A Novel Multi-Modal Approach to Promote Functional Outcomes in Cognitively Frail Older Adults

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60-90
SponsorThe Hong Kong Polytechnic University

About this trial

The goal of this clinical trial is to explore the effects of intermittent theta burst stimulation (iTBS) primed with theta burst stimulation (cTBS), on top of aerobic exercise, on cognitive function, mobility, and brain activity in older adults with cognitive frailty. Understanding these effects will help us develop intervention models that benefit cognitively frail older adults. The main questions it aims to answer are:

1. Does the combination of iTBS primed with cTBS and aerobic exercise lead to greater improvements in cognition and mobility in older adults with cognitive frailty compared to non-priming iTBS and sham stimulation? 2. What are the neural mechanisms responsible for the improvements in cognition and mobility associated with the combination of iTBS primed with cTBS and aerobic exercise in older adults with cognitive frailty?

Eligibility criteria

Qualifiers

be between 60 and 90 years old;

scored < 9/12 on the SPPB;

scored >18/30 on the MoCA;

scored >9/42 on the PFFS;

Disqualifiers

have magnetic resonance imaging (MRI) contraindications;

have aerobic exercise contraindications;

have transcranial magnetic stimulation contraindications;

be diagnosed with neurodegenerative conditions (i.e., dementia, Parkinson's, Alzheimer's disease, Amyotrophic lateral sclerosis, and stroke);

Trial design

Treatments tested in this trial

  • Theta burst stimulation
  • Aerobic exercise

Treatment groups

45 Participants
are divided into 3 treatment groups