Motor and Cognitive Dual-task Gait Training Effect Functional Outcome in Intellectual Disability

Sponsor

Riphah International University (Other)

Overall Status

Completed

CT.gov ID

NCT05334498

Collaborator

(none)

Enrollment

Location

Arms

Actual Duration (Months)

10.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

To find out the comparative effects of motor and cognitive dual gait training on improving the balance control and mobility skills among intellectual disable patients.

Condition or Disease	Intervention/Treatment	Phase
Intellectual Disability	Other: Motor dual-task gait training Other: Cognitive dual-task gait training	N/A

Detailed Description

Previous studies had done a lot of work in improving balance and mobility skills by combining both motor and cognitive dual gait training (CDT and MDT) techniques among Down syndrome, Parkinsonism and so on but not a single study was conducted in order to determine the comparative effects of CDT and MDT especially in intellectual disability individuals to improve balance so the study was conducted in order to find the comparative effect for the better understanding of the treatment effects.

Study Design

Study Type:

Interventional

Actual Enrollment :

54 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

Comparative Effects of Motor and Cognitive Dual-task Gait Training on Balance and Mobility in Persons With Intellectual Disabilities

Actual Study Start Date :

Aug 1, 2021

Actual Primary Completion Date :

Nov 30, 2021

Actual Study Completion Date :

Jan 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Motor dual-task gait training Motor dual task gait training was the protocol which performed by the patients after the measurement of the balance and gait ability	Other: Motor dual-task gait training Patients were instructed to walk either on treadmill or on the land. During walk; patients were instructed to perform five tasks. The patients performed tossing and catching the ball, rehanging loops on hoops, buttoning and unbuttoning the shirts, holding the cup in water without the spilling and receiving with returning the water. Each activity were performed for three minute and 15 minutes were provided for performing all the tasks
Experimental: Cognitive dual-task gait training Cognitive dual task gait training was the protocol which performed by the patients after the measurement of the balance and gait ability	Other: Cognitive dual-task gait training Patients were instructed to walk either on treadmill or on the land. During walk; patients were instructed to perform five tasks. The patients performed sharp coloring, subtraction, counting, verbal analogical reasoning and backward spelling. Each activity were performed for three minute and 15 minutes were provided for performing all the tasks

Arm

Intervention/Treatment

Experimental: Motor dual-task gait training

Motor dual task gait training was the protocol which performed by the patients after the measurement of the balance and gait ability

Other: Motor dual-task gait training

Patients were instructed to walk either on treadmill or on the land. During walk; patients were instructed to perform five tasks. The patients performed tossing and catching the ball, rehanging loops on hoops, buttoning and unbuttoning the shirts, holding the cup in water without the spilling and receiving with returning the water. Each activity were performed for three minute and 15 minutes were provided for performing all the tasks

Experimental: Cognitive dual-task gait training

Cognitive dual task gait training was the protocol which performed by the patients after the measurement of the balance and gait ability

Other: Cognitive dual-task gait training

Patients were instructed to walk either on treadmill or on the land. During walk; patients were instructed to perform five tasks. The patients performed sharp coloring, subtraction, counting, verbal analogical reasoning and backward spelling. Each activity were performed for three minute and 15 minutes were provided for performing all the tasks

Outcome Measures

Primary Outcome Measures

Rancho Los Amigos Cognitive functional scales [4th week]
Ranchos Los Amigos Scale is the reliable tool for assessing the cognitive function of the patient as the scale score form grade 1 to 8 with ten level descriptive scale where grade 1 have zero response while grade 8 shows the activate participation of the patient with cut off value for 5. It is the most reliable and valid assessment tool
Berg Balance Scale [4th week]
Berg Balance Scale is the most reliable tool used for the assessment of balance performance among patients having balance problems and disease causing balance issues.
Walking while talking test [4th week]
Walking while talking is the time measuring tool for assessing the risk of fall and gait performance in the intellectual disable patients as in this test the patient asked to narrate repeated words during walking for 20 feet having ICC= 0.89-0.99
Stair climb test [4th week]
Stair climbing test is the valid tool for assessing the velocity and level of mobility within the time as the patient asked to climb up and down the stairs and therapist record the number of the steps which are taken within the time period having MIC of -0.6 with 95% confidence interval

Eligibility Criteria

Criteria

Ages Eligible for Study:

12 Years to 20 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Both genders having IQ range between 50-69
Walk without assistive devices
Having a Grade I-IV on the RLACFS

Exclusion Criteria:

Genetic disorders (Down syndrome).
Age-related diseases like Parkinsonism and Alzheimer disease.
Cerebrovascular accident, dementia, Cerebral palsy
Severe visual impairment.
Medications (sedatives or narcotics)

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	District headquarter hospital	Mirpur	Azad Jammu Kashmir	Pakistan	10250

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Sara Aabroo, MSPT, Riphah International University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT05334498

Other Study ID Numbers:

Riphah Maria Asghar /21923

First Posted:

Apr 19, 2022

Last Update Posted:

Apr 19, 2022

Last Verified:

Apr 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Riphah International University

Motor and cognitive dual task gait training

Additional relevant MeSH terms:

Intellectual Disability

Study Results

No Results Posted as of Apr 19, 2022