LSVT Big and dual-task training to improve balance, thinking, and mobility in older adults with cognitive impairment
Effects of Lee Silverman Voice Treatment Big and Dual Task Training on Balance, Cognition and Functional Mobility in Older Adults With Cognitive Impairment.
This project tests whether LSVT Big or dual-task training helps improve balance, thinking, and walking in people over 65 with mild-to-moderate cognitive impairment.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 50 (estimated) |
| Ages | 65 Years and up |
| Sex | All |
| Sponsor | Riphah International University Academic / other |
| Locations | 1 site (Lahore, Punjab Province) |
| Trial ID | NCT06927362 on ClinicalTrials.gov |
What this trial studies
This study compares two active rehabilitation programs—LSVT Big and structured dual-task training—delivered four times per week for about four months to older adults with mild-to-moderate cognitive impairment. Participants are assigned to one of the two programs and complete baseline assessments and repeated testing at weeks 4, 8, 12, and a follow-up at week 16. Key outcome measures include balance (Mini-BESTest), global cognition (MoCA), executive function (Stroop test), and functional mobility (Timed Up and Go). Statistical analyses will examine within-group changes over time and between-group differences according to the data distribution.
Who should consider this trial
Good fit: Ideal candidates are adults aged 65 or older with mild-to-moderate cognitive impairment (MoCA 13–25) and Berg Balance Scale 41–50 who can consent, follow instructions, and attend frequent in-person sessions without walking aids.
Not a fit: People with severe cognitive impairment, use of walking aids, significant musculoskeletal or other neurological disorders (such as stroke or Parkinson's), hearing impairment, or current psychiatric medication that affects cognition are unlikely to benefit or be eligible.
Why it matters
Potential benefit: If successful, the intervention could improve balance, thinking, and walking speed, potentially lowering fall risk and helping people stay more independent.
How similar studies have performed: LSVT Big has supporting evidence in Parkinson's disease and dual-task training has shown benefits for balance and mobility in older adults, but directly comparing these approaches in cognitively impaired older adults is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Both male and female patients. * Age limit for patients will be above 65. * Patients with Mild and moderate cognitive impairment patients MoCA 13-25. * Patients with Berge balance scale value 41-50. * Patients who give consent to participate in study and undergo relevant test. Exclusion Criteria: * Patients with any musculoskeletal disorder in which these exercises are contraindicated. * Patients using any walking aids. * Patients with hearing impairment. * Patients with other neurological conditions with limit the patient participation in planned exercise like stroke, Parkinson's. * Patients with diagnosed psychiatric disorder or taking medication that affect cognitive function within 24 hours.
Where this trial is running
Lahore, Punjab Province
- Iqra Medical Complex and Irtiqa Fitness Club — Lahore, Punjab Province, Pakistan (Recruiting)
Study contacts
- Principal investigator: Arooba Saeed, phD — Riphah International University
- Study coordinator: Arooba Saeed, phD
- Email: aruba.saeed@riphah.edu.pk
- Phone: 03344399403
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.