Healthy Clinical Trial
Official title:
Effects of Dual-task Versus Aerobic Training on Gait Stride Variability and Cognitive Function of Independent Community-dwelling Elderly Women: A Randomized Controlled Trial
The training of a secondary task while walking, whether it is reasoning activities, memory
or motor tasks, may enhance automation, walking performance, and postural control and, thus,
minimize the risk of falls influenced by the walking patterns variability. However, the
literature is scarce regarding the influence of dual-task training on changes in gait
parameters.
The purpose of this prospective, blinded randomized controlled trial is to compare the
short- and long-term effects of dual-task and aerobic training on gait stride variability
and superior cerebral functions of independent community-dwelling elderly women.
The participants will be randomly allocated into either experimental or control groups.The
experimental group will undertake 50 minutes/day of dual-task training, three times/week
over 12 weeks, totaling 36 sessions, whereas the control group will receive the same doses
of aerobic training. At baseline, after 18 and 36 sessions, and 12 weeks after the cessation
of the interventions, researchers blinded to group allocations will collect the outcome
measures.The interventions will be delivered by trained physical therapists.
Primary outcome will include gait stride variability, which will be assessed by a movement
analysis system: the GaitRite® system, during cognitive and motor dual-tasks, at both normal
and fast speeds. Secondary outcome measures will include a battery of global and specific
cognitive function tests.
The findings of this trial may help better understand whether cognitive-motor interventions
with older adults, when compared to traditional aerobic training, would result in greater
improvements in gait under dual-task conditions and lead to improvements in cognitive tasks.
Furthermore, the findings could potentially bring important insights regarding the impacts
of improvements in walking abilities and cognition.
Socially speaking, the findings could potentially bring important insights regarding the impacts of improvements in walking abilities and cognition. If the elderly maintain safe gait patterns that prevent falls, they could reach self-sustained community participation and consequently reduce the burden of care on the family and caregivers. Additionally, the public health system may ultimately receive important positive economic and social impacts. This clinical trial may be reproduced in research and clinical practice environments. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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