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Effects of Training on Fall Risk and Balance Performances

Not Applicable
Completed
Conditions
Accidental Falls
Interventions
Behavioral: Single task training
Behavioral: dual task training
Behavioral: exercise-cognitive activity combined training
Registration Number
NCT03189342
Lead Sponsor
Istanbul Medipol University Hospital
Brief Summary

Dual task training has been shown to reduce the risk of falls more than single task training. However, there have been no studies which compared the effects of single task training, dual task training and asynchronous cognitive, balance exercise training during same day on the risk of falls among healthy older individuals. Therefore, the aim of this study was to investigate differences among the effects of single task training, dual task training and exercise-cognitive activity combined training on balance and gait performances and fall risk in elderly at risk of fall.

Detailed Description

The term "dual task" refers to the ability of performing 2 tasks simultaneously, for example, a cognitive and a motor task. Previous studies demonstrated that dual task training is more effective than single task training in reducing falls among elderly. These studies demonstrated that the improvements in balance and gait speed resulted in a decrease of fall frequency. Although dual task training has been shown to reduce the risk of falls more than single task training, to date, there have been no studies which compared the effects of single task training, dual task training and asynchronous cognitive, balance exercise training during same day on the risk of falls among healthy older individuals. Therefore, the aim of this study was to investigate differences among the effects of single task training, dual task training and exercise-cognitive activity combined training on balance and gait performances and fall risk in elderly at risk of fall.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Age 65 years or older
  • literate
  • having a fall incident during the past year
  • ability to walk 10 meter without any support
  • getting more than 13.5 seconds at Timed up and Go test
  • getting less than 24 points at Standardized Mini-Mental State Examination
Exclusion Criteria
  • neurological or musculoskeletal diagnosis such as Parkinson's or Alzheimer's disease,
  • orthopaedic involvement or significant visual and auditory impairments

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Single Task TrainingSingle task trainingPerformed balance and gait exercises
Dual task trainingdual task trainingPerformed cognitive activity simultaneously with balance and gait exercises
Exercise-Cognitive Activity Combined Trainingexercise-cognitive activity combined trainingPerformed cognitive, balance and gait activity training asynchronously at different times during the same day
Primary Outcome Measures
NameTimeMethod
Gait speed under dual task condition4 weeks

The participants walked 10 meter while producing words which started with letter "K"

Gait speed under single task condition4 weeks

The participants walked 10 meter at their comfortable speed and the time to complete the task was recorded

Timed Up and Go test4 weeks

Timed Up and Go Test is a simple test used to measure mobility. The time required to stand up from a chair, walk 3 m to the line on the floor at a normal pace, walk back to the chair and sit down is measured (Thrane et al 2007)

Berg Balance Scale4 weeks

The Berg Balance Scale (BBS) consists of 14 simple balance related tasks that measure the static, dynamic, and functional balance skills (Sahin et al 2008)

Falls Efficacy Scale4 weeks

Tinetti's Falls Efficacy Scale (FES), which was used to assess fall-related self-efficacy, is a 10-questions scale (Scheffer et al 2008).

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Medipol Mega University Hospital

🇹🇷

Istanbul, Turkey

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