Balance Changes, Cognition Disorders in Old Age, Cognitive Impairment, Functional Mobility
Conditions
Keywords
LSVT big, dual task training, cognitive impaired patients, cognition
Brief summary
The goal of this study ifs to determine the comparative effects of Lee Silverman voice treatment Big and dual task training on balance, cognition and functional mobility in older adults with cognitive impairment. Perform LSVT big four times in a week for about 4 months. Perform dual task training four times in a week for about 4 months. Complete assessments at baseline, the 4th, 8th, 12th weeks, and a follow-up at the 16th week. Outcome measures include Mini BESTest, MoCA, stroop test and time up and go test. Statistical analyses will assess within-group and between-group effects based on data distribution.
Detailed description
This study, titled Effects of of lee Silverman voice treatment big and dual task training on balance, cognition and functional mobility in older adults with cognitive impairment aims to assess the combined effectiveness of Lee Silverman voice treatment and dual task training in older adults with cognitive impairment.
Interventions
OTHERLee Silverman treatment big
Half of the treatment sessions consist of standardized multidirectional whole-body movements performed with maximal amplitude of reaching and stepping. The second half is designed to address individual deficits in movement that occur in activities of daily living. Dosage: 4 consecutive days a week for 12 weeks (16 sessions in one month) for 60 minutes Repetitions: minimum 8-16 repetitions/task
OTHERDual task training
Group B will receive cognitive motor dual task training for 60 minutes, 4 times a week for 12 weeks. The intervention include both motor and cognitive components.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
interventional study model for this study is a parallel-group randomized controlled trial (RCT). This model involves two distinct groups: Group A will receive SLVT BIG intervention and group B will receive cognitive motor dual task training. Warm up and stretching exercises will be done for both groups. comparisons between two therapies are unbiased. This parallel structure means each group undergoes its specific intervention throughout the study period without crossover to the other group's intervention. This approach helps assess the difference in effects of the two therapies on balance, cognition and functional mobility in older adults with cognitive impairment.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Both male and female patients. * Age limit for patients will be above 65. * Patients with Mild and moderate cognitive impairment patients MoCA 13-25. * Patients with Berge balance scale value 41-50. * Patients who give consent to participate in study and undergo relevant test.
Exclusion criteria
* Patients with any musculoskeletal disorder in which these exercises are contraindicated. * Patients using any walking aids. * Patients with hearing impairment. * Patients with other neurological conditions with limit the patient participation in planned exercise like stroke, Parkinson's. * Patients with diagnosed psychiatric disorder or taking medication that affect cognitive function within 24 hours.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mini BESTest | 4th week | It is a short form of the BESTest which include 14 items only. The Mini-BESTest includes asses aspects of dynamic balance control also and control while walking and performing a cognitive task. |
| MoCA (Montreal Cognitive Assessment (For Cognition) | 4th week | The Montreal Cognitive Assessment (MoCA) is cognitive screening tool which include 30 points. It measures visuospatial, short term memory, orientation, language, executive functioning along with attention/concentration/working memory. |
| Stroop test | 4th week | The Stroop task is one of the most widely used measures of cognitive functioning. The Stroop test requires participants to name the color in which a presented word is printed. Numerous studies have shown that participants need more time to name ink colors of incongruent words than to name ink colors of control patches. |
| Time up and go test | 4th week | Timed Up and Go (TUG) have been used in clinical settings as a measure of physical performance in older adults with and without cognitive dysfunction. This test requires people to stand up from a chair, walk 3 m, turn around, walk back to the chair, and sit down again. |
Countries
Pakistan
Contacts
Primary ContactArooba Saeed, phD
Backup ContactRabia Aslam, MS(NMPT)
Outcome results
None listed