Single and Dual Task Balance Exercises in Substance Use Disorders

Sponsor

Ankara Yildirim Beyazıt University (Other)

Overall Status

Recruiting

CT.gov ID

NCT05944536

Collaborator

Ankara Training and Research Hospital (Other)

Enrollment

Location

Arms

Anticipated Duration (Months)

1.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

Changes in the brain reward pathway and brain tissue in alcohol and substance addiction cause balance disorders, cognitive problems, depression, and substance cravings in individuals. The aim of this study is to examine the effects of balance exercises and dual task balance exercises in individuals with alcohol or substance addiction who are receiving treatment.

Condition or Disease	Intervention/Treatment	Phase
Substance Use Disorders	Other: Balance Exercises (BE) Other: BE + Dual Task	N/A

Detailed Description

This randomized controlled trial was conduces in Ankara Training and Research Hospital, Alcohol and Substance Addiction Treatment Center, Turkey. Individuals who used substances for more than 1 year, between the ages of 18-50 and with a Mini-Mental State Examination score of 24 and above were included in the study. Individuals with orthopedic, neurological or systemic disease, problem with vision and hearing, a neurodevelopmental or neurocognitive disorder and active infection were excluded from the study. In addition, individuals under the effect of substances that negatively affect their cognitive functions were not included in the study. Before starting the study, the Mini-Mental State Examination was used to determine that the individuals were at a cognitive level to complete the tests to be applied. The demographic characteristics of the individuals were saved. The Stroop Test-Çapa Form was used to evaluate executive functions. Y Balance Test, Time Up Go Test and 10 meter walk test were used to evaluate balance. Patients were randomly divided into 2 groups. The first group received only balance exercise and the second group received balance exercise with motor and cognitive dual tasks.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

36 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

Patients who the inclusion criteria and agreed to participate were randomly allocates to Group 1 [Balance Exercises(BE)] and Group 2 [BE+Dual Tasks(DT)]Patients who the inclusion criteria and agreed to participate were randomly allocates to Group 1 [Balance Exercises(BE)] and Group 2 [BE+Dual Tasks(DT)]

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

The Effects of Single and Dual Task Balance Exercises in Substance Use Disorders: A Randomized Controlled Study

Actual Study Start Date :

Mar 15, 2021

Anticipated Primary Completion Date :

Jul 15, 2023

Anticipated Study Completion Date :

Jul 15, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: Balance Exercise (BE) Balance exercises; static standing on flat ground for 30 seconds, standing in tandem position for 30 seconds, standing on one foot for 30 seconds, standing on tiptoe for 30 seconds, looking left and right with one foot in the air, backward rotation with one foot in the air, rotation, squatting slightly in knee flexion with one foot in the air, squatting slightly in knee extension with one foot in the air, going on tiptoe and turning with the heel, multi-directional stretches on the balance board Each exercise will be performed with 10 repetitions for both lower extremities.	Other: Balance Exercises (BE) Each exercise was performed with 10 repetitions for both lower limbs.
Experimental: BE+Dual Task Cognitive and motor secondary tasks were given along with balance exercises. Cognitive tasks: color discrimination, counting city names, counting fruit and vegetable names, saying 3 numbers between 50-100, talking on a mobile phone, subtracting 3 and 7 in series, saying male names, counting backwards out loud, asking for a series of addition and subtraction operations. Motor tasks: carrying a glass of water, carrying a glass on a tray, carrying an object, pressing a button, transferring money from hand to hand, rhythmic clapping	Other: BE + Dual Task Cognitive and motor secondary tasks were given

Arm

Intervention/Treatment

Active Comparator: Balance Exercise (BE)

Balance exercises; static standing on flat ground for 30 seconds, standing in tandem position for 30 seconds, standing on one foot for 30 seconds, standing on tiptoe for 30 seconds, looking left and right with one foot in the air, backward rotation with one foot in the air, rotation, squatting slightly in knee flexion with one foot in the air, squatting slightly in knee extension with one foot in the air, going on tiptoe and turning with the heel, multi-directional stretches on the balance board Each exercise will be performed with 10 repetitions for both lower extremities.

Other: Balance Exercises (BE)

Each exercise was performed with 10 repetitions for both lower limbs.

Experimental: BE+Dual Task

Cognitive and motor secondary tasks were given along with balance exercises. Cognitive tasks: color discrimination, counting city names, counting fruit and vegetable names, saying 3 numbers between 50-100, talking on a mobile phone, subtracting 3 and 7 in series, saying male names, counting backwards out loud, asking for a series of addition and subtraction operations. Motor tasks: carrying a glass of water, carrying a glass on a tray, carrying an object, pressing a button, transferring money from hand to hand, rhythmic clapping

Other: BE + Dual Task

Cognitive and motor secondary tasks were given

Outcome Measures

Primary Outcome Measures

Dual Task Timing [8 weeks]
the effect of dual tasks given alongside balance exercises on balance

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 50 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Being literate,
Having a diagnosis of alcohol and substance use disorder according to The Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5),
More than 1 year of substance abuse,
Receiving treatment within the scope of the fight against addiction,
Not participating in a regular exercise program in the last six months.

Exclusion Criteria:

Scoring 23 and below on the Mini Mental Test,
Having a neurodevelopmental or neurocognitive disorder,
Being under the influence of drugs or alcohol in a way that negatively affects the person's -cognitive functions,
Having a psychiatric disorder that requires treatment other than opiate and tobacco use disorder according to DSM-5 diagnostic criteria,
Cognitive impairment due to mental retardation, drug/substance abuse or other medical condition that may cause difficulty in understanding the study instructions,
Being diagnosed with any orthopedic, neurological and systemic disease,
Having an active infection,
Having problems with vision and hearing.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Ankara Yildirim Beyazit University, Faculty of Health Sciences, Department of Physical Therapy and Rehabilitation	Ankara		Turkey

Sponsors and Collaborators

Ankara Yildirim Beyazıt University
Ankara Training and Research Hospital

Investigators

Study Director: Ertuğrul Demirdel, PhD, Ankara Yildirim Beyazıt University
Principal Investigator: Beyza Gül Aşkın, MsC, Ankara Yildirim Beyazıt University