Health Service for the Aged
Conditions
Brief summary
The present study is to examine the effects of interactive stepping exercise on executive function and gait variability in community-dwelling older adults
Detailed description
This is a single blinded, randomized controlled trial. 40 community-dwelling older adults will be recruited and randomly assigned to either experimental group (n=20) or control group (n=20). The 12-week intervention comprises of 1-hour exercise per day and 3 days per week. The experimental group will receive interactive stepping exercise while the control group will be put under home exercise program. Primary outcome measures are executive function and gait variability. Secondary outcome measures include community walking test and other gait parameters (gait velocity, stride length and stride time). The participants will receive assessment at pre- and post-intervention
Interventions
Interactive Stepping Exercise will perform on a thin mat, stepping pattern will display through a monitor screen, immediate auditory feedback will give for adjustment
Home exercise program includes stretching exercise, general strengthening exercise on lower extremity muscles, posture control and balance exercise.
Sponsors
Study design
Eligibility
Inclusion criteria
* community-dwelling older adults * age ≥ 65 years old * able to walk independently outdoor without an assistive device * Mini-mental state examination ≥ 24 * use an exercise pre-participation health screening form by the American College of Sports Medicine to recruit those participants that are suitable to join the training session
Exclusion criteria
* diagnosed of any psychiatric and neurologic disorders such as schizophrenia, stroke, Parkinson, Alzheimer disease, etc. * any comorbidity or disability that would preclude training
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait Variability | Change from Baseline at 12 weeks | Stride length and Stride time variability |
| Trail Making Test | Change from Baseline at 12 weeks | Executive Function |
| Stroop Test | Change from Baseline at 12 weeks | Executive Function |
| Digit Span Test | Change from Baseline at 12 weeks | Executive Function |
| Executive Interview 25 questions | Change from Baseline at 12 weeks | Executive Function |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Stride length | Change from Baseline at 12 weeks | The distance covered by the combined step length of each limb during gait |
| Stride time | Change from Baseline at 12 weeks | The time elapsed between the first contact of two consecutive footsteps of the same foot |
| Functional Ambulation in community | Change from Baseline at 12 weeks | Walk for 400 m distance in community |
| Gait velocity | Change from Baseline at 12 weeks | Gait speed |
Countries
Taiwan