Visual Stimulus-Based Cognitive-Motor Agility Exercise in Older Adults

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. 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.

Conditions

• Aging
• Cognitive Performance
• Psychomotor Performance
• Exercise
• Functional Performance

Interventions

BEHAVIORAL

Multicomponent Exercise Program

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.

BEHAVIORAL

Visual Stimulus-Based Cognitive-Motor Agility Exercise

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.

BEHAVIORAL

Time-Matched Low-Intensity Activities

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.

Sponsors & Collaborators

• Çanakkale Onsekiz Mart University

  lead OTHER

Study Design

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

60 Years

Max Age

81 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2026-04-01

Primary Completion

2026-06-08

Completion

2026-06-08

Countries

• Turkey (Türkiye)

Study Locations