Group-Based Exercise Intervention to Prevent Cognitive and Motor Decline

Condition(s) studied

Investigational drug(s) / intervention(s)

Ideomotor: The Ideomotor Program sessions will include the following: 1. Warm-up Light-intensity physical-cognitive exercises. 2. Work-out 1 Mind-Motor: Stimulates physical and cognitive abilities through functional exercises. 3. Work-out 2 3.1) Mind-Motor: stimulate physical and cognitive abilities through aerobic exercises (once a week) 3.2) Work-out 2 Motor only: high-velocity muscle power exercises (once a week). 4. Cool-down: light-intensity walking or dynamic stretching combined with breathing 5. Socialization: dedicated moment to encourage socialization. Participants' feedback will be received once a month.

Control: The Group-based cognitive training will include the following: 1. Warm-up: cognitive exercises designed for training basic cognitive abilities in adults and older adults; 2. Work-out: cognitive exercises designed for training complex cognitive abilities in adults and older adults; 3. Cool-down: moment for discussion of the exercises and their possible solutions; 4. Socialization: dedicated moment to encourage socialization. Participants' feedback will be received once a month.

Study summary

The goal of this clinical trial is to evaluate the efficacy of the Ideomotor Program in healthy older adults living in the community. The main research questions are:

1\) Is the Ideomotor Program effective in improving cognitive function? 2) Is the Ideomotor Program effective in improving motor function? 3) Is the Ideomotor Program effective in improving overall well-being?

Researchers will compare the Ideomotor Program to a community group cognitive training program to determine whether the effects are superior. Participants will: undergo assessments at baseline, at the mid-intervention point, and upon program completion; participate in a 16-week group exercise program in a community gym two times per week; keep a diary to monitor the number of falls and any adverse events.

Eligibility

Primary outcome measure(s)

• Executive functions — At baseline and at the end of the intervention period (week 17)
  The Frontal Assessment Battery-15 will be used to access changes from baseline in executive functions (score range: 0-15, higher scores mean a better outcome)
• Cognitive flexibility — At baseline and at the end of the intervention period (week 17)
  Wisconsin Card Sorting Test will be used to assess changes from baseline in cognitive flexibility (score range perseverative errors: 0-64, higher scores mean a worse outcome)
• Short-term and working memory — At baseline and at the end of the intervention period (week 17)
  The Digit span test (forward and backward) will be used to assess from baseline changes in short-term and working memory (foward score range: 3-9, backward score range: 3-8; higher scores mean a better outcome)
• Visuo-spatial short term working memory — At baseline and at the end of the intervention period (week 17)
  The Corsi Block-Tapping Test will be used to assess changes from baseline in visuo-spatial short term working memory (score range: 2-9, higher scores mean a better outcome)

Trial sites (2)

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