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BalanceNCT06941714

Cognitive Load Effects on Balance and Postural Stability in Young Adults

A study testing Perturbation, Working Memory Task and Visual and Verbal Fluency Task in people with Balance and Cognitive Load, run by Riphah International University at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim is to determine the impact of cognitive load on balance recovery mechanisms following perturbations in young adults. To evaluate how secondary task is influenced by cognitive load and vice versa. Read more about this study

Who is it for?
Ages 18 to 30 yearsHealthy volunteers can take part
Conditions the study is for
Balance, Cognitive Load
What is being tested?
Perturbation, Working Memory Task and Visual and Verbal Fluency Task
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 sitePakistan
Study dates
23 Apr 2025to 30 Jul 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participants between age of 18 to 30 (university Students)
  • Sufficient physical function to stand independently.
  • Self-reported independent ambulation.
  • Participant willingness to participate.

Who cannot join

  • History of neurological or vestibular disorders.
  • Self-reported presence of musculoskeletal condition.
  • Disorders of spine, pelvic girdle and lower limb.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Pakistan1 site, 1 recruiting
  • Riphah International University

    Islamabad, 44000

    Imran Amjad, 03324390125, imran.amjad@riphah.edu.pk

    Recruiting

Other trials in Pakistan

About this study

Official title: Evaluating the Effects of Cognitive Load on Postural Stability and Balance Recovery Mechanisms in Younger Adults

  • The aim is to determine the impact of cognitive load on balance recovery mechanisms following perturbations in young adults.
  • To evaluate how secondary task is influenced by cognitive load and vice versa.
  • To compare the impact of cognitive load on balance recovery mechanisms following perturbations in male and female young adults.
  • This study interrelates the cognitive load, postural stability, balance recovery in the result of perturbation and effects on participants.
Read the detailed description

Maintaining balance is an important skill that requires coordination and is crucial for human beings. The Central Nervous System (CNS) plays an important role in maintaining balance, postural stability, and postural correction in response to sudden perturbation. The subcortical brain region contributes to balance maintenance and postural stability is regulated by the cerebral cortex. Balance is defined as the "Body's ability to keep its center of gravity within the base of support either standing or walking". On a regular basis people encounter perturbations (traveling on a bus while standing) that challenge balance, to overcome unexpected perturbations there must be activation of postural muscles to maintain the center of gravity within the base of support and prevent fall. Individuals mostly use ankle strategy or hip strategy to recover from perturbation and prevent fall. Anticipatory postural adjustment is a critical component of postural stability. recently cognition and postural control have received attention, there are studies that claim that dual-task design has been used to show the relation between posture and cognitive functioning. In the dual-task paradigm two tasks are performed simultaneously to divert the attention of an individual to an external source (counting backward etc.) while performing another task. Divided attention is commonly required in daily life while performing dual tasking and multitasking activities, if attention is not properly divided among task it will results in decline in performance which causes impairment of balance and fall.To prevent this, balance must be recovered from perturbation. The purpose is to assess effect of cognitive loading and recovery from perturbations along with balance maintenance and fulfillment of research gap that study should be performed with multiple methods of cognitive loading. That's why different methods for cognitive loading are used in current study which shows that how varying levels of cognitive load influence postural stability and balance in dual-task conditions. This research can help in rehabilitation programs in which specific interventional designs and treatment protocols are made to improve balance under the influence of cognitive load. Provide awareness to people on a societal level to improve their balance and posture maintenance under a mental workload.

Being tested
Perturbation, Working Memory Task, Visual and Verbal Fluency Task
Keywords
Performance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PerturbationOther

    Jack is attached to force plates and it is used to give perturbation when participants are standing on force platform. Balance is assessed after perturbation and readings will be taken through HRV and GSR.

  • Working Memory TaskOther

    Arithmetic test (Backward counting with serial 3 subtraction and articulation): participants are asked to count out loud backward with serial subtraction of 3 from each number, starting with a random number provided by the researcher. while participants are standing on force plates. During all this process cognitive loading will be measured through Heart Rate Variability (HRV) and Galvanic Skin Response (GSR).

  • Visual and Verbal Fluency TaskOther

    Modified Stroop test or Stroop color word test: Participants are asked to name the color of ink that each word is printed. The test will appear on screen while participants are standing on force plates. During all this process cognitive loading will be measured through Heart Rate Variability (HRV) and Galvanic Skin Response (GSR).

Study groups in NCT06941714
Study groupRoleWhat they receive
Baseline Balance AssessmentNo interventionAll participants who fall in the eligibility criteria will stand on force plates to check the static balance.
Static Balance along with Cognitive LoadingExperimentalAll participants who fall in the eligibility criteria will stand on force plates to check static balance and undergo two different types of cognitive loading
Receives: Other: Working Memory Task; Other: Visual and Verbal Fluency Task
PerturbationExperimentalAll participants who fall in the eligibility criteria will stand on force plate and perturbation is given to check balance recovery.
Receives: Other: Perturbation
Perturbation along with Cognitive LoadingExperimentalAll participants who fall in the eligibility criteria will stand on force plate and perturbation is given to check balance recovery and undergo two different types of cognitive loading.
Receives: Other: Perturbation; Other: Working Memory Task; Other: Visual and Verbal Fluency Task

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Centre of Pressure

    Force plates are used to measure data quantitatively and analyze postural stability through the displacement of COP from forces and moments. A force platform is used in conditions when the force platform is not moving (static posturography) and when the force platform is moving (dynamic posturography). It has the capability of measuring ground reaction forces in three directions and the moment of force. Each of the platforms was connected to a dedicated computer with relevant software and valid controllers.

    Measured: Baseline

  2. Centre of Pressure (2nd reading)

    Force plates are used to measure data quantitatively and analyze postural stability through the displacement of COP from forces and moments. A force platform is used in conditions when the force platform is not moving (static posturography) and when the force platform is moving (dynamic posturography). It has the capability of measuring ground reaction forces in three directions and the moment of force. Each of the platforms was connected to a dedicated computer with relevant software and valid controllers.

    2nd reading will be taken to measure static balance along with cognitive loading.

    Measured: Periprocedural

  3. Centre of Pressure (3rd reading)

    Force plates are used to measure data quantitatively and analyze postural stability through the displacement of COP from forces and moments. A force platform is used in conditions when the force platform is not moving (static posturography) and when the force platform is moving (dynamic posturography). It has the capability of measuring ground reaction forces in three directions and the moment of force. Each of the platforms was connected to a dedicated computer with relevant software and valid controllers.

    3rd reading will be taken at the time of perturbation without cognitive loading.

    Measured: Periprocedural

  4. Centre of Pressure (4rth reading)

    Force plates are used to measure data quantitatively and analyze postural stability through the displacement of COP from forces and moments. A force platform is used in conditions when the force platform is not moving (static posturography) and when the force platform is moving (dynamic posturography). It has the capability of measuring ground reaction forces in three directions and the moment of force. Each of the platforms was connected to a dedicated computer with relevant software and valid controllers.

    4rth reading will be taken at the time of perturbation along with cognitive loading.

    Measured: Periprocedural

  5. Postural Sway

    It is assessed through a force plate when the subject is standing on it.

    Measured: Baseline

  6. Postural Sway (2nd reading)

    It is assessed through a force plate when the subject is standing on it. 2nd reading will be taken to measure static balance along with cognitive loading.

    Measured: Periprocedural

  7. Postural Sway (3rd reading)

    It is assessed through a force plate when the subject is standing on it. 3rd reading will be taken at the time of perturbation without cognitive loading.

    Measured: Periprocedural

  8. Postural Sway (4rth reading)

    It is assessed through a force plate when the subject is standing on it. 4rth reading will be taken at the time of perturbation along with cognitive loading.

    Measured: Periprocedural

  9. Balance Recovery

    Jack is attached to force plates, and it is used to give a perturbation when the participant is standing on the force platform, and balance is assessed after the participant recovers from the perturbation. 1st reading will be taken to measure static balance without cognitive loading.

    Measured: Periprocedural

  10. Balance Recovery (2nd reading)

    Jack is attached to force plates, and it is used to give a perturbation when the participant is standing on the force platform, and balance is assessed after the participant recovers from the perturbation. 2nd reading will be taken to measure static balance along with cognitive loading.

    Measured: Periprocedural

  11. Heart Rate Variability

    Heart Rate Variability is a beat-to-beat fluctuation in normal sinus rhythm, and it arises due to variation between the sympathetic and parasympathetic divisions of the autonomic nervous system. Heart Rate Variability (HRV) is measured by using ECG signals. There is a positive association between HRV indices and cognitive performance.

    Measured: Baseline

  12. Heart Rate Variability (2nd reading)

    Heart Rate Variability is a beat-to-beat fluctuation in normal sinus rhythm, and it arises due to variation between the sympathetic and parasympathetic divisions of the autonomic nervous system. Heart Rate Variability (HRV) is measured by using ECG signals. There is a positive association between HRV indices and cognitive performance. 2nd reading will be taken to measure static balance along with cognitive loading.

    Measured: Periprocedural

  13. Heart Rate Variability (3rd reading)

    Heart Rate Variability is a beat-to-beat fluctuation in normal sinus rhythm, and it arises due to variation between the sympathetic and parasympathetic divisions of the autonomic nervous system. Heart Rate Variability (HRV) is measured by using ECG signals. There is a positive association between HRV indices and cognitive performance. 3rd reading will be taken at the time of perturbation without cognitive loading.

    Measured: Periprocedural

  14. Heart Rate Variability (4rth reading)

    Heart Rate Variability is a beat-to-beat fluctuation in normal sinus rhythm, and it arises due to variation between the sympathetic and parasympathetic divisions of the autonomic nervous system. Heart Rate Variability (HRV) is measured by using ECG signals. There is a positive association between HRV indices and cognitive performance. 4rth reading will be taken at the time of perturbation along with cognitive loading.

    Measured: Periprocedural

  15. Galvanic Skin Response

    Galvanic Skin Response is used in many psychophysiological studies. A change in the electrical property of skin is known as the galvanic skin response. GSR signals are used to capture autonomic nerve responses as a parameter of sweat gland function. There is a direct relation between GSR reading and cognitive loading.

    Measured: Baseline

  16. Galvanic Skin Response (2nd reading)

    Galvanic Skin Response is used in many psychophysiological studies. A change in the electrical property of skin is known as the galvanic skin response. GSR signals are used to capture autonomic nerve responses as a parameter of sweat gland function. There is a direct relation between GSR reading and cognitive loading. 2nd reading will be taken to measure static balance along with cognitive loading.

    Measured: Periprocedural

  17. Galvanic Skin Response (3rd reading)

    Galvanic Skin Response is used in many psychophysiological studies. A change in the electrical property of skin is known as the galvanic skin response. GSR signals are used to capture autonomic nerve responses as a parameter of sweat gland function. There is a direct relation between GSR reading and cognitive loading. 3rd reading will be taken at the time of perturbation without cognitive loading.

    Measured: Periprocedural

  18. Galvanic Skin Response (4rth reading)

    Galvanic Skin Response is used in many psychophysiological studies. A change in the electrical property of skin is known as the galvanic skin response. GSR signals are used to capture autonomic nerve responses as a parameter of sweat gland function. There is a direct relation between GSR reading and cognitive loading. 4rth reading will be taken at the time of perturbation along with cognitive loading.

    Measured: Periprocedural

  19. NASA Task Load Index

    The different dimensions of task load, including mental demand, physical demand, temporal demand, performance, effort and frustration, will be measured subjectively using the NASA Task Load Index(TLX). Low ratings will typically indicate an increased cognitive load. 1st reading will be taken after measuring static balance along with cognitive loading.

    Measured: after static balance with cognitive loading

  20. NASA Task Load Index (2nd reading)

    The different dimensions of task load, including mental demand, physical demand, temporal demand, performance, effort and frustration, will be measured subjectively using the NASA Task Load Index(TLX). Low ratings will typically indicate an increased cognitive load. 2nd reading will be taken after perturbation with cognitive loading.

    Measured: after perturbation with cognitive loading.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Apr 2025
  2. Study start23 Apr 2025
  3. Primary completion30 Jul 2025 (estimated)
  4. Study completion30 Jul 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Single group
Model description
Research
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06941714
Sponsor's protocol ID
REC/02023 Imran Amjad
Status last verified
Apr 2025
First submitted
7 Apr 2025
Last updated
25 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Perturbation, Working Memory Task and Visual and Verbal Fluency Task in people with Balance and Cognitive Load, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 25 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact IMRAN AMJAD (03324390125, imran.amjad@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Centre of Pressure (time frame: Baseline). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Apr 2025.

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