ClinicalTrials.gg
CompletedNCT05855785Updated May 11, 2023

Effect of Dual Task Exercise on Cognitive and Physical Function in the Elderly With Mild Cognitive Impairment

An interventional study of dual task exercise and home exercise in Cognitive Dysfunction and Mild Cognitive Impairment, sponsored by Seoul National University Boramae Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-05-11.

Sponsored by Seoul National University Boramae Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 10 months after the study started (first participant enrolled May 2020, registered Mar 2023).
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate the effect of the dual task exercise program on cognitive and physical function in the elderly with mild cognitive impairment.

Read the detailed description

All participants provided written informed consent before study participation. A total of 12 community-dwelling participants were randomized either to the exercise group or to the control group.

The exercise group underwent 8-week, 3 times a week, 60-minute group exercise sessions, which were comprised of moderate-to-high intensity exercise and simultaneous cognitive tasks. They also performed moderate-intensity home aerobic exercises for at least 60 minutes per week. The control group performed 60-minute light intensity home exercise, 4 times a week for 8 weeks.

02

Conditions studied

  • Cognitive Dysfunction
  • Mild Cognitive Impairment
03

In context

Cognitive Dysfunction

3,872 studies on the registry are indexed under Cognitive Dysfunction; 1,119 are open to participants now.

This study's enrollment of 12 is below the median of 64 across 2,794 interventional studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Seoul National University Boramae Hospital is the lead sponsor of 12 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • a score on the Korean (MoCA-K) of 25 points or below
  • aged 65 or more
  • no physical or medical problem which impairs moderate to vigorous physical activity

Exclusion criteria

Exclusion Criteria:

  • uncontrolled or unstable cardiovascular disease
  • affecting general condition
  • musculoskeletal problems affecting motor performance
  • speech and hearing impairment
  • other organic brain diseases
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

MMSE and MoCA

Short tests of memory and thinking, each scored out of 30. Lower scores suggest more difficulty; criteria give a range, either to include people with memory problems or to leave them out.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    The exercise group

    The exercise group underwent 8-week, 3 times a week, 60-minute group exercise sessions, which were comprised of moderate-to-high intensity exercise and simultaneous cognitive tasks. The exercise group also performed moderate-intensity home aerobic exercises for at least 60 minutes per week.

    Behavioral: dual task exercise

  • Other
    The control group

    The control group performed 60-minute light intensity home exercise, 4 times a week for 8 weeks.

    Behavioral: home exercise

Interventions

  • Behavioraldual task exercise

    8-week, 3 times a week, 60-minute group exercise sessions, which were comprised of moderate-to-high intensity exercise and simultaneous cognitive tasks

  • Behavioralhome exercise

    60-minute light intensity home exercise, 4 times a week for 8 weeks

06

What researchers measure

Primary outcomes

  1. Dual task cost in Timed up and go (TUG)

    Participants completed both single-task (ST) and dual-task (DT) tests at baseline and post-intervention. For a ST condition, participants performed motor task only such as Timed up and go (TUG). TUG measured the time of taking to rise from a chair, walking three meters, turning around 180 degrees, walking back to the chair, and sitting down while turning 180 degrees. For a DT condition, participants performed TUG while performing serial 3 simultaneously. Serial 3 is descending subtraction task, where the patient counts down from one hundred by threes. In the DT condition, participants were given no instruction regarding the prioritization of one task over the other. We calculated TUG duration in both conditions. Dual task cost(DTC) were calculated as a percentage as follows: (%DTC) = \[dual task duration or speed - single task duration or speed\] / \[single task duration or speed\] \* 100%. The lower DTC indicates efficiency in cognitive-motor interplay and good dual task ability.

    Time frame: Baseline

  2. Dual task cost in 10-meter walking test

    Participants completed both single-task (ST) and dual-task (DT) tests at baseline and post-intervention. For a ST condition, participants performed motor task only such as 10-meter walking test (10MWT). 10MWT is a performance measure used to assess walking speed over a short distance. For a DT condition, participants performed 10MWT while performing serial 3 simultaneously. Serial 3 is descending subtraction task, where the patient counts down from one hundred by threes. In the DT condition, participants were given no instruction regarding the prioritization of one task over the other. We calculated 10MWT gait speed in both conditions. Dual task cost(DTC) were calculated as a percentage as follows: (%DTC) = \[dual task duration or speed - single task duration or speed\] / \[single task duration or speed\] \* 100%. The lower DTC indicates efficiency in cognitive-motor interplay and good dual task ability.

    Time frame: Baseline

  3. Dual task cost in Timed up and go (TUG)

    Participants completed both single-task (ST) and dual-task (DT) tests at baseline and post-intervention. For a ST condition, participants performed motor task only such as Timed up and go (TUG). TUG measured the time of taking to rise from a chair, walking three meters, turning around 180 degrees, walking back to the chair, and sitting down while turning 180 degrees. For a DT condition, participants performed TUG while performing serial 3 simultaneously. Serial 3 is descending subtraction task, where the patient counts down from one hundred by threes. In the DT condition, participants were given no instruction regarding the prioritization of one task over the other. We calculated TUG duration in both conditions. Dual task cost(DTC) were calculated as a percentage as follows: (%DTC) = \[dual task duration or speed - single task duration or speed\] / \[single task duration or speed\] \* 100%. The lower DTC indicates efficiency in cognitive-motor interplay and good dual task ability.

    Time frame: immediately after the 8-week intervention

  4. Dual task cost in 10-meter walking test

    Participants completed both single-task (ST) and dual-task (DT) tests at baseline and post-intervention. For a ST condition, participants performed motor task only such as 10-meter walking test (10MWT). 10MWT is a performance measure used to assess walking speed over a short distance. For a DT condition, participants performed 10MWT while performing serial 3 simultaneously. Serial 3 is descending subtraction task, where the patient counts down from one hundred by threes. In the DT condition, participants were given no instruction regarding the prioritization of one task over the other. We calculated 10MWT gait speed in both conditions. Dual task cost(DTC) were calculated as a percentage as follows: (%DTC) = \[dual task duration or speed - single task duration or speed\] / \[single task duration or speed\] \* 100%. The lower DTC indicates efficiency in cognitive-motor interplay and good dual task ability.

    Time frame: immediately after the 8-week intervention

Secondary outcomes

  1. Korean Montreal Cognitive Assessment (MoCA-K)

    MoCA-K is a screening test to assess cognitive functions such as attention, concentration, execution, memory, vocabulary, visual space, abstraction, and calculation. MoCA-K is a test for mild cognitive impairment and it takes about 10 minutes to run. It assesses cognitive functions such as attention, concentration, execution, memory, vocabulary, visual space, abstraction, calculation and support. Of a maximum 30 points, a score of 25 or higher is considered normal.

    Time frame: Baseline

  2. Korean Montreal Cognitive Assessment (MoCA-K)

    MoCA-K is a screening test to assess cognitive functions such as attention, concentration, execution, memory, vocabulary, visual space, abstraction, and calculation. MoCA-K is a test for mild cognitive impairment and it takes about 10 minutes to run. It assesses cognitive functions such as attention, concentration, execution, memory, vocabulary, visual space, abstraction, calculation and support. Of a maximum 30 points, a score of 25 or higher is considered normal.

    Time frame: immediately after the 8-week intervention

  3. Korean Mini Mental Status Examination (K-MMSE)

    K-MMSE is a screening test for dementia that can evaluate various areas of cognitive function in a short time of 5 to 10 minutes such as time orientation, place orientation, memory, attention and calculation, understanding and judgment, and language. Of a maximum 30 points, a score of less than 24 is considered dementia.

    Time frame: Baseline

  4. Korean Mini Mental Status Examination (K-MMSE)

    K-MMSE is a screening test for dementia that can evaluate various areas of cognitive function in a short time of 5 to 10 minutes such as time orientation, place orientation, memory, attention and calculation, understanding and judgment, and language. Of a maximum 30 points, a score of less than 24 is considered dementia.

    Time frame: immediately after the 8-week intervention

  5. Computerized cognitive test(digit span test, visual learning test, verbal learning test, the Stroop Color and Word test, Boston naming test, trail making test, and verbal fluency test)

    Computerized cognitive test is a test method which quantitatively measures patients' cognitive problems in a systematic and standardized manner using a computer. Various neurocognitive function tests such as attention, memory, memory-motor coordination, and comprehensive cognitive thinking ability are possible through computerized cognitive test. Card sorting test, digit span test, visual learning test, verbal learning test, and Stroop word color test were conducted for precise cognitive function evaluation.

    Time frame: Baseline

  6. Computerized cognitive test(digit span test, visual learning test, verbal learning test, the Stroop Color and Word test, Boston naming test, trail making test, and verbal fluency test)

    Computerized cognitive test is a test method which quantitatively measures patients' cognitive problems in a systematic and standardized manner using a computer. Various neurocognitive function tests such as attention, memory, memory-motor coordination, and comprehensive cognitive thinking ability are possible through computerized cognitive test. Card sorting test, digit span test, visual learning test, verbal learning test, and Stroop word color test were conducted for precise cognitive function evaluation.

    Time frame: immediately after the 8-week intervention

  7. Short Physical Performance Battery (SPPB)

    SPPB is a group of measures that combines the results of the gait speed, chair stand and balance tests. It has been used as a predictive tool for possible disability and can aid in the monitoring of function in older people . The scores range from 0 (worst performance) to 12 (best performance).

    Time frame: Baseline

  8. Short Physical Performance Battery (SPPB)

    SPPB is a group of measures that combines the results of the gait speed, chair stand and balance tests. It has been used as a predictive tool for possible disability and can aid in the monitoring of function in older people . The scores range from 0 (worst performance) to 12 (best performance).

    Time frame: immediately after the 8-week intervention

  9. Berg Balance Scale (BBS)

    BBS is an evaluation tool designed to measure the balance of the elderly and consists of 56 points in 14 items that apply daily life movements. It is a measure to objectively evaluate static and dynamic balance ability in various postures such as sitting, standing, and posture change. Higher score means well balance function.

    Time frame: Baseline

  10. Berg Balance Scale (BBS)

    BBS is an evaluation tool designed to measure the balance of the elderly and consists of 56 points in 14 items that apply daily life movements. It is a measure to objectively evaluate static and dynamic balance ability in various postures such as sitting, standing, and posture change. Higher score means well balance function.

    Time frame: immediately after the 8-week intervention

  11. Falls Efficacy Scale (FES)

    FES is a questionnaire that evaluates the confidence to perform the activities without falling from the 10 activities. Higher score means good function.

    Time frame: Baseline

  12. Falls Efficacy Scale (FES)

    FES is a questionnaire that evaluates the confidence to perform the activities without falling from the 10 activities. Higher score means good function.

    Time frame: immediately after the 8-week intervention

  13. Activities-specific Balance Confidence (ABC)

    ABC consists of 16 surveys and it evaluates level of self-confidence in doing the activity without losing balance or becoming unsteady by choosing one of the percentage points on the scale from 0% to 100%.

    Time frame: Baseline

  14. Activities-specific Balance Confidence (ABC)

    ABC consists of 16 surveys and it evaluates level of self-confidence in doing the activity without losing balance or becoming unsteady by choosing one of the percentage points on the scale from 0% to 100%.

    Time frame: immediately after the 8-week intervention

  15. Grip strength

    Grip strength was measured by hand dynamometer for evaluating muscle strength. It is measured using pound(lb).

    Time frame: Baseline

  16. Grip strength

    Grip strength was measured by hand dynamometer for evaluating muscle strength. It is measured using pound(lb).

    Time frame: immediately after the 8-week intervention

  17. Korean version of Physical Activity Scale for the Elderly (K-PASE)

    K-PASE measures various physical activities of the elderly which are divided into sedentary life, leisure time activities, housework activities, and work-related activities. The score is calculated by multiplying the level and frequency of each activity using the conversion table. Higher score means higher activity.

    Time frame: Baseline

  18. Korean version of Physical Activity Scale for the Elderly (K-PASE)

    K-PASE measures various physical activities of the elderly which are divided into sedentary life, leisure time activities, housework activities, and work-related activities. The score is calculated by multiplying the level and frequency of each activity using the conversion table. Higher score means higher activity.

    Time frame: during intervention(8 weeks)

  19. International Physical Activity Questionnaires Short form (IPAQ)

    IPAQ Short form consists of 7 surveys and evaluate the degree of physical activity and the time spent on physical activity for one week.

    Time frame: Baseline

  20. International Physical Activity Questionnaires Short form (IPAQ)

    IPAQ Short form consists of 7 surveys and evaluate the degree of physical activity and the time spent on physical activity for one week.

    Time frame: during intervention (8 weeks)

  21. Metabolic Equivalent Task (MET) minutes per week

    MET minutes per week were evaluated to measure the degree of physical activity before intervention and every week during 8 weeks of intervention. MET minutes per week was calculated based on IPAQ.

    Time frame: Baseline

  22. Metabolic Equivalent Task (MET) minutes per week

    MET minutes per week were evaluated to measure the degree of physical activity before intervention and every week during 8 weeks of intervention. MET minutes per week was calculated based on IPAQ.

    Time frame: during intervention(8 weeks)

  23. Bioelectrical Impedance Analysis

    Bioelectrical Impedance Analysis was evaluated using Inbody for changes in body composition before and after intervention. Specifically, body weight, body fat percent, body mass index (BMI), skeletal muscle mass, lean mass, fat mass, waist hip ratio were evaluated.

    Time frame: Baseline

  24. Bioelectrical Impedance Analysis

    Bioelectrical Impedance Analysis was evaluated using Inbody for changes in body composition before and after intervention. Specifically, body weight, body fat percent, body mass index (BMI), skeletal muscle mass, lean mass, fat mass, waist hip ratio were evaluated.

    Time frame: immediately after the 8-week intervention

  25. Exercise Identity Scale (EIS)

    Exercise Identity Scale (EIS) is a measure of how important exercise is in daily life

    Time frame: Baseline

  26. Exercise Identity Scale (EIS)

    Exercise Identity Scale (EIS) is a measure of how important exercise is in daily life

    Time frame: immediately after the 8-week intervention

  27. Psychological Need Satisfaction in Exercise Scale (PNSE)

    Psychological Need Satisfaction in Exercise Scale (PNSE) is an exercise psychological measure consisting of detailed items of self-confidence, autonomy, and belonging related to exercise.

    Time frame: Baseline

  28. Psychological Need Satisfaction in Exercise Scale (PNSE)

    Psychological Need Satisfaction in Exercise Scale (PNSE) is an exercise psychological measure consisting of detailed items of self-confidence, autonomy, and belonging related to exercise.

    Time frame: immediately after the 8-week intervention

  29. Godin Leisure Time Exercise Questionnaire (GLTEQ)

    Godin Leisure Time Exercise Questionnaire (GLTEQ) is a self-report measure of the frequency of light-intensity, moderate-intensity, and vigorous-intensity leisure-time physical activity. It evaluated how satisfied the participants were with the intervention.

    Time frame: Baseline

  30. Godin Leisure Time Exercise Questionnaire (GLTEQ)

    Godin Leisure Time Exercise Questionnaire (GLTEQ) is a self-report measure of the frequency of light-intensity, moderate-intensity, and vigorous-intensity leisure-time physical activity. It evaluated how satisfied the participants were with the intervention.

    Time frame: immediately after the 8-week intervention

07

Study locations

1 site
  • Seoul National University Boramae Medical Center
    Seoul, 07061, Korea, Republic of
08

References and documents

Publications

  • Plummer P, Eskes G. Measuring treatment effects on dual-task performance: a framework for research and clinical practice. Front Hum Neurosci. 2015 Apr 28;9:225. doi: 10.3389/fnhum.2015.00225. eCollection 2015. PubMed 25972801 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05855785
Lead sponsor
Seoul National University Boramae Hospital
Collaborators
National Rehabilitation Center, Ministry of Health and Welfare, Korea
Responsible party
Cha Hee Young (Principal Investigator, Seoul National University Boramae Hospital) — Principal investigator
First posted
May 11, 2023
Start date
May 1, 2020
Primary completion
Sep 30, 2020
Completion
Apr 8, 2021
Last update
May 11, 2023

Study contacts

Se Hee Jung, MD, PhD
study chair · Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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