Cognitive Groove (Brought to You by GERAS DANCE)
Does Cognitive Groove (Brought to You by GERAS DANCE) Improve Physical Performance in Community-Dwelling Older Adults With Frailty: A Parallel Randomized Controlled Trial
McMaster University
250 participants
Jun 10, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to determine the effect of a community-based rehabilitation intervention (Cognitive Groove, Brought to you by GERAS DANCE), compared to usual care, on clinical outcomes in community-dwelling older adults living with frailty. The main questions it aims to answer are: 1. In community-dwelling older adults living with frailty, is Cognitive Groove more effective than usual care in improving functional movement, physical performance and strength? 2. In community-dwelling older adults living with frailty is Cognitive Groove more effective than usual care in improving frailty status, fear of falling, balance confidence, mood, cognition, grip strength, activities of daily living, life space mobility, loneliness, and quality of life? 3. As a community-based rehabilitation intervention, is Cognitive Groove a cost-effective intervention embedded within the community for older adults living with frailty after 12-months? Participants will participate in Cognitive Groove classes twice per week for 3 months or receive no intervention (usual care).
Eligibility
Inclusion Criteria6
- Community-dwelling aged ≥65 years
- At high risk for mobility disability/functional limitations as assessed by the FRAIL Scale ≥2
- Able to ambulate independently (25 m) with or without an assistive device
- Able to follow two-step instructions
- Medical clearance from referring clinician, or for self-referrals, medical clearance from family physician to safely participate in exercise
- Can arrange transportation to the YMCA up to 2 times per week
Exclusion Criteria8
- Unable to speak or understand English
- Current regular participation in a structured exercise program or receiving active physical therapy services
- Severe cardiac or pulmonary disease
- Unstable angina or heart failure
- Severe osteoarthritis (e.g., awaiting joint replacement)
- Parkinson's disease or other progressive neurological disorder
- Receiving palliative care
- Travel/commitments requiring missing more than two weeks
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Interventions
Cognitive Groove (GERAS DANCE) presents a novel approach to increasing or maintaining independence and quality of life by improving physical performance and mobility using reminiscent music and rhythmic movement in a fun, safe environment. Cognitive Groove was designed to meet the complex needs of older adults with frailty. Our pilot quasi-experimental studies have demonstrated Cognitive Groove results in clinically significant improvements in walking speed by 0.1 m/s with enhanced temporal-spatial walking parameters and improved lower extremity function, including balance and chair stands.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT06870149