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Effects of Step Training in Older Adults with Mild Dementia

RecruitingNAAges 65 Years - anyAllThe Hong Kong Polytechnic University
NCT05655403 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Step training has been shown to be effective at reducing the incidence of falls and improving related risk factors, including choice stepping, in healthy older adults. However, the effects of step training have not been investigated in OWMD. The primary objective of the proposed project will be to assess the effects of a step-training program involving concurrent stepping and visuospatial tasks on choice stepping, prefrontal cortex functioning during choice stepping, and fall-related outcomes (i.e., step length, lower-limb muscle strength, balance, mobility, dual-task ability, and fear of falling) in OWMD. The prefrontal cortex is responsible for the executive functions such as attention and inhibitory function, which are integral to choice stepping reaction time tasks. However, the effects of step training on prefrontal cortex functioning during choice stepping in OWMD remain unclear.

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📋 Eligibility rules (as published)
Inclusion Criteria: * at least 65 years old; * have a physician's diagnosis of dementia according to the Diagnostic and Statistical Manual of Mental Disorders 5th edition; * have mild dementia, indicated by a score of 10 or higher on the Montreal Cognitive Assessment Hong Kong version (HK-MoCA); * able to walk 10 meters independently without a walking aid; * receiving care by an unpaid "main caregiver" with at least 3.5 hours of face-to-face contact per week. Exclusion Criteria: * unable to perform step training due to unstable or severe musculoskeletal, cardiorespiratory, or neurological conditions; * have severe hearing and/or visual impairments that limit their ability to communicate; * have been hospitalized within the past 30 days.
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What it tests

  • Step training program
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Where

1 site
The Hong Kong Polytechnic University
Hong Kong, Hong Kong
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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