The purpose of this study aims to explore the surplus effect of arch support insole to a cognicise training program on lower-extremity function in community-dwelling older adults with mild cognitive impairment (MCI). In this randomized controlled intervention study, we will recruit 40 community-dwelling individuals aged ≥55 years with MCI. Experimental group (n=20) will receive cognicise training program with insole intervention (6 hours/day), while the control group (n=20) only undergo cognicise training. A 1-h training session will be given three times a week for 12 weeks for both groups. The outcomes include static standing balance, functional reach test, timed-up-and-go test, 10-m obstacle crossing, the Short Physical Performance Battery (SPPB), and gait assessment during single- and dual-task walking for 20 m at self-selected comfortable pace while performing serial subtractions (cognitive interference) or carrying a tray (motor interference). The results of the current study are expected to provide evidences in supporting the use of arch support insole among community-dwelling older adults with MCI. Interventions combing physical-cognitive training and insole for providing mechanical stability and somatosensory stimulation may serve as potential strategies for fall prevention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
a combination of "cognition" and "exercise" training
The FootDisc insole is designed with curEVA for shock absorption and motion reduction, poron for secondary heel and metatarsal protection, and dynamic arch support for returning energy for propulsion
Cheng Hsin General Hospital
Taipei, Taiwan
RECRUITINGChange of static standing balance
30-s static standing balance
Time frame: at baseline and after 12-wk of intervention
Change of timed-up-and-go test
3-m timed-up-and-go test
Time frame: at baseline and after 12-wk of intervention
Change of 10-m obstacle crossing
10-m obstacle crossing
Time frame: at baseline and after 12-wk of intervention
Change of functional reach test
functional reach test
Time frame: at baseline and after 12-wk of intervention
Change of Short Physical Performance Battery
Short Physical Performance Battery
Time frame: at baseline and after 12-wk of intervention
Change of gait
single- and dual-task walking for 20 m at self-selected comfortable pace while performing serial subtractions (cognitive interference) or carrying a tray (motor interference)
Time frame: at baseline and after 12-wk of intervention
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