An interventional study of Telerehabilitation Based Dual-Task Exercises and Educational Brochure and Phone Follow-Up in Aging, Balance Control in Elderly and Sleep Disorder (Disorder), sponsored by Bulent Ecevit University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 65 Years to 74 Years. Per ClinicalTrials.gov, last updated 2026-03-16.
Sponsored by Bulent Ecevit University · Not applicable, Interventional, and Treatment
Among 46 studies in Sleep Wake Disorders with a site in Turkey — 8 open to participants now, 8 under way, 1 of them phase 3. Sleep Wake Disorders · Turkey.
Among the 46 studies in Sleep Wake Disorders with a site in Turkey, this one is the 15th largest by planned enrollment of the 26 interventional ones that give a count, is one of 7 that started in 2026, is one of 24 with no phase, and was the 38th registered.
747 studies on the registry are indexed under Sleep Wake Disorders; 182 are open to participants now.
Browse Sleep Wake Disorders studies →8 of the 46 studies in Sleep Wake Disorders with a site in Turkey are open now. Recruiting first, the newest first:
Fenerbahce University · Sites in Turkey
Amasya University · Sites in Turkey
Marmara University · Sites in Turkey
Vanda Pharmaceuticals · Sites in Turkey
Saglik Bilimleri Universitesi · Sites in Turkey
A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →
Of the 109 Sleep Wake Disorders studies recruiting now, 36 (33%) set no upper age limit and 53 (49%) stop at 75 or younger; 22 take children under 18; 24 take healthy volunteers.
This study: 65 Years to 74 Years · all sexes · no healthy volunteers.
The full table on the hub →This tab as a report to print or save as PDF → With an account.
46 studies; the count open now beside each. This study's row is marked.
First in 2011; this study’s year is marked. 7 started in 2026.
This study's planned enrollment of 60 is close to the median of 66 across 531 interventional studies indexed under Sleep Wake Disorders.
Median enrollment 66 across the 26 interventional studies, 128 across the 20 observational. Of the 31 that completed or were terminated, 1 (3%) have results posted.
This tab as a report to print or save as PDF → With an account.
1 of 46 have an industry lead sponsor. The 10 most frequent:
Bulent Ecevit University is the lead sponsor of 47 studies on the registry; 2 are open to participants now.
Bulent Ecevit University has 1 study filed under Sleep Wake Disorders — fewer than ten, so there is no comparison to draw.
4 of the studies in Sleep Wake Disorders with a site in Turkey that are under way reach primary completion within a year, 0 of them phase 3. Phase 3 first, then by date:
| Study | Primary completion |
|---|---|
| NCT07846917Atılım UniversitySleep Quality, Caregiver Burden, Stress, and Self-Efficacy in Parents of Children With Spastic Diplegic Cerebral Palsy: A Comparison by Night Orthosis Use | 2026-12-20 |
| NCT07210476Marmara UniversityTurkish Adaptation of a Sleep Screening Tool for Pediatric Complex Chronic Conditions | 2027-03-01 |
| NCT07785622Kırklareli UniversityThe Effect of Mandala Coloring, Sleep Quality, Anxiety With Premenstrual Syndrome | 2027-06-15 |
| NCT07770945Saglik Bilimleri UniversitesiEffects of Connective Tissue Massage in Patients With Chronic Insomnia | 2027-07 |
Among the 46 studies in Sleep Wake Disorders with a site in Turkey, from their registry updates:
This tab as a report to print or save as PDF → With an account.
The purpose of this study is to investigate the effects of dual-task exercises-which simultaneously target cognitive and motor functions-delivered via telerehabilitation on fall risk, balance, cognitive functions, and sleep quality in geriatric individuals.Aging is often associated with balance disorders, increased fall risk, cognitive decline, and impaired sleep quality, all of which significantly impact the quality of life in the elderly. Dual-task interventions require individuals to perform physical and cognitive tasks concurrently, aiming to improve sensorimotor control and enhance balance strategies under cognitive load.This study utilizes telerehabilitation as a cost-effective and sustainable solution to facilitate access to healthcare services, providing a remote alternative to face-to-face rehabilitation. The research aims to demonstrate that dual-task exercises performed through telerehabilitation can contribute to functional recovery, reduce the fear of falling, and increase the safe mobility capacity of geriatric individuals.
Aging is associated with various physiological and functional changes that can negatively affect independence and quality of life in older adults. Among the most common problems observed in geriatric individuals are balance impairments, increased risk of falls, decline in cognitive functions, and deterioration in sleep quality. These conditions not only reduce functional independence but also increase morbidity and healthcare utilization in older populations. Therefore, effective and accessible rehabilitation strategies are needed to address these multidimensional problems.
In recent years, technological approaches have increasingly been integrated into rehabilitation programs. One of the most prominent approaches is telerehabilitation, which enables healthcare professionals to deliver rehabilitation interventions remotely using digital communication technologies. Telerehabilitation facilitates access to rehabilitation services for older individuals who may have limited mobility or difficulty accessing healthcare facilities. Previous studies have demonstrated that telerehabilitation can provide outcomes comparable to conventional face-to-face rehabilitation, particularly in terms of pain reduction, functional improvement, and quality of life enhancement in musculoskeletal conditions. These findings suggest that telerehabilitation may serve as a safe, effective, and sustainable rehabilitation model for older adults.
Dual-task training has emerged as an important intervention approach aimed at improving both cognitive and motor functions simultaneously. Dual-task exercises require individuals to perform a motor task while concurrently completing a cognitive task, thereby stimulating the interaction between motor and cognitive systems. This approach reflects real-life situations in which individuals frequently perform multiple tasks at the same time during daily activities. Research has shown that dual-task training can improve postural stability, enhance cognitive performance, and reduce fall risk in older adults by strengthening sensorimotor control and motor-cognitive integration.
Functional mobility and dynamic balance are important determinants of independence in older adults. The interaction between cognitive load and motor performance plays a critical role in maintaining postural control and preventing falls in this population. In addition, cognitive status in older individuals is frequently evaluated using standardized tools that assess attention, memory, executive functions, and orientation, as these cognitive processes are closely related to balance performance and functional mobility.
Sleep quality is another important factor affecting the health and functional capacity of older adults. Poor sleep quality has been associated with decreased cognitive performance, impaired balance, and increased risk of falls. Previous studies have reported that combined physical and cognitive training interventions, such as dual-task exercise programs, may improve not only physical performance but also cognitive functioning and sleep quality in older adults.
Considering these findings, dual-task exercise programs delivered through telerehabilitation platforms may provide an effective and accessible intervention strategy for geriatric individuals. Such programs allow participants to perform exercises in their home environment under remote supervision, thereby improving accessibility and adherence while reducing barriers related to transportation and mobility.
The aim of this study is to investigate the effects of telerehabilitation-based dual-task exercises on balance, fall risk, cognitive functions, and sleep quality in geriatric individuals.
This experimental study is planned to be conducted with geriatric patients presenting to Zonguldak Atatürk State Hospital between February 2, 2026 and June 2, 2026. The findings of the study are expected to contribute to the growing body of evidence regarding the role of telerehabilitation and dual-task exercise approaches in improving functional and cognitive outcomes in older adults.
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.
Participants aged 65 to 74 years.
Berg Balance Scale (BBS) score between 41 and 56.
Tinetti Performance Oriented Mobility Assessment (POMA) score between 19 and 23.
(MMSE) score between 18 and 30.
Independent in activities of daily living.
Able to walk without assistive devices.
Capable of using video call applications for telerehabilitation sessions.
Exclusion Criteria:
Participants younger than 65 years.
Individuals with cardiovascular diseases.
Amputees.
Individuals with severe cognitive impairment.
Individuals with significant visual or hearing impairments.
Individuals without internet access.
Individuals unable to use video call applications for telerehabilitation sessions.
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.
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.
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.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Participants will perform supervised telerehabilitation dual-task exercises at home for 4 weeks, 3 days per week, to improve balance, posture, cognitive function, and reduce fall risk. Each session includes warm-up, dual-task exercises (motor + cognitive), and cool-down.
Other: Telerehabilitation Based Dual-Task Exercises
Participants will receive an educational brochure including guidance on posture, balance, safe activity, sleep, and the dual-task exercises provided to the intervention group. Participation will be monitored weekly by phone.
Other: Educational Brochure and Phone Follow-Up
Participants perform 4-week home-based dual-task exercises 3 days/week via video call with a physiotherapist. Each session includes 5 minutes of warm-up, 50 minutes of combined motor and cognitive exercises, and 5 minutes of cool-down. Motor tasks focus on balance and posture (semi-tandem, tandem walking, single-leg stance, directional changes). Cognitive tasks are performed simultaneously, including counting, naming objects/colors/animals, simple arithmetic, memory, and sequencing tasks. Task difficulty is progressively increased weekly, and intensity is adjusted individually. The physiotherapist monitors exercise form and safety visually during each session.
Participants receive a brochure covering posture, balance, sleep hygiene, safe physical activity, and the dual-task exercises provided to the intervention group. Weekly phone calls are made to monitor adherence, encourage engagement, and answer questions. Participants perform exercises independently at home, following brochure instructions. No structured telerehabilitation sessions are provided.
Balance performance
Berg Balance Scale (BBS) will be used to assess static and dynamic balance in older adults. Participants perform 14 items evaluating daily functional movements, each scored 0-4 points, total score 0-56. Higher scores indicate better balance. Assessments will be conducted at baseline, after 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Fall risk and fear of falling
Falls Efficacy Scale - International (FES-I) will be used to evaluate participants' concern about falling during 16 daily activities. Each item is scored 1-4, with higher scores indicating greater fear of falling. Assessments will be conducted at baseline, after 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Sleep quality
Pittsburgh Sleep Quality Index (PSQI) will be used to evaluate sleep quality and disturbances over the past month. Total score ranges 0-21; higher scores indicate poorer sleep quality. Assessments will be performed at baseline, after 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Balance and gait performance
Tinetti Performance Oriented Mobility Assessment (POMA) will be used to assess both balance (9 items) and gait performance (7 items) in older adults. Each item is scored 0-2 (0 = unable, 1 = partial/unsafe, 2 = safe and correct), with a total score ranging from 0 to 28. Fall risk is classified as high (\<19), medium (19-23), or low (≥24). Assessments will be conducted at baseline, after the 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Functional mobility
Timed Up and Go (TUG) Test will be performed to evaluate mobility and fall risk. Participants rise from a chair, walk 3 meters, turn, return, and sit; time to complete is measured. Longer times indicate reduced mobility. Measurements will be performed at baseline, after 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Mental state
Mini-Mental State Examination (MMSE) will be used to evaluate orientation, attention, memory, language, and calculation skills. Total score ranges 0-30; lower scores indicate cognitive impairment. Assessments will be performed at baseline, after 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Cognitive function
Montreal Cognitive Assessment (MoCA) will be used to evaluate attention, executive functions, memory, language, visuospatial skills, abstraction, and orientation. Score ranges 0-30; higher scores indicate better cognitive performance. Assessments will be performed at baseline, after 4-week intervention, and at 1-month follow-up.
Time frame: Baseline, 4 weeks, 1 month
Plan to share: No
Started Feb 2026 (actual). Primary completion is estimated for Jun 2026, 4 months after the start.
Of 208 non-industry interventional studies with no phase under Sleep Wake Disorders, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 40. This study's planned 4 months is below that.
Counting every sponsor, half of 243 studies reached it within 19 months; a quarter within 6 and three quarters within 37.
How these figures are worked out, and which studies are left out of them.
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Bulent Ecevit University