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NCT Number: NCT07764250

Comparative Evaluation of Immediate vs Progressive Standing Dual Task Training in Elderly With Mild and Moderate Cognitive Impairment

older adults with mild and moderate cognitive impairment. compare immediate vs progressive standing dual-task training. assess balance, cognition, executive function, mobility, and quality of life.

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Key information

Conditions

Cognitive Impairment Cognition Disorders Cognitive Dysfunction Cognitive Impairment, Mild Mental Disorders Moderate Cognitive Impairment Neurocognitive Disorders

Age range

55 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Pakistan institute of medical sciences

Islamabad, Capital, Pakistan

Location status: Recruiting

Location contact

Dr. Mansoor Iqbal, MBBS, FCPS Neurology

CONTACT

[email protected]

+923335547069

Erica Arthur, DPT

PRINCIPAL_INVESTIGATOR

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥55 years
  • Mild or moderate cognitive impairment
  • MoCA 10-25
  • MMSE 10-23
  • Able to participate
  • Provides informed consent

Exclusion criteria

  • Severe cognitive impairment
  • Severe sensory or musculoskeletal impairments
  • Unstable medical conditions
  • Participation in another intervention study

Treatment and study plan

Immediate standing dual task training

Other

Motor-cognitive dual-task training is a rehabilitation intervention delivered by a physiotherapist over 8 weeks, with three sessions per week, each lasting 45 minutes. Every session consists of a 5-minute warm-up, 30-35 minutes of dual-task training, and a 5-minute cool-down.

It simultaneously combines motor and cognitive tasks. Motor components include marching in place, finger tapping, hand transfer activities, side stepping, weight shifting, heel raises, heel-toe stepping, and balance challenges. Cognitive components include naming animals or fruits, counting forward, and months, serial subtraction by threes, backward digit span, alternate naming, and word recall.

Participants allocated to the Immediate Standing intervention perform all dual-task activities in standing from the first treatment session.

progressive standing dual task training

Other

Motor-cognitive dual-task training is a rehabilitation intervention delivered by a physiotherapist over 8 weeks, with three sessions per week, each lasting 45 minutes. Every session consists of a 5-minute warm-up, 30-35 minutes of dual-task training, and a 5-minute cool-down.

It simultaneously combines motor and cognitive tasks. Motor components include marching in place, finger tapping, hand transfer activities, side stepping, weight shifting, heel raises, heel-toe stepping, and balance challenges. Cognitive components include naming animals or fruits, counting forward, and months, serial subtraction by threes, backward digit span, alternate naming, and word recall.

Participants allocated to the Progressive Standing intervention initially perform dual-task activities sitting and progressively transition to standing during the intervention period.

Primary outcomes

  1. Mini-Mental State Examination

    Time frame: Baseline and Week 8

    The Mini-Mental State Examination (MMSE) is a 30-point measure of global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive function

  2. Berg Balance Scale

    Time frame: Baseline and Week 8

    The Berg Balance Scale (BBS) is a 14-item clinical measure of static and dynamic balance. Total scores range from 0 to 56, with higher scores indicating better balance performance.

  3. Timed Up and Go

    Time frame: Baseline and Week 8

    The Timed Up and Go Test measures functional mobility. The outcome is the time (seconds) required to stand from a chair, walk 3 meters, turn, return, and sit. Lower completion times indicate better mobility.

  4. Trail Making Test

    Time frame: Baseline and Week 8

    The Trail Making Test Part assesses executive function and cognitive flexibility. The outcome is the time (seconds) required to complete the test. Lower completion times indicate better executive function.

Secondary outcomes

  1. Quality of Life in Alzhiemer's Disease Scale

    Time frame: Baseline and Week 8

    The Quality of Life in Alzheimer's Disease (QoL-AD) questionnaire consists of 13 items, with total scores ranging from 13 to 52. Higher scores indicate better quality of life.

Sponsors and collaborators

Lead sponsor

Shifa Tameer-e-Millat University

Other

Registry information

Official study title

Immediate Versus Progressive-Standing Dual-Task Training: A Comparative Evaluation in Elderly With Mild and Moderate Cognitive Impairment

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Aug 13, 2026
Registry last updated
Sep 1, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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