AgingNCT07714148
Visual Stimulus-Based Cognitive-Motor Agility Exercise in Older Adults
A study testing Multicomponent Exercise Program, Visual Stimulus-Based Cognitive-Motor Agility Exercise and Time-Matched Low-Intensity Activities in people with Aging and Cognitive Performance, run by Çanakkale Onsekiz Mart University at 1 site in Turkey (Türkiye).
Trial summary
This randomized controlled trial examined the effects of adding a brief visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program in community-dwelling older adults. Participants were randomized to either an experimental group or an active control group. Read more about this study
- Who is it for?
- Ages 60 to 81 yearsHealthy volunteers can take part
- Conditions the study is for
- Aging, Cognitive Performance, Psychomotor Performance
- What is being tested?
- Multicomponent Exercise Program, Visual Stimulus-Based Cognitive-Motor Agility Exercise and Time-Matched Low-Intensity Activities
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 41 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Apr 2026to 8 Jun 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 60 to 81 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Community-dwelling older adults aged 60 years or older
- Able to ambulate independently
- Able to understand and follow basic exercise and testing instructions
- Montreal Cognitive Assessment score of 23 or higher
- No health condition that would limit safe participation in exercise
- Able to participate regularly in the 8-week exercise program
Who cannot join
- Serious cardiovascular, neurological, orthopedic, or vestibular disease that could prevent safe participation in exercise
- Recent surgery
- Uncontrolled hypertension
- Severe visual or hearing problems
- Montreal Cognitive Assessment score below 23
- Use of medications known to substantially affect cognitive, psychomotor, balance, or motor performance
- Very low physical function preventing safe participation in the exercise program
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Canakkale Onsekiz Mart University
Çanakkale, 17100
About this study
Official title: Effects of Visual Stimulus-Based Cognitive-Motor Agility Exercise on Cognitive, Psychomotor, and Functional Performance in Older Adults: A Randomized Controlled Trial
This randomized controlled trial examined the effects of adding a brief visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program in community-dwelling older adults. Participants were randomized to either an experimental group or an active control group. Both groups participated in supervised multicomponent exercise sessions twice weekly for 8 weeks. Each session lasted 45 minutes. During the final 10 minutes of each session, the experimental group performed the visual stimulus-based cognitive-motor agility exercises, whereas the active control group performed time-matched low-intensity activities. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory, and functional performance.
Read the detailed description
This study was designed as an 8-week, parallel-group randomized controlled exercise intervention in community-dwelling older adults. The study aimed to determine whether adding a brief Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program would provide additional benefits for cognitive, psychomotor, and functional performance.
After completion of baseline assessments, eligible participants were randomized to either an experimental group or an active control group. Both groups participated in supervised exercise sessions twice weekly for 8 weeks, for a total of 16 sessions. Each session lasted 45 minutes. The first 35 minutes of each session consisted of the same multicomponent exercise program in both groups. This program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, agility exercise, coordination exercises, low-resistance strengthening exercises, and functional movement combinations.
During the final 10 minutes of each session, participants in the experimental group completed visual stimulus-based cognitive-motor agility exercises using the Light Trainer system. These tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. The Light Trainer component included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across the 8-week intervention by increasing the number of modules from two to six and by increasing task complexity, stimulus randomness, movement direction changes, response speed requirements, and cognitive-motor demands.
Participants in the active control group completed the same 35-minute multicomponent exercise program followed by a time-matched 10-minute low-intensity activity period. These activities included supervised stretching, mobility, agility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.
Assessments were performed at baseline and after the 8-week intervention period. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory performance time and accuracy, Ten-Step Test, 30-second Chair Stand Test, 30-second Arm Curl Test, and 8-Foot Up-and-Go Test. The study was conducted in community-dwelling older adults aged 60 years or older who were able to ambulate independently and follow basic exercise and testing instructions.
- Being tested
- Multicomponent Exercise Program, Visual Stimulus-Based Cognitive-Motor Agility Exercise, Time-Matched Low-Intensity Activities
- Keywords
- older-adults, cognitive-motor exercise, reactive agility, psychomotor performance
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multicomponent Exercise ProgramBehavioural
Participants completed a supervised 35-minute multicomponent exercise program twice weekly for 8 weeks. The program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, coordination exercises, low-resistance strengthening exercises, and functional movement combinations. This component was performed by both the experimental and active control groups.
Visual Stimulus-Based Cognitive-Motor Agility ExerciseBehavioural
The experimental group completed a 10-minute Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component during the final part of each supervised session. Tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. Each session included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across 8 weeks by increasing the number of modules from two to six and increasing task complexity.
Time-Matched Low-Intensity ActivitiesBehavioural
The active control group completed a 10-minute time-matched low-intensity activity period during the final part of each supervised session. These activities included stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.
| Study group | Role | What they receive |
|---|---|---|
| Visual stimuli Cognitive-Motor Agility Exercise | Experimental | Participants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by both groups, followed by 10 minutes of Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise. The Light Trainer component included reactive visual-motor tasks requiring participants to respond to randomized visual stimuli using hand and foot movements. Receives: Behavioral: Multicomponent Exercise Program; Behavioral: Visual Stimulus-Based Cognitive-Motor Agility Exercise |
| Active Control: Multicomponent Exercise With Low-Intensity Activities | Active comparator | Participants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by the experimental group, followed by 10 minutes of time-matched low-intensity activities. These activities included supervised stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises. Receives: Behavioral: Multicomponent Exercise Program; Behavioral: Time-Matched Low-Intensity Activities |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Montreal Cognitive Assessment Score
The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated. The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated.
Measured: Baseline and 8 weeks
Secondary outcomes (8)
Change in Hand Visual-Motor Response Time
Hand visual-motor response performance was assessed using the Light Trainer system. Participants responded to randomized visual stimuli by touching illuminated modules with either hand during a 30-second task. Fastest and mean response times were recorded in seconds. Shorter response times indicate better performance.
Measured: Baseline and 8 weeks
Change in Foot Visual-Motor Response Time
Foot visual-motor response performance was assessed using the Light Trainer system. Participants responded to randomized visual stimuli by stepping on illuminated modules with either foot during a 30-second task. Fastest and mean response times were recorded in seconds. Shorter response times indicate better performance.
Measured: Baseline and 8 weeks
Change in Visual Working Memory Performance Time
Visual working memory response time was assessed using the memory mode of the Light Trainer system. Participants memorized the color and position of illuminated modules and then identified the module corresponding to a target color. Fastest times were recorded in seconds, with shorter values indicating better visual working memory performance. Change from baseline to 8 weeks was evaluated.
Measured: Baseline and 8 weeks
Change in Visual Working Memory Accuracy
Visual working memory accuracy was assessed using the memory mode of the Light Trainer system. Participants memorized the color and position of illuminated modules and then identified the module corresponding to a target color. Accuracy was expressed as the device-recorded percentage of correct responses across all trials and ranged from 0% to 100%, with higher values indicating better visual working memory performance. Change from baseline to 8 weeks was evaluated.
Measured: Baseline and 8 weeks
Change in Ten-Step Test Time
Lower-extremity rapid stepping and agility performance were assessed using the Ten-Step Test. Participants completed 10 alternating stepping movements on a 10-cm step block as quickly as possible. Test duration was recorded in seconds. Shorter time indicates better performance.
Measured: Baseline and after 8 weeks
Change in 30-Second Chair Stand Test Performance
Lower-body functional strength was assessed using the 30-second Chair Stand Test. Participants were instructed to stand up fully and sit down as many times as possible within 30 seconds. The total number of correctly completed repetitions was recorded. Higher repetition count indicates better performance.
Measured: Baseline and 8 weeks
Change in 30-Second Arm Curl Test Performance
Upper-body functional strength was assessed using the 30-second Arm Curl Test. Participants performed as many controlled elbow flexion-extension repetitions as possible within 30 seconds while seated. The test was performed separately for the right and left arms. Higher repetition count indicates better performance.
Measured: Baseline and 8 weeks
Change in 8-Foot Up-and-Go Test Time
Functional mobility, agility, and dynamic balance were assessed using the 8-Foot Up-and-Go Test. Participants rose from a chair, walked around a marker placed 2.44 meters away, returned to the chair, and sat down again. Test duration was recorded in seconds. Shorter time indicates better performance.
Measured: Baseline and 8 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jul 2026
- Study start1 Apr 2026
- Primary completion8 Jun 2026
- Study completion8 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AgingStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants were randomly assigned to one of two parallel groups: an experimental group receiving multicomponent exercise plus the visual stimulus-based cognitive-motor agility exercise, or an active control group receiving the same multicomponent exercise plus time-matched low-intensity activities.
- Masking
- None (open label)
- Enrolment
- 41 participants (actual)
Sponsor and investigators
- Lead sponsor
- Çanakkale Onsekiz Mart University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gulsah Sahin, Çanakkale Onsekiz Mart University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07714148
- Sponsor's protocol ID
- 2026-YONP-0051
- Status last verified
- Jul 2026
- First submitted
- 15 Jul 2026
- Last updated
- 21 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Visual Stimulus-Based Cognitive-Motor Agility Exercise on Cognitive, Psychomotor, and Functional Performance in Older Adults: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07714148
- Acronym / sponsor ID
- 2026-YONP-0051
- Keywords
- older-adults, cognitive-motor exercise, reactive agility, psychomotor performance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 41 participants (actual)
- Lead sponsor
- Çanakkale Onsekiz Mart UniversityUniversity, hospital or other
- Study start
- 1 Apr 2026 (actual)
- Primary completion
- 8 Jun 2026 (actual)
- Study completion
- 8 Jun 2026 (actual)
- First posted
- 20 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This randomized controlled trial examined the effects of adding a brief visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program in community-dwelling older adults. Participants were randomized to either an experimental group or an active control group. Both groups participated in supervised multicomponent exercise sessions twice weekly for 8 weeks. Each session lasted 45 minutes. During the final 10 minutes of each session, the experimental group performed the visual stimulus-based cognitive-motor agility exercises, whereas the active control group performed time-matched low-intensity activities. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory, and functional performance.
Detailed description
This study was designed as an 8-week, parallel-group randomized controlled exercise intervention in community-dwelling older adults. The study aimed to determine whether adding a brief Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component to a multicomponent exercise program would provide additional benefits for cognitive, psychomotor, and functional performance.
After completion of baseline assessments, eligible participants were randomized to either an experimental group or an active control group. Both groups participated in supervised exercise sessions twice weekly for 8 weeks, for a total of 16 sessions. Each session lasted 45 minutes. The first 35 minutes of each session consisted of the same multicomponent exercise program in both groups. This program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, agility exercise, coordination exercises, low-resistance strengthening exercises, and functional movement combinations.
During the final 10 minutes of each session, participants in the experimental group completed visual stimulus-based cognitive-motor agility exercises using the Light Trainer system. These tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. The Light Trainer component included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across the 8-week intervention by increasing the number of modules from two to six and by increasing task complexity, stimulus randomness, movement direction changes, response speed requirements, and cognitive-motor demands.
Participants in the active control group completed the same 35-minute multicomponent exercise program followed by a time-matched 10-minute low-intensity activity period. These activities included supervised stretching, mobility, agility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises.
Assessments were performed at baseline and after the 8-week intervention period. The primary outcome was global cognitive performance assessed using the Montreal Cognitive Assessment. Secondary outcomes included hand and foot visual-motor response time, visual working memory performance time and accuracy, Ten-Step Test, 30-second Chair Stand Test, 30-second Arm Curl Test, and 8-Foot Up-and-Go Test. The study was conducted in community-dwelling older adults aged 60 years or older who were able to ambulate independently and follow basic exercise and testing instructions.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants were randomly assigned to one of two parallel groups: an experimental group receiving multicomponent exercise plus the visual stimulus-based cognitive-motor agility exercise, or an active control group receiving the same multicomponent exercise plus time-matched low-intensity activities.
| Arm | Type | Receives |
|---|---|---|
| Visual stimuli Cognitive-Motor Agility Exercise | Experimental | Behavioral: Multicomponent Exercise Program, Behavioral: Visual Stimulus-Based Cognitive-Motor Agility ExerciseParticipants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by both groups, followed by 10 minutes of Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise. The Light Trainer component included reactive visual-motor tasks requiring participants to respond to randomized visual stimuli using hand and foot movements. |
| Active Control: Multicomponent Exercise With Low-Intensity Activities | Active comparator | Behavioral: Multicomponent Exercise Program, Behavioral: Time-Matched Low-Intensity ActivitiesParticipants in this arm completed supervised exercise sessions twice weekly for 8 weeks. Each 45-minute session included the same 35-minute multicomponent exercise program performed by the experimental group, followed by 10 minutes of time-matched low-intensity activities. These activities included supervised stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises. |
Who may qualify
- Ages
- 60 to 81 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Community-dwelling older adults aged 60 years or older
- Able to ambulate independently
- Able to understand and follow basic exercise and testing instructions
- Montreal Cognitive Assessment score of 23 or higher
- No health condition that would limit safe participation in exercise
Key exclusion criteria (7 listed)
- Serious cardiovascular, neurological, orthopedic, or vestibular disease that could prevent safe participation in exercise
- Recent surgery
- Uncontrolled hypertension
- Severe visual or hearing problems
- Montreal Cognitive Assessment score below 23
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Multicomponent Exercise ProgramParticipants completed a supervised 35-minute multicomponent exercise program twice weekly for 8 weeks. The program included light-paced walking, mobility exercises, multidirectional stepping, balance tasks, coordination exercises, low-resistance strengthening exercises, and functional movement combinations. This component was performed by both the experimental and active control groups. | Behavioural | Active Control: Multicomponent Exercise With Low-Intensity Activities, Visual stimuli Cognitive-Motor Agility Exercise |
| Visual Stimulus-Based Cognitive-Motor Agility ExerciseThe experimental group completed a 10-minute Light Trainer-assisted visual stimulus-based cognitive-motor agility exercise component during the final part of each supervised session. Tasks required participants to perceive randomized visual stimuli, select an appropriate motor response, and respond as quickly and accurately as possible using hand or foot movements. Each session included 13 repetitions of 30-second task intervals separated by 15-second rest periods. Task difficulty progressed across 8 weeks by increasing the number of modules from two to six and increasing task complexity. | Behavioural | Visual stimuli Cognitive-Motor Agility Exercise |
| Time-Matched Low-Intensity ActivitiesThe active control group completed a 10-minute time-matched low-intensity activity period during the final part of each supervised session. These activities included stretching, mobility, balance, or recovery exercises and did not include visual stimulus-based response tasks, rapid decision-making, reactive agility tasks, or Light Trainer-assisted exercises. | Behavioural | Active Control: Multicomponent Exercise With Low-Intensity Activities |
Primary outcome
Change in Montreal Cognitive Assessment Score
Time frame: Baseline and 8 weeks
The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated. The Montreal Cognitive Assessment was used to assess global cognitive function. Scores range from 0 to 30, with higher scores indicating better cognitive performance. Change from baseline to 8 weeks was evaluated.
8 secondary outcomes
Change in Hand Visual-Motor Response Time
Time frame: Baseline and 8 weeks
Change in Foot Visual-Motor Response Time
Time frame: Baseline and 8 weeks
Change in Visual Working Memory Performance Time
Time frame: Baseline and 8 weeks
Change in Visual Working Memory Accuracy
Time frame: Baseline and 8 weeks
Change in Ten-Step Test Time
Time frame: Baseline and after 8 weeks
Change in 30-Second Chair Stand Test Performance
Time frame: Baseline and 8 weeks
Change in 30-Second Arm Curl Test Performance
Time frame: Baseline and 8 weeks
Change in 8-Foot Up-and-Go Test Time
Time frame: Baseline and 8 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multicomponent Exercise Program, Visual Stimulus-Based Cognitive-Motor Agility Exercise and Time-Matched Low-Intensity Activities in people with Aging and Cognitive Performance, run by Çanakkale Onsekiz Mart University at 1 site in Turkey (Türkiye).
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 6 inclusion and 7 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: finished, as of the sponsor's last update on 21 Jul 2026. 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 Turkey (Türkiye). 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Montreal Cognitive Assessment Score (time frame: Baseline and 8 weeks). 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 21 Jul 2026.