Health Condition 1: F068- Other specified mental disorders due to known physiological condition
Conditions
Interventions
Intervention1: Vestibular Therapy along with Cognitive Therapy: Vestibular therapy along with Cognitive therapy for 8 weeks.
Vestibular therapy will be given according to Cawthrone and Cooksey protoc
Sponsors
Jamia Millia Islamia
Eligibility
Inclusion criteria
Inclusion criteria: Elderly aged 60 years and above Both females and males Subjects with basic knowledge of primary education Subjects with mild cognitive impairment according to the ACE III scale with cut off score of 83 out of 100 and or MMSE reference values according to education level: illiterate less than 13 elementary or middle less than 18 and high education less than 26 out of 3o. Subjects with minimum to no risk of falls according to Short FES cut-off score of 7 out of 28 Subjects having no prior history of neurological diseases and falling which could contribute to balance instability.
Exclusion criteria
Exclusion criteria: Subjects taking medications affecting consciousness or indirectly cognitive system, Subjects with a history of other neurological conditions that may alter cognition, Subjects with any significantly diagnosed visual and auditory impairment, Presence of severe neurological disease or psychiatric illness such as mood disorders depression or anxiety, bipolar disease, etc, Non-cooperative subjects, Subjects who are involved in other routine physical activities, and Subjects with medical contraindications for making the necessary head movements during vestibular rehabilitation example Severe cervical disorder.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Electroencephalogram to study brain waveforms in terms of spectrum and coherence that correspond to different cognitive functions including attention memory reasoning information processing. 2. P300 records an event-related potential and is used to analyze brain waveforms that correspond to attention memory and information processing. 3. Digit symbol substitution test measures a range of cognitive operations and requires intact motor speed attention and visuo-perceptual functions. 4. Digit symbol coding test WAIS-R is used to evaluate processing speed. It consists of 9 digit symbol pairs Under each digit the subject has to write down the related symbol as quickly as possible in 90 seconds. Timepoint: Baseline assessment at 1st week before the commencement of trial. At 8th week Post-intervention assessment. At 10th week from the baseline follow up assessment. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The Stroop test assesses selective attention and inhibition. 2. Trail making tests TMT-A and TMT-B used to assess executive function and attentional abilities. Part A of TMT evaluates the information processing speed, while part B assesses cognitive flexibility or switching. In part A, the task consisted in connecting numbers (from 1 to 25) with straight lines as fast as possible. In part B, participants had to alternate between letters in alphabetical order and numbers in ascending order 1-A-2-B-3C, etc. as fast as possible. 3. European Quality 5 Dimensions EQ-5D is a widely used generic HRQOL instrument and assesses a respondents health status on the day of the survey in five dimensions mobility, self-care, usual activities, pain or discomfort, and anxiety or depression.Timepoint: Baseline assessment at 1st week before the commencement of trial. At 8th week Post-intervention assessment. At 10th week from the baseline follow up assessment. | — |
Countries
India
Contacts
Public ContactAbhishek Goswami
Jamia Millia Islamia
Outcome results
None listed