Severe visual or hearing problems
  • Montreal Cognitive Assessment score below 23
  • Use of medications known to substantially affect cognitive, psychomotor, balance, or motor performance
  • Very low physical function preventing safe participation in the exercise program

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Inny
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Visual stimuli Cognitive-Motor Agility Exercise
Participants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by both groups, followed by 10 minutes of Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise. The Light Trainer component included reactive visual-motor tasks requiring participants to respond to randomized visual stimuli using hand and foot movements.
Behawioralne: Multicomponent Exercise Program
Participants completed a supervised 35-minute multicomponent exercise program twice weekly for 8 weeks. The program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, coordination exercises, low-resistance strengthening exercises, and functional movement combinations. This component was performed by both the experimental and active control groups.
Behawioralne: Visual Stimulus-Based Cognitive-Motor Agility Exercise
The experimental group completed a 10-minute Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component during the final part of each supervised session. Tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. Each session included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across 8 weeks by increasing the number of modules from two to six and increasing task complexity.
Aktywny komparator: Active Control: Multicomponent Exercise With Low-Intensity Activities
Participants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by the experimental group, followed by 10 minutes of time-matched low-intensity activities. These activities included supervised stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.
Behawioralne: Multicomponent Exercise Program
Participants completed a supervised 35-minute multicomponent exercise program twice weekly for 8 weeks. The program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, coordination exercises, low-resistance strengthening exercises, and functional movement combinations. This component was performed by both the experimental and active control groups.
Behawioralne: Time-Matched Low-Intensity Activities
The active control group completed a 10-minute time-matched low-intensity activity period during the final part of each supervised session. These activities included stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Change in Montreal Cognitive Assessment Score
Ramy czasowe: Baseline and 8 weeks
The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated. The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated.
Baseline and 8 weeks

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Change in Ten-Step Test Time
Ramy czasowe: Baseline and after 8 weeks
Lower-extremity rapid stepping and agility performance were assessed using the Ten-Step Test. Participants completed 10 alternating stepping movements on a 10-cm step block as quickly as possible. Test duration was recorded in seconds. Shorter time indicates better performance.
Baseline and after 8 weeks
Change in Hand Visual-Motor Response Time
Ramy czasowe: Baseline and 8 weeks
Hand visual-motor response performance was assessed using the Light Trainer system. Participants responded to randomized visual stimuli by touching illuminated modules with either hand during a 30-second task. Fastest and mean response times were recorded in seconds. Shorter response times indicate better performance.
Baseline and 8 weeks
Change in Foot Visual-Motor Response Time
Ramy czasowe: Baseline and 8 weeks
Foot visual-motor response performance was assessed using the Light Trainer system. Participants responded to randomized visual stimuli by stepping on illuminated modules with either foot during a 30-second task. Fastest and mean response times were recorded in seconds. Shorter response times indicate better performance.
Baseline and 8 weeks
Change in Visual Working Memory Performance Time
Ramy czasowe: Baseline and 8 weeks
Visual working memory response time was assessed using the memory mode of the Light Trainer system. Participants memorized the color and position of illuminated modules and then identified the module corresponding to a target color. Fastest times were recorded in seconds, with shorter values indicating better visual working memory performance. Change from baseline to 8 weeks was evaluated.
Baseline and 8 weeks
Change in Visual Working Memory Accuracy
Ramy czasowe: Baseline and 8 weeks
Visual working memory accuracy was assessed using the memory mode of the Light Trainer system. Participants memorized the color and position of illuminated modules and then identified the module corresponding to a target color. Accuracy was expressed as the device-recorded percentage of correct responses across all trials and ranged from 0% to 100%, with higher values indicating better visual working memory performance. Change from baseline to 8 weeks was evaluated.
Baseline and 8 weeks
Change in 30-Second Chair Stand Test Performance
Ramy czasowe: Baseline and 8 weeks
Lower-body functional strength was assessed using the 30-second Chair Stand Test. Participants were instructed to stand up fully and sit down as many times as possible within 30 seconds. The total number of correctly completed repetitions was recorded. Higher repetition count indicates better performance.
Baseline and 8 weeks
Change in 30-Second Arm Curl Test Performance
Ramy czasowe: Baseline and 8 weeks
Upper-body functional strength was assessed using the 30-second Arm Curl Test. Participants performed as many controlled elbow flexion-extension repetitions as possible within 30 seconds while seated. The test was performed separately for the right and left arms. Higher repetition count indicates better performance.
Baseline and 8 weeks
Change in 8-Foot Up-and-Go Test Time
Ramy czasowe: Baseline and 8 weeks
Functional mobility, agility, and dynamic balance were assessed using the 8-Foot Up-and-Go Test. Participants rose from a chair, walked around a marker placed 2.44 meters away, returned to the chair, and sat down again. Test duration was recorded in seconds. Shorter time indicates better performance.
Baseline and 8 weeks

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Çanakkale Onsekiz Mart University

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

1 kwietnia 2026

Zakończenie podstawowe (Rzeczywisty)

8 czerwca 2026

Ukończenie studiów (Rzeczywisty)

8 czerwca 2026

Daty rejestracji na studia

Pierwszy przesłany

15 lipca 2026

Pierwszy przesłany, który spełnia kryteria kontroli jakości

15 lipca 2026

Pierwszy wysłany (Rzeczywisty)

20 lipca 2026

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

21 lipca 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

18 lipca 2026

Ostatnia weryfikacja

1 lipca 2026

Więcej informacji

Terminy związane z tym badaniem

Słowa kluczowe

Dodatkowe istotne warunki MeSH

Inne numery identyfikacyjne badania

  • 2026-YONP-0051

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

NIE

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

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