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Dual Task Training for Mild Cognitive Impairment

N/A

Recruiting

Led By Tanvi Bhatt

Research Sponsored by University of Illinois at Chicago

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

No recent major surgery (< 6 months) or hospitalization (< 3 months)

Absence of any acute or chronic neurological (Stroke, Parkinson's disease, Alzheimer's disease), cardiopulmonary, musculoskeletal, or systemic diagnosis

Timeline

Screening 3 weeks

Treatment Varies

Follow Up baseline (1st novel slip, trip week 1), immediate post-training (repeated perturbation training session, week 1) and 4 weeks of training

Awards & highlights

Study Summary

This trial will study whether a combined cognitive and perturbation training can help reduce falls in older adults with mild cognitive impairment.

Who is the study for?

This trial is for older adults over 55 with mild cognitive impairment (MOCA score <26). Participants must be able to walk unassisted for more than 10 meters, not use sedatives, have no recent major surgeries or hospitalizations, and can't have chronic neurological, cardiopulmonary, musculoskeletal diseases. They should understand English and meet certain heart rate and blood pressure criteria.Check my eligibility

What is being tested?

The study tests dual task perturbation training on a treadmill designed to improve balance and prevent falls in older adults with mild cognitive impairment. It aims to enhance coordination of limbs, muscle responses, balance control, and cognition through controlled disturbances during walking.See study design

What are the potential side effects?

While specific side effects are not listed for this type of physical intervention training, participants may experience fatigue or discomfort from the exercises. There's also a potential risk of falls during the training itself.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

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I haven't had major surgery or been hospitalized in the last 6 and 3 months, respectively.

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I do not have any chronic conditions like stroke, Parkinson's, Alzheimer's, heart or lung issues.

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I can walk more than 10 meters without help.

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I am over 55 and my MOCA score indicates mild cognitive impairment or I am cognitively intact.

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I am not taking any sedative medications.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ baseline (1st novel slip, trip week 1), immediate post-training (repeated perturbation training session, week 1) and 4 weeks of training

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~baseline (1st novel slip, trip week 1), immediate post-training (repeated perturbation training session, week 1) and 4 weeks of training

This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline (1st novel slip, trip week 1), immediate post-training (repeated perturbation training session, week 1) and 4 weeks of training for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.

Primary outcome measures

Change in Limb support gain or loss

Change in Stability gain or loss

Change in accuracy of Visual clock test

+12 more

Secondary outcome measures

Balance evaluation Systems test

Berg Balance scale

Change in physical activity level (Questionnaires)

+7 more

Trial Design

3Treatment groups

Experimental Treatment

Active Control

Group I: Single session dual task perturbation training-OAwMCIExperimental Treatment1 Intervention

Participants will receive single session training of dual task. Six cognitive games that target working memory, executive functioning, visuomotor reactions, and language fluency will be provided in standing to get themselves familiarized. Following the cognitive tasks, participants will receive 12 slips without performing cognitive task (Single task training) at the highest intensity. Subsequently, 12 slips during standing while performing a cognitive task (dual task) will be administered. Similarly, they will then undergo 12 dual task walking trials (at self-selected speed) followed by 12 walking slips.

Group II: Multiple session dual task perturbation training-OAwMCIExperimental Treatment1 Intervention

All participants will undergo stance and walking perturbation training for 4 weeks. Six cognitive games that target working memory, executive functioning, visuomotor reactions, and language fluency will be provided in standing to get themselves familiarized. Following the cognitive tasks, participants will receive 12 slips without performing cognitive task (Single task training) at the highest intensity. Subsequently, 12 slips during standing while performing a cognitive task (dual task) will be administered. Similarly, they will then undergo 12 dual task walking trials (at self-selected speed) followed by 12 walking slips.

Group III: Single session dual task perturbation training-CIOAActive Control1 Intervention

All participants will receive only one training session of dual task. Six cognitive games that target working memory, executive functioning, visuomotor reactions, and language fluency will be provided in standing to get themselves familiarized. Following the cognitive tasks, participants will receive 12 slips without performing cognitive task (Single task training) at the highest intensity. Subsequently, 12 slips during standing while performing a cognitive task (dual task) will be administered. Similarly, they will then undergo 12 dual task walking trials (at self-selected speed) followed by 12 walking slips.

0 / 5Eligibility criteria met