Cognitive training for balance in geriatric population.

Phase 2

Not yet recruiting

• Registration Number: CTRI/2021/12/038962

Brief Summary

Title - COMPARISION OF COGNITIVE TRAINING VERSUS CONVENTIONAL TRAINING ON BALANCE IN GERIATRIC POPULATIONIntroduction - Aging is an inevitable process which affects structural and functional basis of life. There are 3 types of ageing i.e. primary (associated with chronological age), secondary (disease-related) and tertiary (decremental influences that increase the risk of mortality). Frailty in healthy elderly population is attributed mainly to their sedentary lifestyle, changes in musculoskeletal system with the addition of age-related diseases, hence making it difficult for them to adapt to changing situations. All these changes affect the posture, loss of balance control and hence risk independent mobility and increase frequency of falls. Old adults with no direct cause for risk of fall and living independently will show minimal deficit in balance abilities due to natural process of ageing.

Balance is defined as complex interaction of the sensorimotor and central processing system. It is a modifiable aspect with appropriate testing and rehabilitation. Physical, environmental, socio-cultural and genetic factors have their influences on all 3 types of ageing which affect cognition in older population. A decrease in volume of grey matter, an increase in HPA axis activity, deterioration in the sensory system, weakened neuromodulatory control, less indulgence in activities that have cognitive demands during the lifetime have their contribution in deterioration of cognitive abilities in later stages of life.

There are fewer studies showing effect of cognitive exercises on balance in older population. Hence including cognitive exercise to conventional exercise may prove beneficial in improving balance of elderly population.

Aim - To compare cognitive exercises with conventional exercises on balance in geriatric population.

Objectives -

1) To assess the effect of cognitive training on balance in geriatric population using Mini-BEST Scale and Walking While Talking Test.

2)  To assess the effect of conventional training (Otago program) on balance in geriatric population using Mini-BEST Scale and Walking While Talking Test.

3)  To compare the two groups.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2021-12-27
• Study Start: 2021-12-31

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Young old healthy geriatric population.
• Post covid (6 months) recovered.

Exclusion Criteria

• 1.Elderly with any existing musculoskeletal, neurological and other systemic illness that would affect balance.
• 2.Recently (past 6 months) undergone any back, knee or ankle surgery that would hamper balance.
• 3.Uncontrolled diabetes and hypertension.
• 4.Any existing neurodegenerative conditions affecting intellect eg: dementia.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mini-BEST scale,	At baseline and after 4 weeks
Walking while talking test	At baseline and after 4 weeks

Trial Locations

Locations (1)

Nanavati Super speciality Hospital; 🇮🇳 (Suburban), MAHARASHTRA, India

Nanavati Super speciality Hospital

🇮🇳(Suburban), MAHARASHTRA, India

Dr Ali irani

Principal investigator

02226172329

physiodept.nanavati@gmail.com