Nursing Home ResidentNCT07823166
Comparison of the Effects of Motor and Cognitive Dual Task Exercises on Fall Risk, Balance, and Gait
A study testing Motor Dual-Task Exercise and Cognitive Dual-Task Exercise in people with Nursing Home Resident and Geriatric, run by Ankara Yildirim Beyazıt University at 1 site in Turkey (Türkiye).
Trial summary
This study aimed to compare the effects of motor and cognitive dual-task exercise programs on fall risk, balance, and gait performance in older adults residing in nursing homes.The main question it aims to answer is: An eight-week motor or cognitive dual-task exercise program did not provide additional benefits over… Read more about this study
- Who is it for?
- Ages 65 to 95 yearsHealthy volunteers can take part
- Conditions the study is for
- Nursing Home Resident, Geriatric
- What is being tested?
- Motor Dual-Task Exercise and Cognitive Dual-Task Exercise
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 69 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 25 Nov 2023to 25 Nov 2024
- Phase
- Interventional
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 65 to 95 years
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- residing in nursing homes who were aged between 65 and 95 years
- Individuals able to walk independently
- Individuals who are literate
- Individuals willing to participate in the study
- Individuals cognitively capable of understanding and performing the required assessments and exercises.
Who cannot join
- Individuals with malignancy
- Individuals with osteoporosis
- Individuals with a history of fracture
- Individuals with coagulation disorders
- Individuals with an active infection
- Individuals with orthostatic hypotension
- Individuals with pacemaker implantation
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Altınçatı Nursing Home and Elderly Care Center
Ankara, ÇANKAYA, 06550
About this study
Official title: Comparison of the Effects of Motor and Cognitive Dual Task Exercises on Fall Risk, Balance, and Gait in Geriatric Individuals Residing in Nursing Homes: A Randomized Controlled Trial
This study aimed to compare the effects of motor and cognitive dual-task exercise programs on fall risk, balance, and gait performance in older adults residing in nursing homes.The main question it aims to answer is:
An eight-week motor or cognitive dual-task exercise program did not provide additional benefits over standard single-task exercise in improving fall risk, balance, or gait performance in nursing home residents.
Read more
All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.
Assessments were conducted before and after the intervention using the Five-Repetition Sit-to-Stand Test, 2-Minute Walk Test, Single-Leg Stance Test, Timed Up and Go (TUG) Test, Tinetti Balance and Gait Scale, and Functional Reach Test.
Read the detailed description
Individuals residing in nursing homes who were aged between 65 and 95 years, able to walk independently, literate, willing to participate, and cognitively capable of understanding and performing the assessments and exercises were included in the study.
Individuals with systemic or metabolic conditions such as malignancy, osteoporosis, history of fracture, coagulation disorders, active infection, orthostatic hypotension, or pacemaker implantation were excluded. Participants were withdrawn from the study if they discontinued the intervention, failed to attend pre- or post-intervention assessments, or were unable to understand or perform the required tests and exercises.
A total of 69 eligible participants were allocated into three groups using a systematic allocation sequence based on the order of enrollment. Participants were assigned sequentially to the motor dual-task group, cognitive dual-task group, or control group in a 1:1:1 ratio.
Due to the absence of a dedicated exercise room, all interventions were conducted in participants' rooms using space-adapted exercise protocols.
Participants in the motor dual-task group performed a structured exercise program consisting of the Five Times Sit-to-Stand Test, Timed Up and Go test (3 m), single-leg stance, 10-meter tandem walking, 10-meter normal walking, and a 20-meter marching activity while simultaneously carrying a tray filled with water.
Participants in the cognitive dual-task group performed the same exercise program combined with a concurrent cognitive task. During each exercise, participants were instructed to verbally generate proper nouns beginning with the letter "A".
The control group performed a conventional exercise program of equivalent duration and frequency without any additional dual-task component.
All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.
Baseline demographic characteristics, including participant identification number, group allocation, age, sex, body weight, and height, were recorded using a standardized assessment form. All evaluations were performed before and after the eight-week intervention period by the same physiotherapist to ensure assessment consistency and minimize inter-rater variability.
Fall risk was assessed using the Five Times Sit-to-Stand Test (FTSST). Balance and gait performance were evaluated using the 2-Minute Walk Test (2MWT), Single-Leg Stance Test, Timed Up and Go (TUG) Test, Tinetti Balance and Gait Assessment Scale, and Functional Reach Test.
- Conditions
- Nursing Home Resident, Geriatric
- Being tested
- Motor Dual-Task Exercise, Cognitive Dual-Task Exercise, Control group
- Keywords
- Dual-task exercise, balance, older adults, nursing home, rehabilitation
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Motor Dual-Task ExerciseBehavioural
Participants in the motor dual-task group performed a structured exercise program consisting of the Five Times Sit-to-Stand Test, Timed Up and Go test (3 m), single-leg stance, 10-meter tandem walking, 10-meter normal walking, and a 20-meter marching activity while simultaneously carrying a tray filled with water. All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.
Cognitive Dual-Task ExerciseBehavioural
Participants in the cognitive dual-task group performed the same exercise program combined with a concurrent cognitive task. During each exercise, participants were instructed to verbally generate proper nouns beginning with the letter "A". All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.
Control groupBehavioural
The control group performed a conventional exercise program of equivalent duration and frequency without any additional dual-task component. All interventions were administered for approximately 40 minutes per session, three times per week, for eight weeks.
| Study group | Role | What they receive |
|---|---|---|
| Motor Dual-Task Exercise Group | Experimental | Not described Receives: Behavioral: Motor Dual-Task Exercise |
| Cognitive Dual-Task Exercise Group | Experimental | Not described Receives: Behavioral: Cognitive Dual-Task Exercise |
| Control Group | Active comparator | Not described Receives: Behavioral: Control group |
What is being measured
The primary outcome is the main question the study is designed to answer.
2-Minute Walk Test (2MWT)
Walking capacity was assessed over a 30-meter walkway during a two-minute period. Participants wore comfortable clothing and footwear and rested for 10 minutes before testing. The total walking distance was recorded in meters. Distance walked during two minutes, measured in meters. Higher values indicate better walking endurance and functional capacity.
Measured: 8 weeks
Five Times Sit-to-Stand Test (FTSST)
The FTSST was used to assess lower extremity strength, functional mobility, and fall risk. Participants were instructed to stand up from a standard chair and sit down five consecutive times as quickly as possible while keeping their arms crossed over the chest. Total completion time was recorded using a stopwatch. Time required to complete five consecutive sit-to-stand movements, measured in seconds. Lower values indicate better lower-extremity functional performance; higher values indicate worse outcome.
Measured: 8 weeks
Timed Up and Go (TUG) Test
Functional mobility was assessed by measuring the time required for participants to stand up from a chair, walk 3 meters, turn around, return to the chair, and sit down. Time was recorded in seconds using a stopwatch. Time required to complete the test, measured in seconds. Lower values indicate better mobility and functional performance; higher values indicate worse outcome.
Measured: 8 weeks
Secondary outcomes (3)
Single-Leg Stance Test
Static balance was evaluated by asking participants to stand on one leg while lifting the opposite foot approximately 5 cm off the ground. Participants were instructed to maintain balance for as long as possible, and the duration was recorded using a stopwatch. Duration for which the participant maintains a single-leg stance, measured in seconds. Higher values indicate better balance performance.
Measured: 8 weeks
Tinetti Balance and Gait Assessment Scale
Tinetti Balance and Gait Scale (0-35; higher scores indicate better balance and gait performance).Balance and gait performance were assessed using the Tinetti Balance and Gait Assessment Scale according to standardized administration procedures. Total scores were used to classify fall risk.
Measured: 8 weeks
Functional Reach Test
Dynamic balance was assessed using the Functional Reach Test. A measuring tape was positioned horizontally on the wall at shoulder height. Participants were instructed to reach forward as far as possible with the dominant arm elevated to 90° shoulder flexion without stepping or losing balance. The distance between the initial and maximal reach positions was recorded in centimeters. Maximum forward reach distance, measured in centimeters. Higher values indicate better dynamic balance performance.
Measured: 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Sep 2026
- Study start25 Nov 2023
- Primary completion15 Sep 2024
- Study completion25 Nov 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing Home ResidentStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- Participants were sequentially allocated to three parallel groups in a 1:1:1 ratio based on the order of enrollment: motor dual-task exercise, cognitive dual-task exercise, and conventional exercise (control) groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 69 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ankara Yildirim Beyazıt University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Bihter Aslanyurek, Ankara Yildirim Beyazıt University
- Investigators
- BİHTER AKINOĞLU, Assoc. Prof. Dr., PT., Principal investigator, Ankara Yildirim Beyazıt University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07823166
- Sponsor's protocol ID
- AYBU-FTR-BA-11
- Status last verified
- Sep 2026
- First submitted
- 11 Sep 2026
- Last updated
- 22 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: The datasets generated and analyzed during the current study are not publicly available due to ethical and privacy restrictions involving older adult participants residing in nursing homes. The data presented in this study are available on request from the corresponding author.