About this trial
The goal of this clinical trial is to prevent functional decline and improve mobility in healthy older adults aged 65 and over. The main questions it aims to answer are:
What is the effect of individualized dual-task training on functional balance and mobility compared to standard training? Does personalized sensory and cognitive training significantly reduce the dual-task cost during walking tasks? Researchers will compare the Individualized Dual-Task Group to a Standardized Dual-Task Group and a Single-Task Control Group to see if personalized adjustments in sensory and cognitive loads lead to superior improvements in balance, gait speed, and motor-cognitive interference.
Participants will:
Complete an initial assessment of motor and cognitive capacities to determine individual baseline levels.
Participate in a supervised exercise program 3 days a week for 8 weeks, with each session lasting 40-45 minutes.
Perform motor tasks such as walking, obstacle crossing, and balance exercises while simultaneously engaging in cognitive tasks (e.g., counting, verbal fluency).
(For the individualized group) Undergo weekly adjustments in exercise difficulty, including sensory manipulations like surface changes and head movements based on their performance.
Eligibility criteria
Qualifiers
Aged 65 years and older.
Living independently in the community.
Ability to walk at least 10 meters without the use of an assistive device (e.g., cane, walker).
Cognitively intact, defined as a Montreal Cognitive Assessment (MoCA) score of 24 or higher.
Disqualifiers
History of neurological disorders affecting movement or cognition (e.g., Stroke, Parkinson's Disease, Dementia).
Acute or chronic orthopedic conditions that severely limit gait or balance (e.g., recent lower limb fracture or major joint replacement within the last 6 months).
Severe visual or hearing impairment that prevents following instructions or performing tasks.
Uncontrolled cardiovascular or pulmonary disease.
Trial design
Treatments tested in this trial
- Individualized Dual-Task Training
- Standardized Dual-Task Training
- Single-Task Motor Training
Treatment groups
Sponsors and collaborators
Sezen Karaborklu Argut
Lead sponsor
Istanbul University - Cerrahpasa
Sponsor institution