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Short-term Postural Training for Older Adults

The Use of Neuro-cognitive Strategies to Power Generalization Effect After Short-term Postural Training for Older Adults

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04137952
Acronym
P
Enrollment
150
Registered
2019-10-24
Start date
2019-08-01
Completion date
2022-12-30
Last updated
2024-09-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aging, Balance

Keywords

Posture training, Motor generalization, Aging, Cognition, High-density electroencephalography

Brief summary

Generalization refers to skill transfer under various working spaces following motor practice. The extent of generalization effect links causal to in-depth recognition of error properties during motor practice. Idiom says imperfect practice makes perfect. It could be beneficial for the elderly to gain superior capacity of balance transfer skill under the short-term productive failure learning environments. In contrast to traditional visual feedback that uses error avoidance training to optimize target balance task, the present 3-year proposal is to propose three potential neuro-cognitive strategies to improve motor skill transfer following stabilometer training. The strategies are expected to enhance opportunities of error experience and motor exploration via modified visual feedback, underlying facilitations of attentional resource and error-related neural networks. In the first year, the neuro-cognitive strategy for balance practice is progressive augmentation of visual error size to improve balance skill transfer. In the second year, the neuro-cognitive strategy for balance practice is visual feedback with virtual uncertainness of motor goal. In the third year, the neuro-cognitive strategy for balance practice is stroboscopic vision. EEG and central of pressure will be processed with non-linear approaches. Graph theory will characterize EEG functional connectivity and brain network efficiency regarding to brain mechanisms for practice-related leaning transfer. Trajectories of central of pressure will be analyzed with stabilogram diffusion analysis to reveal behavior mechanisms for practice-related variations in feedback and feedforward process for error corrections.

Interventions

BEHAVIORALsize of error visual feedback

The strategies are expected to enhance opportunities of error experience and motor exploration via modified visual feedback, underlying facilitations of attentional resource and error-related neural networks.

Sponsors

Ministry of Science and Technology, Taiwan
CollaboratorOTHER_GOV
National Cheng-Kung University Hospital
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Age above 60 years old healthy older adults without a history of falls. * Able to understand and give informed consent. * The Mini-Mental State Examination test score above 25-30. * Lower limb muscle strength is evaluated as G grade * The corrected visual acuity was within the normal range.

Exclusion criteria

* Any known history of mental illness * Any neuromuscular or degenerative neurological disease(ex:stroke、SCI、TBI...etc) * Any known history of cerebral cerebellar disease or intracranial metal implants. * Weak of hearing or wearing a hearing aid

Design outcomes

Primary

MeasureTime frameDescription
EEG graph analysisthrough study completion, an average of 1 yearGraph theory will characterize EEG functional connectivity and brain network efficiency regarding to brain mechanisms for practice-related leaning transfer.

Secondary

MeasureTime frameDescription
stabilogram diffusion analysis of central of pressurethrough study completion, an average of 1 yearTrajectories of central of pressure will be analyzed with stabilogram diffusion analysis to reveal behavior mechanisms for practice-related variations in feedback and feedforward process for error corrections.
root mean sqaure error of stabilometerthrough study completion, an average of 1 yearThe root-mean-square value of the tracking trajectory of stabilometer and the target signal.

Countries

Taiwan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026