None listed
Conditions
Brief summary
the purpose of this study is to investigate effects of multisensory training on dual task performance in community-dwelling older adults. Fifty participants older than 65 years without neurological disorder, bone fracture impacting upper limb or lower limb activities or vestibular deficits will be recruited from communities. They are allocated into multisensory training group accepting multisensory exercise three times a week for 12 weeks or control group accepting health promotion education one time every 2 weeks over 12 weeks. Participants receive assessment of Timed Up and Go with secondary tasks (motor and cognitive), Timed Up and Go, Berg Balance Scale, Activities-specific Balance Confidence Scale Taiwan version, Functional Gait Assessment and 10 Meter Walk Test before and after the intervention. The two way ( group × time ) repeated measures analysis of variance will be used to analyze dependent variables. The independent t test and Tukey post hoc test will be used to analyze datas between two group. The significance was accepted for values of p<0.05.
Interventions
The participants chose to join the experimental group receiving one-hour multisensory training, three times a week for twelve weeks or the control group receiving one-hour healthy education, one time for every two-week, total for six sessions. All participants were assessed at baseline, mid-test at 8th week and post-intervention. Training procedure for Experimental Group: For participants in the experimental group, all subjects attended 36 individual training sessions, lasting approximately 60 min, 3 times a week for 12 weeks. Each session started with a 10-mintue warming up and a 10-mintue cool down period of stretching after training. Subjects underwent the multisensory training program consisting of: (1) Proprioceptive training, mainly for the lower limbs; (2) Vestibular and eye control training; (3) Facilitation and integration of proprioceptive and vestibular impulses. For each session, a physical therapist guided participants to accomplish each training program. The intensity progressed when the participant adapt to the program and show the better performance. The program included: 1. Proprioception (Bare foot) Standing (including balance cushion, trampoline) Weight shifting all direction Stamping feet on the spot Walking Uneven surface & different texture 2. Vestibular & eye control Sitting & Standing Head (quick) rotation with eye fixed Head (quick) rotation with eye followed Head (quick) rotation with eye closed Standing Disc rotation with eye open and closed Walking and bouncing 3. Combined proprioception and vestibular Standing on a balance cushion or trampoline Head (quick) rotation with eye fixed Head (quick) rotation with eye followed Head (quick) rotation with eye closed Reaching for an object in different direction Catching and throwing ball Keeping a balloon in the air Walking Catching and throwing ball Keeping a balloon in the air Moving head or fixing gaze Quick turn The adherence of participants is register of attendance at sessions.
Sponsors
Study design
Eligibility
Inclusion criteria
1. greater or equal than 65 years old 2. Mini-Mental State Examination greater than 24 3. able to walk 10m independently 4. able to participant this training program
Exclusion criteria
1. suffered neurological disorder;2. musculoskeletal impacts limb mobilities;3. had exercise training within 6 months;4. has headache or fall experience within one month; 5. has vestibular disorders