Clinical trial Recruiting at 1 site Interventional Ages 65 and up

Step training for older adults with mild dementia

Official title: Investigating the Effects of Step Training and the Mediating Effects of Prefrontal Cortex Functioning in Older Adults with Mild Dementia: a Randomized Wait-list Controlled Trial

Run by The Hong Kong Polytechnic University · NCT05655403 · Data updated 2026-11-12

This study tests if a step-training program can help older adults with mild dementia improve their balance and reduce their risk of falling.

Quick facts

Study typeInterventional
Ages65 Years and up
SexAll
Enrollment145 (estimated)
SponsorThe Hong Kong Polytechnic University
Academic / other
Locations1 site (Hong Kong)
StatusRecruiting
StartedJanuary 1, 2024
Main results expectedSeptember 30, 2026
Study endsDecember 31, 2026
Registry record updatedMarch 13, 2025
Trial IDNCT05655403 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are individuals aged 65 and older with a physician's diagnosis of mild dementia and the ability to walk independently.

Probably not a fit

Patients with severe musculoskeletal, cardiorespiratory, or neurological conditions, or those with significant sensory impairments may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This project investigates the effects of a step-training program on older adults with mild dementia, focusing on improving choice stepping and reducing fall-related outcomes. The training involves concurrent stepping and visuospatial tasks to enhance cognitive and motor functions. The study aims to assess changes in step length, lower-limb muscle strength, balance, mobility, dual-task ability, and fear of falling. By understanding the impact of step training on the prefrontal cortex, the research seeks to provide insights into fall prevention strategies for this vulnerable population.

Why it matters

Potential benefit: If successful, this study could significantly reduce the risk of falls in older adults with mild dementia, enhancing their safety and quality of life.

How similar studies have gone: While step training has shown effectiveness in healthy older adults, this specific application in older adults with mild dementia is novel and has not been extensively tested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* at least 65 years old;
* have a physician's diagnosis of dementia according to the Diagnostic and Statistical Manual of Mental Disorders 5th edition;
* have mild dementia, indicated by a score of 10 or higher on the Montreal Cognitive Assessment Hong Kong version (HK-MoCA);
* able to walk 10 meters independently without a walking aid;
* receiving care by an unpaid "main caregiver" with at least 3.5 hours of face-to-face contact per week.

Exclusion Criteria:

* unable to perform step training due to unstable or severe musculoskeletal, cardiorespiratory, or neurological conditions;
* have severe hearing and/or visual impairments that limit their ability to communicate;
* have been hospitalized within the past 30 days.

Where it's running

  • The Hong Kong Polytechnic University
    Hong Kong, Hong Kong
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.