Effects of Balance Training with and Without Gaze Stability Exercises on Cognitive Function Balance and Dynamic Postural Stability in Older Adults with Mild Cognitive Impairment
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Cognitive function
研究概览
简要总结
The study aims to evaluate the effects of balance training, with and without gaze stability exercises, on cognitive function, balance, and postural stability in older adults with mild cognitive impairment (MCI). A randomized controlled trial with 30 participants will be conducted at Fauji Foundation Hospital and Chakwal. Participants will be divided into two groups: one receiving balance training with gaze stability exercises, and the other receiving balance training alone. Baseline, 4-week, and 8-week assessments will measure cognitive function (Montreal Cognitive Assessment), balance (Berg Balance Scale), and mobility (Time Up and Go test). Training will consist of 24 sessions over 8 weeks, with sessions lasting 30-50 minutes.
详细描述
OBJECTIVES OF STUDY
- To determine the effects of balance training with and without gaze stability exercises on cognitive function in older adults with mild cognitive impairment.
- To determine the effects of balance training with and without gaze stability exercises on balance in older adults with mild cognitive impairment.
- To determine the effects of balance training with and without gaze stability exercises on mobility in older adults with mild cognitive impairment
HYPOTHESIS
ALTERNATE HYPOTHESIS
- HA- There is a statistically significant difference in effect of balance training with gaze stability exercises in comparison balance training alone on cognitive function in older adults with MCI. (p<0.05)
- HA- There is a statistically significant difference in effect of balance training with gaze stability exercises in comparison balance training alone on balance in older adults with MCI. (p<0.05)
- HA- There is a statistically significant difference in effect of balance training with gaze stability exercises in comparison balance training alone on dynamic postural stability in older adults with MCI. (p<0.05)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age group: 55 years and above older adults.
- •Both male and female.
- •Having mild cognitive impairment (MCI) having score of 18-25 on Montreal Cognitive Assessment Scale (Urdu version).
- •Ability to understand simple instruction and those who are capable of participating in physical exercise programs.
排除标准
- •Diagnosed neurological and psychiatric disorders.
- •Those unable to engage in physical activity due to mobility limitations.
- •Individuals with significant visual and hearing impairments affecting participation in gaze stability exercises.
研究组 & 干预措施
Balance Training Group
It includes participants receiving balance training for mild cognitive impairment.
Balance training
Walking on a flat surface at the beginning of each session for 5-10 minutes Perform different static and dynamic balance exercises along with cognitive tasks.
Static standing with feet together with eyes open and closed Semi-tandem stand and tandem stand Forward and backward weight shift exercises Counting backwards by threes, Naming object or animals, Recalling a short sequence of numbers or words.
Side stepping, marching, forward and backward walking Hip extension and abduction Cognitive task includes word association or simple math problems. Standing on one leg Relaxation and breathing exercises including deep inhaling and exhaling or walking slowly at the end of each session for 5-10 minutes During training sessions, balance activities and cognitive tasks will be implemented simultaneously.
干预措施: Balance training group (Procedure)
Balance Training Combined with Gaze Stability Exercises Group
It includes participants receiving balance training combined with gaze stability exercises for mild cognitive impairment.
Balance training
Walking on a flat surface at the beginning of each session for 5-10 minutes Perform different static and dynamic balance exercises along with cognitive tasks.
Static standing with feet together with eyes open and closed Semi-tandem stand and tandem stand Forward and backward weight shift exercises Counting backwards by threes, Naming object or animals, Recalling a short sequence of numbers or words.
Side stepping, marching, forward and backward walking Hip extension and abduction Cognitive task includes word association or simple math problems. Standing on one leg Relaxation and breathing exercises including deep inhaling and exhaling or walking slowly at the end of each session for 5-10 minutes During training sessions, balance activities and cognitive tasks will be implemented simultaneously.
Gaze stability exercises
Visual tracking exercise
干预措施: Balance training combined with gaze stability exercises (Procedure)
结局指标
主要结局
Cognitive function
时间窗: 8 weeks
Cognitive function will be assesed by using montreal cognitive assessment scale. It has a total score of 30, with higher numbers indicating better Cognition Function. A normal score is regarded to be 26 or higher. 18-25 = mild cognitive impairment
Balance
时间窗: 8 weeks
Balance will be assessed by using berg balance scale. It is a 14-item objective measure. It is a widely used tool for assessing balance in various populations. The scoring system ranges from 0 to 56, where higher scores indicate better balance. Total scores of 0 to 20 indicate a high risk for falls, 21 to 40 indicate a moderate risk, and 41 to 56 indicate a low risk in adults.
Dynamic Postural Stability
时间窗: 8 weeks
Dynamic Postural Stability will be assessed by using time up and go test. It assesses mobility, balance, walking ability, and fall risk in older adults. It is administered in less than 3 minutes. Scoring of \< 10 seconds is considered normal. As the time duration to complete the test increases the risk of fall increases indicating poor dynamic postural stability and mobility.
次要结局
未报告次要终点