Effects of Different Dual-Task Exercises in Children With Mild Mental Retardation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age8-12
SponsorIstanbul University - Cerrahpasa

About this trial

The purpose of this study is to investigate the effects of motor-motor and motor-cognitive dual-task exercises applied to children with mild mental retardation on their functional mobility, balance, cognitive function, and quality of life.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Obtaining parental consent

Having an Intelligence Quotient between 51-70

Having an educational diagnosis of mild mental retardation

Being between the ages of 8-12

Disqualifiers

Having a metabolic or systemic disease

Engaging in regular physical exercise

Having visual or hearing impairments

Presence of any condition that would interfere with compliance to assessment parameters

Trial design

Design model

Parallel

Treatments tested in this trial

  • Motor-Motor Dual Task Exercise Group

    Behavioral

    Participants in this group will perform motor tasks (such as ball handling, throwing, holding) accompanied by physiotherapist. Exercises will last about 40 minutes, 2 days a week, 6 weeks.

  • Motor-Cognitive Dual Task Exercise Group

    Behavioral

    This group will also do walking and balance exercises with the physiotherapist, while simultaneously doing cognitive tasks (rhythmic counting, saying color names, finding words, etc.). The exercises will last approximately 40 minutes, 2 days a week, for 6 weeks.

  • Control Group

    Behavioral

    Standard walking and balance exercises will be given to the control group at home and followed by parents. Exercises will last about 40 minutes, 2 days a week, 6 weeks.

Treatment groups

33 Participants
are divided into 3 treatment groups
Group A: motor-motor dual task exercise groupExperimental treatment 1 intervention
Group B: Motor-Cognitive Dual Task Exercise GroupExperimental treatment 1 intervention
Group C: Control GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Berg Balance Scale (BBS)

The Pediatric Balance Scale (PBS), used to assess functional balance in children during daily activities, is a highly reliable measurement tool. It is an adapted version of the Berg Balance Scale specifically designed for children. The scale consists of 14 items evaluating functional movements such as standing up, picking up an object from the floor, transferring, balancing on one foot, and sitting. Each item is scored on a scale from 0 to 4, with 4 indicating the ability to perform the task independently. The maximum score is 56. Scores between 0-20 indicate poor balance, 21-40 indicate acceptable balance, and 41-56 indicate good balance.

Time frame
6 weeks
2

Timed Up and Go Test

Description: The Timed Up and Go Test (TUG) is used to assess functional mobility by measuring walking speed, postural control, and balance. The test involves standing up from a standard-height chair without armrests, walking a distance of 3 meters, turning around, walking back to the chair, and sitting down. Participants perform one practice trial followed by three test trials, with the average time recorded in seconds. A shorter duration indicates better functional mobility and balance.

Time frame
6 weeks
3

Tandem Walking Test

Description: The Tandem Walking Test is used to assess dynamic balance, a function primarily controlled by the cerebellum. Participants are instructed to walk 10 steps in a straight line, placing the heel of one foot directly in front of the toes of the other foot with each step, minimizing the base of support. The time taken to complete the 10 steps is recorded, and a shorter time indicates better dynamic balance.

Time frame
6 weeks
4

Stroop Test

Description: The Stroop Test is a neuropsychological assessment that measures cognitive processing speed, selective attention, response inhibition, and cognitive flexibility-functions associated with the frontal lobe. It includes four cards, each containing six rows with four items per row. Participants are required to name the color of the ink used rather than the word itself, evaluating their ability to inhibit habitual responses and adapt to cognitive interference.

Time frame
6 weeks

Secondary outcomes

1

Pediatric Quality of Life Inventory (PedsQL)

The Pediatric Quality of Life Inventory (PedsQL), developed by Varni et al., is a validated tool used to assess health-related quality of life in children aged 2 to 18. The scale consists of four subdomains: physical, emotional, social, and school functioning. It provides a total score, a physical health summary score, and a psychosocial health summary score (derived from emotional, social, and school subscales). Each item is scored on a 5-point Likert scale, then transformed into a 0-100 scale, where higher scores indicate better perceived quality of life.

Time frame
6 weeks

Other outcomes

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