A Study of Dual-task Exercise Training to Prevent Falls Among Older Adults With Mild Cognitive Impairment

Part of paid clinical trials in Springfield, Oregon.

Sponsor
Oregon Research Institute
Study ID
NCT05725668
Status
Recruiting
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Conditions

  • Accidental Falls
  • Aging
  • Mild Cognitive Impairment

Eligibility Criteria

Sex
ALL
Age
65 Years - 95 Years
Healthy Volunteers
Accepted

Interventions

  • dual-task tai ji quan — BEHAVIORAL
    dual-task tai ji quan training
  • standard tai ji quan — BEHAVIORAL
    standard tai ji quan training
  • stretching — BEHAVIORAL
    stretching exercise

Study Details

To determine the efficacy of a dual-task tai ji quan training therapy in reducing the incidence of falls in older adults with mild cognitive impairment.

Key Dates

Start date
Jul 15, 2023
Status verified
Dec 2025
Primary completion
Jul 30, 2027
Completion
Jan 31, 2028

Study Design

Enrollment
336 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: Dual-task taj ji quan
    This intervention includes training of (a) symmetrical postural tai ji quan forms/movements synchronized with breathing, (b) controlled displacement (weight-shifting) of the body's center of mass over the base of support, (c) dynamic eye-hand movements during whole-body motion, (d) multidirectional (anterior-posterior and medial-lateral) stepping, and (e) rotational ankle sway and self-induced reactive postural recovery actions. The training practices are integrated, gradually over time, with a mix of interactive, cognitively stimulating, dual-task exercises that challenge attention control, working memory, verbalization, response inhibition, processing speed, dual tasking, task switching/prioritization, and spatial orientation and postural awareness.
  • Experimental: Standard tai ji quan
    This intervention includes training of tai ji quan forms with synchronized breathing, supplemented by a set of mini-therapeutic exercises. The training involves repeated practice of (a) symmetrical, coordinated, trunk-driven tai ji quan form movements, (b) controlled displacement (weight-shifting) of the body's center of mass over varying sizes of the base of support, (c) dynamic eye-hand movements during whole-body motion, and (d) multidirectional (anterior-posterior and medial-lateral) stepping. As a balance training therapy, movement practices emphasize a dynamic interplay of stabilizing and self-induced destabilizing postural actions and balance exercises that target mobility, stability limits, and sensory integration.
  • Experimental: Stretching exercise
    This active control intervention includes light activities that consist of breathing, stretching, and relaxation exercises. Each exercise session encompasses a variety of light and static stretches for joints and muscles, performed in a seated or standing position. Exercise involves the upper body (arms, neck, upper back, shoulder, back, and chest), lower extremities (quadriceps, hamstrings/calfs, and hips), and gentle and slow trunk rotations. Also included are intermittent light walking, deep abdominal breathing exercises that emphasize inhaling and exhaling to maximum capacity, and progressive relaxation of major muscle groups.

Primary Outcome Measure

Self-reported number of falls [ Time Frame: Monthly, baseline to 6 months (i.e., after end of intervention) ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Oregon Research InstituteSpringfieldOregon97477
Fuzhong Li, Ph.D.
[email protected]
541-484-2123
Fuzhong Li, Ph.D. (PRINCIPAL_INVESTIGATOR)

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Oregon Research Institute· Springfield, OR

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