Comparison of the Effects of Motor and Cognitive Dual Task Exercises on Fall Risk, Balance, and Gait in Geriatric Individuals Residing in Nursing Homes: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 69
- 试验地点
- 1
- 主要终点
- 2-Minute Walk Test (2MWT)
研究概览
简要总结
This study aimed to compare the effects of motor and cognitive dual-task exercise programs on fall risk, balance, and gait performance in older adults residing in nursing homes.The main question it aims to answer is:
An eight-week motor or cognitive dual-task exercise program did not provide additional benefits over standard single-task exercise in improving fall risk, balance, or gait performance in nursing home residents.
All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.
Assessments were conducted before and after the intervention using the Five-Repetition Sit-to-Stand Test, 2-Minute Walk Test, Single-Leg Stance Test, Timed Up and Go (TUG) Test, Tinetti Balance and Gait Scale, and Functional Reach Test.
详细描述
Individuals residing in nursing homes who were aged between 65 and 95 years, able to walk independently, literate, willing to participate, and cognitively capable of understanding and performing the assessments and exercises were included in the study.
Individuals with systemic or metabolic conditions such as malignancy, osteoporosis, history of fracture, coagulation disorders, active infection, orthostatic hypotension, or pacemaker implantation were excluded. Participants were withdrawn from the study if they discontinued the intervention, failed to attend pre- or post-intervention assessments, or were unable to understand or perform the required tests and exercises.
A total of 69 eligible participants were allocated into three groups using a systematic allocation sequence based on the order of enrollment. Participants were assigned sequentially to the motor dual-task group, cognitive dual-task group, or control group in a 1:1:1 ratio.
Due to the absence of a dedicated exercise room, all interventions were conducted in participants' rooms using space-adapted exercise protocols.
Participants in the motor dual-task group performed a structured exercise program consisting of the Five Times Sit-to-Stand Test, Timed Up and Go test (3 m), single-leg stance, 10-meter tandem walking, 10-meter normal walking, and a 20-meter marching activity while simultaneously carrying a tray filled with water.
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
- Single (Investigator)
盲法说明
A total of 69 eligible participants were allocated into three groups using a systematic allocation sequence based on the order of enrollment.
入排标准
- 年龄范围
- 65 Years 至 95 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •residing in nursing homes who were aged between 65 and 95 years
- •Individuals able to walk independently
- •Individuals who are literate
- •Individuals willing to participate in the study
- •Individuals cognitively capable of understanding and performing the required assessments and exercises.
排除标准
- •Individuals with malignancy
- •Individuals with osteoporosis
- •Individuals with a history of fracture
- •Individuals with coagulation disorders
- •Individuals with an active infection
- •Individuals with orthostatic hypotension
- •Individuals with pacemaker implantation
研究组 & 干预措施
Motor Dual-Task Exercise Group
干预措施: Motor Dual-Task Exercise (Behavioral)
Cognitive Dual-Task Exercise Group
干预措施: Cognitive Dual-Task Exercise (Behavioral)
Control Group
干预措施: Control group (Behavioral)
结局指标
主要结局
2-Minute Walk Test (2MWT)
时间窗: 8 weeks
Walking capacity was assessed over a 30-meter walkway during a two-minute period. Participants wore comfortable clothing and footwear and rested for 10 minutes before testing. The total walking distance was recorded in meters.
Five Times Sit-to-Stand Test (FTSST)
时间窗: 8 weeks
The FTSST was used to assess lower extremity strength, functional mobility, and fall risk. Participants were instructed to stand up from a standard chair and sit down five consecutive times as quickly as possible while keeping their arms crossed over the chest. Total completion time was recorded using a stopwatch.
Timed Up and Go (TUG) Test
时间窗: 8 weeks
Functional mobility was assessed by measuring the time required for participants to stand up from a chair, walk 3 meters, turn around, return to the chair, and sit down. Time was recorded in seconds using a stopwatch.
次要结局
- Single-Leg Stance Test(8 weeks)
- Tinetti Balance and Gait Assessment Scale(8 weeks)
- Functional Reach Test(8 weeks)
研究者
Bihter Aslanyurek
Assoc. Prof. Dr., PT.
Ankara Yildirim Beyazıt University