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Forward and Backward Walking Exercise on Physical and Cognitive Functions

Completed
Conditions
Healthy Volunteers
Interventions
Other: Backward walking
Other: Forward walking
Registration Number
NCT06604416
Lead Sponsor
Atlas University
Brief Summary

To investigate the acute effects of forward and backward walking exercise on physical functions such as static and dynamic balance and cognitive functions such as attention, concentration, memory, processing speed, visual structuring skills, calculation and orientation.

Detailed Description

This study is planned to investigate the acute effects of forward and backward walking on physical functions such as static and dynamic balance and cognitive functions such as attention, concentration, memory, processing speed, visual structuring skills, calculation and orientation. 50 healthy individuals were randomly divided into three groups for the study. The groups were divided into Backward Walking Exercise Group (GYE) (n=17), Forward Walking Exercise Group (FWE) (n=16) and Control Group (CG)(n=17). Before treatment for all three groups; sociodemographic and clinical data with the sociodemographic information form, physical activity levels with the International Physical Activity Survey Short Form, pain severity with the Visual Analog Scale (VAS), fatigue levels with the Borg Scale, the person's selective attention capacity and skills, processing speed and general executive processing abilities. Stroop Test with TBAG Form to evaluate executive functions such as working memory, complex attention, planning and set shifting, with Trail Making Test, evaluation of dynamic balance, neuromuscular control and movement asymmetries with Y-Balance Test, static balance, postural stability evaluation on One Leg It was evaluated with the Standing Test. The GYE group completed a 25-minute backward walking exercise session, the FWE group completed a 25-minute forward walking exercise session, and the control group completed a 30-minute sitting rest between evaluation tests. After the exercises, there were significant differences in parameters such as attention, processing speed, concentration and maintenance of attention, working memory, planning, static and dynamic balance, and in the comparison between groups, significant differences were found in static balance and postural control (p\<0.05). It was observed that individuals in the backward walking group showed better improvements in some parameters after walking. However, these results need to be supported by future studies.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • To be between the ages of 18-25,
  • To be able to communicate verbally and in written Turkish,
  • Not complaining of pain in any part of the body during physical activity,
  • Performing a normal walking pattern without compensatory movements.
Exclusion Criteria
  • Participants participating in a routine exercise program
  • History of upper or lower extremity pathology or injury in the last 6 months
  • Diagnosed neurological disease
  • Diagnosed cognitive impairment
  • Having a diagnosed orthopedic disease
  • Using a walking aid
  • Inadequate cardiovascular fitness
  • Dyspnea on exertion
  • Contraindication to walking
  • Receiving medical treatment that causes imbalance.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Backward walking exercise groupBackward walkingHealthy subjects aged 18-25 years were included in the study. Cognitive and physical function assessments were performed face-to-face by a physiotherapist before and after backward walking exercise. In addition, assessments during the exercise were performed by the same physiotherapist. Assessments were made immediately before and immediately after the walking exercise. All assessments were supervised by the physiotherapist.
Forward walking exercise groupForward walkingHealthy subjects aged 18-25 years were included in the study. Cognitive and physical function assessments were performed face-to-face by a physiotherapist before and after forward walking exercise. In addition, assessments during the exercise were performed by the same physiotherapist. Assessments were made immediately before and immediately after the walking exercise. All assessments were supervised by the physiotherapist.
Primary Outcome Measures
NameTimeMethod
Stroop Test TBAG Formimmediately pre and immediately post-exercise

Stroop Test TBAG Form was used to assess executive functions such as attention, memory, concentration, visual structuring skills, computational working memory, planning, visual scanning ability.

Trail Making Testimmediately pre and immediately post-exercise

The Trail Making Test was used to assess executive functions such as working memory, complex attention, planning and set switching, visual-spatial processing and motor abilities. The Trail Making Test consists of two parts, A and B.

Y-Balance Testimmediately pre and immediately post-exercise

Y-Balance Test was used to evaluate dynamic balance, neuromuscular control and movement asymmetries.

One Leg Standing Testimmediately pre and immediately post-exercise

One-leg Standing Test was used to assess static balance.

Secondary Outcome Measures
NameTimeMethod
International Physical Activity Questionnaire (IPAQ) Short Formpre-assessments

The IPAQ Short Form was used to determine the physical activity levels of the participants.

The Visual Analog Scale (VAS)immediately pre and immediately post-exercise

This scale scores from 0 to 10. Higher scores indicate worse pain.

Borg Fatigue Scaleimmediately pre-exercises, during exercise and immediately post-exercise

It was used to determine the level of fatigue perceived by individuals before, during and after completing walking exercises.

Blood Pressure Assessmentimmediately pre and immediately post-exercise

Blood pressure assessment was performed with a syphinguometer.

Oxygen Saturationimmediately pre-exercises, during exercise and immediately post-exercise

In the study, saturation values were measured by pulse oximetry before, during and after exercise by the same physiotherapist.

Trial Locations

Locations (1)

Istanbul Atlas University

🇹🇷

Istanbul, Kagıthane, Turkey

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