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临床试验/NCT05190081
NCT05190081已完成不适用

Investigation Of the Effects Of Dual-Task And Single-Task Training In Older Adults With Age-Related Hearing Loss

Pamukkale University2 个研究点 分布在 1 个国家目标入组 43 人开始时间: 2019年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
43
试验地点
2
主要终点
Pure tone audiometry

研究概览

简要总结

This study aimed to examine the effects of single and dual-task training on physical function, cognitive function, quality of life, balance, concerns about falling, and activities of daily living in the elderly with age-related hearing loss.

The elderly who were diagnosed with age-related hearing loss in Pamukkale University Health, Practice and Research Center, Department of Otorhinolaryngology participated in the study. The elderly were allocated a single-task training group, dual-task training group, and control group. Thirteen patients in the single-task training group, 15 patients in the dual-task training group, 14 patients in the control group completed the study. Degrees of hearing loss were determined by pure tone audiometry. Evaluations, Senior Fitness Test, Montreal Cognitive Assessment, World Health Organization- Quality of Life- Old Module, Berg Balance Scale, Falls Efficacy Scale International, Functional Independence Measure, Dual Task Questionnaire, Dual Task Effect, were performed initially, after the interventions and at the 6th month. The interventions were carried out two days a week and 40 minutes, for five weeks.

详细描述

Outcome Measures Physical function, cognitive function, auditory function, quality of life, balance, concerns about falling, independence in activities of daily living, and dual-task performance were evaluated. Older adults were evaluated initially, after the dual-task and single-task training, and at 6th month for long-term control. All evaluations and interventions were carried out in an isolated and quiet environment in the examination room of the Department of Otorhinolaryngology.

Interventions A special program including motor and cognitive tasks was prepared. Both lower and upper extremity motor tasks and verbal, arithmetic, auditory, and visual cognitive tasks were planned based on evidence. Tasks were completed at the same time in the dual-task training group, were completed separately in the single-task training group. No intervention was performed in the control group. The dual-task and single-task training were held 2 days a week, 40 minutes, for a total of 10 sessions for 5 weeks. A patient-appropriate task was selected for each cognitive task each week. It has been tried to prevent the learning effect by providing individual and weekly progress according to the patients' performance in the tasks in the motor and cognitive parts. Variable priority instructions were used in the dual-task training group, and fixed priority instructions were used in the single-task training group. At the beginning and end of the intervention programs, 7 types of warm-up and cool-down exercises involving large muscle groups were performed for 10-minutes. Each task in the intervention programs was performed for 60 seconds and/or 10 repetitions.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Health Services Research
盲法
None

入排标准

年龄范围
65 Years 至 —(Older Adult)
性别
All
接受健康志愿者

入选标准

  • Being >65 years old
  • Montreal Cognitive Assessment Scale score > 21
  • Diagnosed with Age-Related Hearing Loss
  • Having bilateral symmetrical hearing loss (average ±10dB difference)
  • Having normal visual functions
  • Ability to ambulate independently (may use a self-help device)

排除标准

  • Using a hearing aid
  • Receiving a physical therapy intervention for Age-Related Hearing Loss
  • Having an orthopedic or neurological condition that may affect cognition or postural control
  • Using medication that may affect cognition or postural control
  • Having vertigo or being hospitalized in the emergency room due to vertigo attacks
  • Missing or refusing the follow-up

结局指标

主要结局

Pure tone audiometry

时间窗: Initially, 1st week

Pure tone audiometry at 6 different frequencies (0.5, 1, 2, 4, 6, 8 kHz) frequently mentioned in the literature was performed by an audiologist with a clinical audiometer

Senior Fitness Test

时间窗: Through study completion at 6th month

This test is valid in the elderly population and provides comprehensive, continuous measurement, consisting of 6 sub-heading, including chair stand, arm curl, 2-minute step, chair sit-and-reach, back scratch, and 8-foot-up-and-go tests

Montreal Cognitive Assessment

时间窗: Through study completion at 6th month

It evaluates 8 different cognitive functions: visuospatial/executive functions, naming, attention, concentration and calculation, language, abstraction, delayed recall, and orientation. The highest score is 30 in total. A score of 21 and above is considered normal

World Health Organization Quality of Life - Old Module

时间窗: Through study completion at 6th month

It consists of 24 items in six facets. The facets of this module are "sensory abilities", "autonomy", "past, present and future activities", "social participation", "death and death", "intimacy". A high score indicates a high quality of life.

次要结局

  • International Fall Efficiency Scale(Through study completion at 6th month)
  • Berg Balance Scale(Through study completion at 6th month)
  • Functional Independence Measurement(Through study completion at 6th month)
  • Dual Task Questionnaire(Through study completion at 6th month)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

HANDE USTA

Doctor, Research Assisstant

Pamukkale University

研究点 (2)

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