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Tai Ji Quan for Preventing Falls in Mild Cognitive Impairment

N/A

Recruiting

Research Sponsored by Oregon Research Institute

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Be older than 65 years old

Timeline

Screening 3 weeks

Treatment Varies

Follow Up baseline, 4 months, 6 months, 12 months

Awards & highlights

No Placebo-Only Group

Summary

This trial tests whether tai ji quan can reduce falls in older adults with mild cognitive impairment.

Who is the study for?

This trial is for older adults, aged 65 and above, who have mild cognitive impairment. They must have experienced at least one fall in the past year or take longer than normal to complete a walking test. Participants should not be currently doing tai ji quan exercises regularly and must be able to walk on their own for short distances.

What is being tested?

The study is testing if special exercise training called dual-task tai ji quan can help prevent falls compared to standard tai ji quan or simple stretching exercises. Older adults with memory complaints will practice these activities to see which is more effective.

What are the potential side effects?

While there are no major side effects expected from tai ji quan or stretching exercises, participants may experience muscle soreness or fatigue as they adapt to the physical activity involved in the training.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ baseline, 4 months, 6 months, 12 months

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~baseline, 4 months, 6 months, 12 months

This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 4 months, 6 months, 12 months for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Self-reported number of falls

Secondary study objectives

30-second chair stand

Backward Digit Span

Category Fluency

+7 more

Other study objectives

Activity-specific Balance Confidence

EuroQol EQ-5D

Frailty Questionnaire

+3 more

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

3Treatment groups

Experimental Treatment

Group I: Stretching exerciseExperimental Treatment1 Intervention

This active control intervention includes light activities that consist of breathing, stretching, and relaxation exercises. Each exercise session encompasses a variety of light and static stretches for joints and muscles, performed in a seated or standing position. Exercise involves the upper body (arms, neck, upper back, shoulder, back, and chest), lower extremities (quadriceps, hamstrings/calfs, and hips), and gentle and slow trunk rotations. Also included are intermittent light walking, deep abdominal breathing exercises that emphasize inhaling and exhaling to maximum capacity, and progressive relaxation of major muscle groups.

Group II: Standard tai ji quanExperimental Treatment1 Intervention

This intervention includes training of tai ji quan forms with synchronized breathing, supplemented by a set of mini-therapeutic exercises. The training involves repeated practice of (a) symmetrical, coordinated, trunk-driven tai ji quan form movements, (b) controlled displacement (weight-shifting) of the body's center of mass over varying sizes of the base of support, (c) dynamic eye-hand movements during whole-body motion, and (d) multidirectional (anterior-posterior and medial-lateral) stepping. As a balance training therapy, movement practices emphasize a dynamic interplay of stabilizing and self-induced destabilizing postural actions and balance exercises that target mobility, stability limits, and sensory integration.

Group III: Dual-task taj ji quanExperimental Treatment1 Intervention

This intervention includes training of (a) symmetrical postural tai ji quan forms/movements synchronized with breathing, (b) controlled displacement (weight-shifting) of the body's center of mass over the base of support, (c) dynamic eye-hand movements during whole-body motion, (d) multidirectional (anterior-posterior and medial-lateral) stepping, and (e) rotational ankle sway and self-induced reactive postural recovery actions. The training practices are integrated, gradually over time, with a mix of interactive, cognitively stimulating, dual-task exercises that challenge attention control, working memory, verbalization, response inhibition, processing speed, dual tasking, task switching/prioritization, and spatial orientation and postural awareness.

Treatment

First Studied

Drug Approval Stage

How many patients have taken this drug

stretching

2019

Completed Phase 2

~100

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