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CTRI Number  CTRI/2021/12/038962 [Registered on: 28/12/2021] Trial Registered Prospectively
Last Modified On: 27/12/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Cognitive training for balance in geriatric population. 
Scientific Title of Study   Comparison of Cognitive training versus Conventional training on balance in Geriatric population 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Hetal Shah 
Designation  Master of Physiotherapy student 
Affiliation  Sunandan Divatia School of Science, NMIMS University 
Address  Department of Physiotherapy, Ground floor, Nanavati Super Speciality Hospital, SV road, Vile Parle(W), Mumbai.

Mumbai (Suburban)
MAHARASHTRA
4000056
India 
Phone    
Fax    
Email  hetal61096@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailja Mehta 
Designation  Assistant Professor 
Affiliation  Sunandan Divatia School of Science, NMIMS University 
Address  Bhaidas Sabhagriha Building, Bhaktivedanta Swami Marg, Vile Parle (W), Mumbai.

Mumbai (Suburban)
MAHARASHTRA
4000056
India 
Phone    
Fax    
Email  shailja.mehta@nmims.edu  
 
Details of Contact Person
Public Query
 
Name  Hetal Shah 
Designation  Master of Physiotherapy student 
Affiliation  Sunandan Divatia School of Science, NMIMS University 
Address  Department of Physiotherapy, Ground floor, Nanavati Super Speciality Hospital, SV road, Vile Parle(W), Mumbai.

Mumbai (Suburban)
MAHARASHTRA
4000056
India 
Phone    
Fax    
Email  hetal61096@gmail.com  
 
Source of Monetary or Material Support  
Department of Physiotherapy and Sports Medicine, Nanavati Max Super Specialty Hospital 
 
Primary Sponsor  
Name  None  
Address  NA 
Type of Sponsor  Other [NIL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ali irani  Nanavati Super speciality Hospital  Department of Physiotherapy, Ground floor, Nanavati Super Speciality Hospital, SV road, Vile Parle(W), Mumbai.
Mumbai (Suburban)
MAHARASHTRA 
02226172329

physiodept.nanavati@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee, Dr Balabhai Nanavati Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Nil 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cognitive therapy  Cognitive exercises targeting attention, perception, memory and speed along with conventional exercise ( otago exercise program) for 12 sessions spread over 4 weeks. 
Comparator Agent  Conventional therapy  Conventional exercise in the form of Otago exercise program for 12 sessions spread over 4 weeks. 
 
Inclusion Criteria  
Age From  65.00 Year(s)
Age To  74.00 Year(s)
Gender  Both 
Details  1. Young old healthy geriatric population.
2. Post covid (6 months) recovered. 
 
ExclusionCriteria 
Details  1.Elderly with any existing musculoskeletal, neurological and other systemic illness that would affect balance.
2.Recently (past 6 months) undergone any back, knee or ankle surgery that would hamper balance.
3.Uncontrolled diabetes and hypertension.
4.Any existing neurodegenerative conditions affecting intellect eg: dementia.

 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Mini-BEST scale,
Walking while talking test 
At baseline and after 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  NA 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   31/12/2021 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   TitleCOMPARISION OF COGNITIVE TRAINING VERSUS CONVENTIONAL TRAINING ON BALANCE IN GERIATRIC POPULATION

Introduction Aging is an inevitable process which affects structural and functional basis of life. There are 3 types of ageing i.e. primary (associated with chronological age), secondary (disease-related) and tertiary (decremental influences that increase the risk of mortality). Frailty in healthy elderly population is attributed mainly to their sedentary lifestyle, changes in musculoskeletal system with the addition of age-related diseases, hence making it difficult for them to adapt to changing situations. All these changes affect the posture, loss of balance control and hence risk independent mobility and increase frequency of falls. Old adults with no direct cause for risk of fall and living independently will show minimal deficit in balance abilities due to natural process of ageing.

Balance is defined as complex interaction of the sensorimotor and central processing system. It is a modifiable aspect with appropriate testing and rehabilitation. Physical, environmental, socio-cultural and genetic factors have their influences on all 3 types of ageing which affect cognition in older population. A decrease in volume of grey matter, an increase in HPA axis activity, deterioration in the sensory system, weakened neuromodulatory control, less indulgence in activities that have cognitive demands during the lifetime have their contribution in deterioration of cognitive abilities in later stages of life.

There are fewer studies showing effect of cognitive exercises on balance in older population. Hence including cognitive exercise to conventional exercise may prove beneficial in improving balance of elderly population.

Aim - To compare cognitive exercises with conventional exercises on balance in geriatric population.

Objectives

      1) To assess the effect of cognitive training on balance in geriatric population using Mini-BEST Scale and Walking While Talking Test.

      2)  To assess the effect of conventional training (Otago program) on balance in geriatric population using Mini-BEST Scale and Walking While Talking Test.

      3)  To compare the two groups.

 
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