Cognitive Impairment, Cognitive Impairment, Mild, Moderate Cognitive Impairment
Conditions
Keywords
CI, MCI, DTT, ISDTT, PSDDT
Brief summary
older adults with mild and moderate cognitive impairment. compare immediate vs progressive standing dual-task training. assess balance, cognition, executive function, mobility, and quality of life.
Interventions
OTHERImmediate standing dual task training
Motor-cognitive dual-task training is a rehabilitation intervention delivered by a physiotherapist over 8 weeks, with three sessions per week, each lasting 45 minutes. Every session consists of a 5-minute warm-up, 30-35 minutes of dual-task training, and a 5-minute cool-down. It simultaneously combines motor and cognitive tasks. Motor components include marching in place, finger tapping, hand transfer activities, side stepping, weight shifting, heel raises, heel-toe stepping, and balance challenges. Cognitive components include naming animals or fruits, counting forward, and months, serial subtraction by threes, backward digit span, alternate naming, and word recall. Participants allocated to the Immediate Standing intervention perform all dual-task activities in standing from the first treatment session.
OTHERprogressive standing dual task training
Motor-cognitive dual-task training is a rehabilitation intervention delivered by a physiotherapist over 8 weeks, with three sessions per week, each lasting 45 minutes. Every session consists of a 5-minute warm-up, 30-35 minutes of dual-task training, and a 5-minute cool-down. It simultaneously combines motor and cognitive tasks. Motor components include marching in place, finger tapping, hand transfer activities, side stepping, weight shifting, heel raises, heel-toe stepping, and balance challenges. Cognitive components include naming animals or fruits, counting forward, and months, serial subtraction by threes, backward digit span, alternate naming, and word recall. Participants allocated to the Progressive Standing intervention initially perform dual-task activities sitting and progressively transition to standing during the intervention period.
Sponsors
Shifa Tameer-e-Millat University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Randomized Control Trial (RCT)
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥55 years * Mild or moderate cognitive impairment * MoCA 10-25 * MMSE 10-23 * Able to participate * Provides informed consent
Exclusion criteria
* Severe cognitive impairment * Severe sensory or musculoskeletal impairments * Unstable medical conditions * Participation in another intervention study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mini-Mental State Examination | Baseline and Week 8 | The Mini-Mental State Examination (MMSE) is a 30-point measure of global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive function |
| Berg Balance Scale | Baseline and Week 8 | The Berg Balance Scale (BBS) is a 14-item clinical measure of static and dynamic balance. Total scores range from 0 to 56, with higher scores indicating better balance performance. |
| Timed Up and Go | Baseline and Week 8 | The Timed Up and Go Test measures functional mobility. The outcome is the time (seconds) required to stand from a chair, walk 3 meters, turn, return, and sit. Lower completion times indicate better mobility. |
| Trail Making Test | Baseline and Week 8 | The Trail Making Test Part assesses executive function and cognitive flexibility. The outcome is the time (seconds) required to complete the test. Lower completion times indicate better executive function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life in Alzhiemer's Disease Scale | Baseline and Week 8 | The Quality of Life in Alzheimer's Disease (QoL-AD) questionnaire consists of 13 items, with total scores ranging from 13 to 52. Higher scores indicate better quality of life. |
Countries
Pakistan
Outcome results
None listed