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Completed

NCT Number: NCT06604416

Forward and Backward Walking Exercise on Physical and Cognitive Functions

To investigate the acute effects of forward and backward walking exercise on physical functions such as static and dynamic balance and cognitive functions such as attention, concentration, memory, processing speed, visual structuring skills, calculation and orientation.

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Key information

Conditions

Age range

18 year–25 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Istanbul Atlas University

Istanbul, Kagıthane, Turkey (Türkiye)

About this study

This study is planned to investigate the acute effects of forward and backward walking on physical functions such as static and dynamic balance and cognitive functions such as attention, concentration, memory, processing speed, visual structuring skills, calculation and orientation. 50 healthy individuals were randomly divided into three groups for the study. The groups were divided into Backward Walking Exercise Group (GYE) (n=17), Forward Walking Exercise Group (FWE) (n=16) and Control Group (CG)(n=17). Before treatment for all three groups; sociodemographic and clinical data with the sociodemographic information form, physical activity levels with the International Physical Activity Survey Short Form, pain severity with the Visual Analog Scale (VAS), fatigue levels with the Borg Scale, the person's selective attention capacity and skills, processing speed and general executive processing abilities. Stroop Test with TBAG Form to evaluate executive functions such as working memory, complex attention, planning and set shifting, with Trail Making Test, evaluation of dynamic balance, neuromuscular control and movement asymmetries with Y-Balance Test, static balance, postural stability evaluation on One Leg It was evaluated with the Standing Test. The GYE group completed a 25-minute backward walking exercise session, the FWE group completed a 25-minute forward walking exercise session, and the control group completed a 30-minute sitting rest between evaluation tests. After the exercises, there were significant differences in parameters such as attention, processing speed, concentration and maintenance of attention, working memory, planning, static and dynamic balance, and in the comparison between groups, significant differences were found in static balance and postural control (p<0.05). It was observed that individuals in the backward walking group showed better improvements in some parameters after walking. However, these results need to be supported by future studies.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • To be between the ages of 18-25,
  • To be able to communicate verbally and in written Turkish,
  • Not complaining of pain in any part of the body during physical activity,
  • Performing a normal walking pattern without compensatory movements.

Exclusion criteria

  • Participants participating in a routine exercise program
  • History of upper or lower extremity pathology or injury in the last 6 months
  • Diagnosed neurological disease
  • Diagnosed cognitive impairment
  • Having a diagnosed orthopedic disease
  • Using a walking aid
  • Inadequate cardiovascular fitness
  • Dyspnea on exertion
  • Contraindication to walking
  • Receiving medical treatment that causes imbalance.

Treatment and study plan

Forward walking

Other

The exercises consisted of a 5-minute warm-up on a treadmill followed by a 25-minute period of moderate forward walking.

Backward walking

Other

The exercises consisted of a 5-minute warm-up on a treadmill followed by a 25-minute period of moderate backward walking.

Primary outcomes

  1. Stroop Test TBAG Form

    Time frame: immediately pre and immediately post-exercise

    Stroop Test TBAG Form was used to assess executive functions such as attention, memory, concentration, visual structuring skills, computational working memory, planning, visual scanning ability.

  2. Trail Making Test

    Time frame: immediately pre and immediately post-exercise

    The Trail Making Test was used to assess executive functions such as working memory, complex attention, planning and set switching, visual-spatial processing and motor abilities. The Trail Making Test consists of two parts, A and B.

  3. Y-Balance Test

    Time frame: immediately pre and immediately post-exercise

    Y-Balance Test was used to evaluate dynamic balance, neuromuscular control and movement asymmetries.

  4. One Leg Standing Test

    Time frame: immediately pre and immediately post-exercise

    One-leg Standing Test was used to assess static balance.

Secondary outcomes

  1. International Physical Activity Questionnaire (IPAQ) Short Form

    Time frame: pre-assessments

    The IPAQ Short Form was used to determine the physical activity levels of the participants.

  2. The Visual Analog Scale (VAS)

    Time frame: immediately pre and immediately post-exercise

    This scale scores from 0 to 10. Higher scores indicate worse pain.

  3. Borg Fatigue Scale

    Time frame: immediately pre-exercises, during exercise and immediately post-exercise

    It was used to determine the level of fatigue perceived by individuals before, during and after completing walking exercises.

  4. Oxygen Saturation

    Time frame: immediately pre-exercises, during exercise and immediately post-exercise

    In the study, saturation values were measured by pulse oximetry before, during and after exercise by the same physiotherapist.

  5. Blood Pressure Assessment

    Time frame: immediately pre and immediately post-exercise

    Blood pressure assessment was performed with a syphinguometer.

Sponsors and collaborators

Lead sponsor

Atlas University

Other

Registry information

Official study title

Acute Effect of Forward and Backward Walking Exercise on Physical and Cognitive Functions

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
Sep 19, 2024
Registry last updated
Sep 20, 2024

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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