Effect of group-based dual-tasks exercise on physical, cognitive and psychosocial function in older adults with type 2 diabetes with balance impairment

Not Applicable

Completed

• Conditions: Balance performanceLower limb muscle strengthCognitive functionDepressionFear of fallingnumber of falls; balance performance; muscle strength; cognitive function; depression; Fear of falling; falls

• Registration Number: TCTR20180119001
• Lead Sponsor: Faculty of Physical Therapy, Mahidol University

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2018-01-19
• Study Completion: 2020-01-31
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

1)Thais population
2)Aged 60 years and over
3)Have been diagnosed with type 2 diabetes with a fasting blood glucose level of at least 8 hours ≥ 126 mg/L
4)Time to complete Timed up and go test more than 10 seconds
5)Resting vital sign is safe for exercise (blood pressure <180/100 mmHg and> 100/60 mmHg)
6) Walking independently without walking aids
7)Normal to near-normal visual acuity (with best correction lens)
8)Able to understand and follow verbal instruction

Exclusion Criteria

1)History of central nervous system dysfunction, i.e., stroke, Parkinson's
2)Lower limb amputation including partial foot amputation
3)History of lumbar or lower limb surgery within previous 6 months
4)History of lumbar or lower limb fracture within previous 6 months
5)History of hip, knee, and ankle joints replacement
6)Acute stage of musculoskeletal system dysfunction
7)Disability
8)Taking other medicines with affect the nervous system, i.e., antidepressant, sleeping tablets, medicines for anxiety, antipsychotics

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Balance performance After 4 and 8 weeks intervention, 12 months after intervention period Timed Up and Go test and alternate step test ,Cognitive function After 4 and 8 weeks intervention, 12 months after intervention period The Montreal Cognitive Assessment and Wechsler Adult Intelligence Scale, Version III (digit span),Lower limb muscle strength After 4 and 8 weeks intervention, 12 months after intervention period Five-times sit to stand test and measure by using hand held dynamometer,Depression After 4 and 8 weeks intervention, 12 months after intervention period Patient Health Questionnaire-9 (PHQ-9),Fear of falling After 4 and 8 weeks intervention, 12 months after intervention period Fall Efficacy Scale-International (FES-I) Thai version, Activities of daily living (ADL) After 4 and 8 weeks intervention, 12 months after intervention period Barthel Index

Secondary Outcome Measures

Name	Time	Method
umber of falls monthly within intervention period and monthly for one year after end of the intervention period subjective and falls calendar,Peripheral diabetic nephropathy (PDN) at baseline before intervention Michigan Neuropathy Screening Instrument (MNSI),Orthostatic hypotension (OH) at baseline before intervention assessing blood pressure change from the supine to standing position