LSVT Big and Dual Task Training in Cognitive Impaired Patients

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65+
SponsorRiphah International University

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

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.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Lee Silverman treatment big

    Other intervention

    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

  • Dual task training

    Other intervention

    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.

Treatment groups

50 Participants
are divided into 2 treatment groups
Group A: Group A (LSVT BIG)Experimental treatment 1 intervention
Group B: Group B ( Dual task training)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Mini BESTest

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.

Time frame
4th week
2

MoCA (Montreal Cognitive Assessment (For Cognition)

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.

Time frame
4th week
3

Stroop test

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 frame
4th week
4

Time up and go test

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.

Time frame
4th week

Secondary outcomes

Other outcomes

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