Effects of Telerehabilitation-Based Dual-Task Exercises on Balance, Fall Risk, Cognitive Function, and Sleep Quality in Geriatric Individuals
The Effects of Dual-Task Exercises Performed Through Telerehabilitation on Balance, Falls, Cognitive Function, and Sleep Quality in Geriatric Individuals: A Randomised Control Trial
Bulent Ecevit University
60 participants
Feb 2, 2026
INTERVENTIONAL
Conditions
Summary
The purpose of this study is to investigate the effects of dual-task exercises-which simultaneously target cognitive and motor functions-delivered via telerehabilitation on fall risk, balance, cognitive functions, and sleep quality in geriatric individuals.Aging is often associated with balance disorders, increased fall risk, cognitive decline, and impaired sleep quality, all of which significantly impact the quality of life in the elderly. Dual-task interventions require individuals to perform physical and cognitive tasks concurrently, aiming to improve sensorimotor control and enhance balance strategies under cognitive load.This study utilizes telerehabilitation as a cost-effective and sustainable solution to facilitate access to healthcare services, providing a remote alternative to face-to-face rehabilitation. The research aims to demonstrate that dual-task exercises performed through telerehabilitation can contribute to functional recovery, reduce the fear of falling, and increase the safe mobility capacity of geriatric individuals.
Eligibility
Inclusion Criteria7
- Participants aged 65 to 74 years.
- Berg Balance Scale (BBS) score between 41 and 56.
- Tinetti Performance Oriented Mobility Assessment (POMA) score between 19 and 23.
- Mini-Mental State Examination (MMSE) score between 18 and 30.
- Independent in activities of daily living.
- Able to walk without assistive devices.
- Capable of using video call applications for telerehabilitation sessions.
Exclusion Criteria7
- Participants younger than 65 years.
- Individuals with cardiovascular diseases.
- Amputees.
- Individuals with severe cognitive impairment.
- Individuals with significant visual or hearing impairments.
- Individuals without internet access.
- Individuals unable to use video call applications for telerehabilitation sessions.
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Interventions
Participants perform 4-week home-based dual-task exercises 3 days/week via video call with a physiotherapist. Each session includes 5 minutes of warm-up, 50 minutes of combined motor and cognitive exercises, and 5 minutes of cool-down. Motor tasks focus on balance and posture (semi-tandem, tandem walking, single-leg stance, directional changes). Cognitive tasks are performed simultaneously, including counting, naming objects/colors/animals, simple arithmetic, memory, and sequencing tasks. Task difficulty is progressively increased weekly, and intensity is adjusted individually. The physiotherapist monitors exercise form and safety visually during each session.
Participants receive a brochure covering posture, balance, sleep hygiene, safe physical activity, and the dual-task exercises provided to the intervention group. Weekly phone calls are made to monitor adherence, encourage engagement, and answer questions. Participants perform exercises independently at home, following brochure instructions. No structured telerehabilitation sessions are provided.
Locations(1)
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NCT07472101