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Imagery, PsychotherapyNCT05870072

Comparative Effects of Kinesthetic Motor Imagery and Dual-Task Training on Balance and Cognitive Function in Young Adults: Randomized Controlled Trial

A study testing Dual task training, Kinesthetic motor imagery training and Balance exercises in people with Imagery, Psychotherapy and Exercise, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this clinical trial is to investigate the effects of kinesthetic motor imagery training and dual-task training on cognitive and motor functions in healthy young people. Read more about this study

Who is it for?
Ages 18 to 25 yearsHealthy volunteers can take part
Conditions the study is for
Imagery, Psychotherapy, Exercise, Stroop Test
What is being tested?
Dual task training, Kinesthetic motor imagery training and Balance exercises
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteTurkey (Türkiye)
Study dates
5 Apr 2023to 1 Jun 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 25 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • be between the ages of 18 and 25,
  • Absence of a known disease (neurological, mental, orthopedic, vestibular, visual, systemic),
  • Unfamiliar with the evaluation and use of motor imagery,
  • Individuals who agree to the objectives of this study and to participate voluntarily.

Who cannot join

  • Those who have taken oral corticosteroids or antibiotics within a month,
  • Presence of diagnosed systemic or neurological disease.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Kütahya Health Sciences University

    Kütahya, Centre, 43000

Other trials in Turkey (Türkiye)

About this study

The goal of this clinical trial is to investigate the effects of kinesthetic motor imagery training and dual-task training on cognitive and motor functions in healthy young people. The main question[s] it aims to answer are:

  • Kinesthetic motor imagery training and dual-task training do not affect cognitive and motor functions in healthy young people.
  • Kinesthetic motor imagery training and dual-task training affect cognitive and motor functions in healthy youth.
  • In healthy young people, kinesthetic motor imagery training is more effective on cognitive functions than dual-task training.
  • In healthy young people, dual task training is more effective on motor functions than kinesthetic motor imagery training.
Read more

Participants will be divided into 3 groups, taking into account the inclusion and exclusion criteria. Participants in each group will be asked to fill out the sociodemographic form before starting the training. Then, initial assessments were the Motion Image Questionnaire-3 to measure motor imagery ability, and the Box and Block Test for mental stopwatch; Stroop Test to measure cognitive functions; In order to evaluate the dual-task performance, the measurement of the dual-task effect and the Berg Balance scale, which evaluates balance as a motor function, and the Y test, which is frequently used in healthy individuals, will be applied. In the balance exercises group, the participants will do the determined balance exercises 3 days a week for 6 weeks, accompanied by a physiotherapist. In the double-task training group, the participants will perform the cognitive tasks in addition to the determined balance exercises, 3 days a week for 6 weeks, accompanied by a physiotherapist. In kinesthetic motor imagery group, the participants will do the physically determined balance exercises in the first session. Participants will participate in imagery exercises, 3 sessions a week for 6 weeks. Visualization studies will be performed in a quiet environment with the eyes closed, accompanied by a physiotherapist, and whether the participants perform a real motor imagery will be examined by evaluating their autonomic functions. At the end of 6 weeks, initial evaluations will be repeated in all groups.

The investigators will compare dual-task training group, kinesthetic motor imagery training group and balance exercises group to see if changes in cognitive and motor function.

Being tested
Dual task training, Kinesthetic motor imagery training, Balance exercises
Medical subject headings
Motor Activity, Multitasking Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dual task trainingOther

    In addition to balance exercises, random name-word generation, counting the days of the week forward and backward, counting the months of the year forward and backward, subtracting 3 by 3 numbers from 300 to 900 starting from a random number, adding 7 from 1 to 100 and adding 100 Cognitive tasks such as counting tasks by subtracting 7 will be given. While testing dual-task performance, subjects will be asked to perform both tasks without prioritizing and do their best, and will be warned not to stop thinking. In dual-task training, the additional task to be assigned to the motor task will initially be of low complexity and novelty, and will progress to a high degree of complexity and novelty in the training process.

  • Kinesthetic motor imagery trainingOther

    Kinesthetic motor imagery training will be planned according to the PETTLEP model. In our study, a single standard motor imagery frame will be created for the subjects. Before starting the motor imagery sessions, individuals will be given an introductory motor imagery session. How to visualize from first-person and third-person perspectives will be explained practically. Motor imagery training will be done in a quiet environment with the door and window closed in order to minimize the external factors that will distract the individual and prevent him from focusing, and the individual will be asked to sit in the motor imagery training sessions. a comfortable chair in the position they feel most comfortable in. Individuals will have their eyes closed throughout the entire motor imagery training. At the beginning of the session, approximately 5 minutes of relaxation exercise will be performed to maximize attention during motor imagery.

  • Balance exercisesOther

    Balance exercises will begin with approximately 5 minutes of warm-up exercises and will end with approximately 5 minutes of cool-down exercises at the end of each session. Balance exercises; Static standing on flat ground for 30 seconds with feet together, standing in tandem position for 30 seconds, standing on one leg for 30 seconds, and toes for 30 seconds, one foot airborne backwards, one foot airborne knee flexion slightly squat, one foot airborne knee extension slightly squat, going on the toes, turning with the heel, and multi-directional stretching exercises with eyes open and closed on one leg on the balance board. Each exercise will be performed with 10 repetitions for both lower extremities. Exercises will be applied once a day, 3 days a week for 6 weeks. The exercise program will be accompanied by a physiotherapist and groups of 6-10 people with similar suitability will be formed for the session hours.

Study groups in NCT05870072
Study groupRoleWhat they receive
Dual task training (balance exercises combined with cognitive task) groupExperimentalNot described
Receives: Other: Dual task training
Kinesthetic motor imagery training groupExperimentalNot described
Receives: Other: Kinesthetic motor imagery training
Balance exercises (Control) groupActive comparatorNot described
Receives: Other: Balance exercises

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Sociodemographic Information Form

    The sociodemographic information of the healthy individuals included in the study will be obtained first with the form prepared by us. Questionnaire; It will contain information about the individual's age, gender, weight, height, educational status, occupation, socioeconomic status, employment status, marital status, drug use, psychological disorders and chronic diseases of the individual.

    Measured: a day before the rehabilitation

  2. Motion Imagery Questionnaire-3

    The Motion Imagination Questionnaire-3, The Motion Imagination Questionnaire, and the Motion Imagination Questionnaire- Revised, 2nd Edition is the most current version. In the questionnaire consisting of 12 items, external, internal and kinesthetic visualization abilities are evaluated separately. The Turkish validity and reliability of the questionnaire was determined by Dilek et al. made by It consists of 3 subscales and a total of 12 items evaluating external visual imagery, internal visual imagery and kinesthetic imagery. Each of the 12 tasks in the questionnaire will be performed physically first, then the participant will return to the starting position and imagery will be performed according to the desired imagery type. The scoring will be between 1 and 7, with 1 point: very difficult to see/feel, 7 points: very easy to see/feel.

    Measured: a day before the rehabilitation

  3. Motion Imagery Questionnaire-3

    The Motion Imagination Questionnaire-3, The Motion Imagination Questionnaire, and the Motion Imagination Questionnaire- Revised, 2nd Edition is the most current version. In the questionnaire consisting of 12 items, external, internal and kinesthetic visualization abilities are evaluated separately. The Turkish validity and reliability of the questionnaire was determined by Dilek et al. made by It consists of 3 subscales and a total of 12 items evaluating external visual imagery, internal visual imagery and kinesthetic imagery. Each of the 12 tasks in the questionnaire will be performed physically first, then the participant will return to the starting position and imagery will be performed according to the desired imagery type. The scoring will be between 1 and 7, with 1 point: very difficult to see/feel, 7 points: very easy to see/feel.

    Measured: after 6 weeks of training

  4. Box and Block Test (Mental Stopwatch Measurement)

    Box and Block Test is a test developed to measure rough manual dexterity. The equipment used in the study was divided into two 25.4 cm sections with a 15.2 cm high divider in accordance with the adult norms previously determined in the literature. In the study, unlike the original procedure of the test, it is not the number of blocks collected in a limited time; The time required to collect 15 blocks will be recorded. The purpose of this change; In this study, it is aimed to evaluate mental chronometry ability rather than manual skill. Individuals will first be asked to physically move 15 blocks to the other section, and the elapsed time will be recorded. The application will be made with the dominant party. After the materials are removed from the field of view of the individuals, they will be asked to perform this transport activity with the imaging method and to report when they place each block during imaging and the elapsed time will be recorded .

    Measured: a day before the rehabilitation

  5. Box and Block Test (Mental Stopwatch Measurement)

    Box and Block Test is a test developed to measure rough manual dexterity. The equipment used in the study was divided into two 25.4 cm sections with a 15.2 cm high divider in accordance with the adult norms previously determined in the literature. In the study, unlike the original procedure of the test, it is not the number of blocks collected in a limited time; The time required to collect 15 blocks will be recorded. The purpose of this change; In this study, it is aimed to evaluate mental chronometry ability rather than manual skill. Individuals will first be asked to physically move 15 blocks to the other section, and the elapsed time will be recorded. The application will be made with the dominant party. After the materials are removed from the field of view of the individuals, they will be asked to perform this transport activity with the imaging method and to report when they place each block during imaging and the elapsed time will be recorded .

    Measured: after 6 weeks of training

  6. Stroop Test

    It is a test that evaluates frontal lobe functions and cognitive processes such as attention, information processing, and resistance to interference. In the application consisted of 5 sections. The times obtained by the participants in each section will be noted in the section on the registration form. For incorrect responses by the participants, a slash (/) will be drawn over the relevant letter in the registration form; When participants correct their mistakes on their own, the relevant items will be circled (O). The performance of the participants will be scored according to three separate criteria for each section: (1) the time taken until the "start" command and the last item of the section are answered; (2) the number of errors; (3) the number of corrected responses. The minimum time to complete the reading/saying process for each section, the "0" error score and the "0" number of corrections determine the highest score that can be obtained from the Stroop Test.

    Measured: a day before the rehabilitation

  7. Stroop Test

    It is a test that evaluates frontal lobe functions and cognitive processes such as attention, information processing, and resistance to interference. In the application consisted of 5 sections. The times obtained by the participants in each section will be noted in the section on the registration form. For incorrect responses by the participants, a slash (/) will be drawn over the relevant letter in the registration form; When participants correct their mistakes on their own, the relevant items will be circled (O). The performance of the participants will be scored according to three separate criteria for each section: (1) the time taken until the "start" command and the last item of the section are answered; (2) the number of errors; (3) the number of corrected responses. The minimum time to complete the reading/saying process for each section, the "0" error score and the "0" number of corrections determine the highest score that can be obtained from the Stroop Test.

    Measured: after 6 weeks of training

  8. Evaluation of Dual- Task Performance

    In order for dual-task performance to be fully evaluated, both tasks must be evaluated separately and then as a dual-task before and after rehabilitation. The tasks given in our study will be evaluated one by one before the application. In our study, dual-task performance will be measured by calculating the 'dual-task effect' for both tasks.

    If the result is positive, there is an improvement in dual-task conditions; negative, it will be considered a reduction in dual-task conditions. Positive dual-task effect values show the relative improvement in dual-task performance; negative dual-task effect values indicate worsening of performance in dual-task compared to single-task.

    Measured: a day before the rehabilitation

  9. Evaluation of Dual- Task Performance

    In order for dual-task performance to be fully evaluated, both tasks must be evaluated separately and then as a dual-task before and after rehabilitation. The tasks given in our study will be evaluated one by one before the application. In our study, dual-task performance will be measured by calculating the 'dual-task effect' for both tasks.

    If the result is positive, there is an improvement in dual-task conditions; negative, it will be considered a reduction in dual-task conditions. Positive dual-task effect values show the relative improvement in dual-task performance; negative dual-task effect values indicate worsening of performance in dual-task compared to single-task.

    Measured: after 6 weeks of training

  10. Y Balance Test

    Star Shaped Sudden Change Balance Test is a test that measures balance dynamically that requires strength, flexibility and proprioception. Y Balance test is a modified version of this test. This modified test includes extensions in the anterior, posteromedial, and posterolateral directions. The test procedures will be set up on a flat surface with 3 measuring tapes so that the angle between the posteromedial-posterolateral direction is 90˚ and the angle between the anterior and posterior directions is 135˚. The individual will be asked to stand on one foot at the midpoint of the test setup and touch the anterior, posteromedial and posterolateral directions with the other foot while maintaining the correct balance with the tip of the toe. The test will be repeated 3 times in all directions, averaged and recorded in cm. The score will be obtained by taking the average of 3 elongation for each direction, dividing this average by the leg length and multiplying by 100.

    Measured: a day before the rehabilitation

  11. Y Balance Test

    Star Shaped Sudden Change Balance Test is a test that measures balance dynamically that requires strength, flexibility and proprioception. Y Balance test is a modified version of this test. This modified test includes extensions in the anterior, posteromedial, and posterolateral directions. The test procedures will be set up on a flat surface with 3 measuring tapes so that the angle between the posteromedial-posterolateral direction is 90˚ and the angle between the anterior and posterior directions is 135˚. The individual will be asked to stand on one foot at the midpoint of the test setup and touch the anterior, posteromedial and posterolateral directions with the other foot while maintaining the correct balance with the tip of the toe. The test will be repeated 3 times in all directions, averaged and recorded in cm. The score will be obtained by taking the average of 3 elongation for each direction, dividing this average by the leg length and multiplying by 100.

    Measured: after 6 weeks of training

  12. Berg Balance Scale

    Berg balance scale is a frequently used and easily applicable scale to evaluate static and dynamic balance in adults, consisting of fourteen instructions. The highest possible score is 56 points. 0-20 points indicate balance disorder, 21-40 points indicate an acceptable balance, and 41-56 points indicate a good balance. It takes about 10 to 20 minutes to complete the scale.

    Measured: a day before the rehabilitation

  13. Berg Balance Scale

    Berg balance scale is a frequently used and easily applicable scale to evaluate static and dynamic balance in adults, consisting of fourteen instructions. The highest possible score is 56 points. 0-20 points indicate balance disorder, 21-40 points indicate an acceptable balance, and 41-56 points indicate a good balance. It takes about 10 to 20 minutes to complete the scale.

    Measured: after 6 weeks of training

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 May 2023
  2. Study start5 Apr 2023
  3. Primary completion15 Apr 2024
  4. Study completion1 Jun 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05870072
Sponsor's protocol ID
KSBU-SEVTAP-0001
Status last verified
Jul 2026
First submitted
4 May 2023
Last updated
30 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Sarasso E, Agosta F, Piramide N, Gardoni A, Canu E, Leocadi M, Castelnovo V, Basaia S, Tettamanti A, Volonte MA, Filippi M. Action Observation and Motor Imagery Improve Dual Task in Parkinson's Disease: A Clinical/fMRI Study. Mov Disord. 2021 Nov;36(11):2569-2582. doi: 10.1002/mds.28717. Epub 2021 Jul 19.

    PubMed 34286884
  • Mencel J, Marusiak J, Jaskolska A, Kaminski L, Kurzynski M, Wolczowski A, Jaskolski A, Kisiel-Sajewicz K. Motor imagery training of goal-directed reaching in relation to imagery of reaching and grasping in healthy people. Sci Rep. 2022 Nov 3;12(1):18610. doi: 10.1038/s41598-022-21890-1.

    PubMed 36329083
  • Kahraman T, Kaya DO, Isik T, Gultekin SC, Seebacher B. Feasibility of motor imagery and effects of activating and relaxing practice on autonomic functions in healthy young adults: A randomised, controlled, assessor-blinded, pilot trial. PLoS One. 2021 Jul 13;16(7):e0254666. doi: 10.1371/journal.pone.0254666. eCollection 2021.

    PubMed 34255812

Questions about this trial

What is this clinical trial studying?

A study testing Dual task training, Kinesthetic motor imagery training and Balance exercises in people with Imagery, Psychotherapy and Exercise, run by Kutahya Health Sciences University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Sociodemographic Information Form (time frame: a day before the rehabilitation). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05870072, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Jul 2026.

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