Mild to moderate stage, diagnostically confirmed dementia Mental and Behavioural Disorders Unspecified dementia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >65 2. Mild to moderate stage cognitive impairment (MMSE:17-26) 3. Diagnosis of mild to moderate stage dementia based on established international criteria 4. Written informed consent 5. Consent of legal guardian (if assigned) 6. Ability to walk 10 m without aid 7. Living in the vicinity of the study location (<20 km)
Exclusion criteria
Exclusion criteria: 1. Severe psychical disease (substance abuse, psychosis) 2. Severe somatic disease (e.g. heart failure NYHA >3, uncontrolled Diabetes Mellitus)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Improvement of dual task performance (trained and non-trained tasks as measured by electronic gait (Gait rite) and strength analysis (Diagnos 40) and specified cognitive tests) and executive function as measured by biomechanical analyses (DynaPort Hybrid and Physiomat training device) after intervention. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. MRI-Assessment: 1.1. Association of training induced cerebral modifications with training effects and baseline predictors 1.2. Dual task during ADL: Effect of specific training on habitual dual task performance/frequency as measured in home environment 2. Physical activity: Physical activity as measured by valid, subjective questionnaire-based measures and objective technical measures allowing quantitative and semi-quantitative analysis optionally including GPs measures 3. Motor Function: 3.1. Timed up and Go - Test 3.2. Performance Oriented Motor Assessment (POMA) 3.3. Psychological / Cognitive Status: Fear of Falling (FESI) 3.4. Geriatric Depression Scale (GDS) 3.5. Short Form Health Survey (SF-12) 3.6. Consortium to establish a registry for Alzheimer´s disease (CERAD) Trial making test (Zahlenverbindungstest (ZVT), Digit Span test (Zahlennachsprechtest (ZNS), and various other measures. Validation of assessment tools: Tests for methodological quality of assessment methods including validity, reliability, sensivity to change. Optional: Biomarkers: Association of training effects with biomarkers for neural plasticity Primary as well as secondary outcome measures will be assessed at baseline (T1), at the end of intervention (T2) and at a 3 months follow up (T3) | — |
Countries
Germany