The Effect of Different Virtual Reality Trainings on Gait, Balance and Posture of Individuals With Dementia

NCT ID: NCT04377191

Last Updated: 2020-05-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-03-25
• Study Completion Date: 2019-12-24

Brief Summary

Dementia, a part of geriatric syndrome, is characterized by the deterioration of multiple cognitive domains such as memory, language, orientation, learning and personality as a result of damage to the central nervous system and in terms prognosis persistent and often progressive clinical condition. In the epidemiological studies it is stated that the number of the dementia affected people approximately 2 times in every 20 years. In several studies, it has been mentioned that cognitive disorders affect individuals' motor function such as gait and postural responses. These effects lead to a vicious circle by causing immobilization of individuals due to a decrease in cognitive functions in addition to immobilization due to aging. The lack of pharmacological therapies to change the prognosis of dementia, emphasizes physical activity methods due to its neurological contributions. However, due to the fact that conventional exercise programs are seen as boring in terms of elderly individuals and the exercise attendance rates are low, the virtual reality (VR) training have been preferred recently. To the best of the investigator's knowledge, there is no study examining the effect of different virtual reality trainings on the spatio-temporal characteristics of the gait, posture and balance. Therefore, the aim of this study is to evaluate the effect of different virtual reality trainings on these parameters.

Conditions

Dementia

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

VR 1 Group

In this group, participants received standard exercise and exergame training with Microsoft Xbox 360 Kinect for 2 days per week for 6 weeks.

Group Type: EXPERIMENTAL

exergame

Intervention Type: OTHER

Microsoft Xbox 360 Kinect The exercises were advanced from simple to complex. The program started with exercises in a sitting position. In the next stage, the games requiring weight transfer and use of upper limbs in standing position were continued. The program ended with games that require more complex movements such as lunge and mini squats.

exercise

Intervention Type: OTHER

Standard Exercise Program The program included warm-up, main exercise and cooling. Warm-up and cooling included neck, trunk, upper-lower extremity range of movement (ROM) exercises and stretching exercises. Main exercise included postural alignment, strengthening for trunk and lower extremity, balance and walking exercises.

VR 2 Group

In this group, participants received standard exercise and exergame training with ALDA balance gear for 2 days per week for 6 weeks.

Group Type: EXPERIMENTAL

exergame

Intervention Type: OTHER

ALDA In the training, games that could be controlled by balance swing, trunk movements and weight transfer in sitting or standing position were used.

exercise

Intervention Type: OTHER

Standard Exercise Program The program included warm-up, main exercise and cooling. Warm-up and cooling included neck, trunk, upper-lower extremity range of movement (ROM) exercises and stretching exercises. Main exercise included postural alignment, strengthening for trunk and lower extremity, balance and walking exercises.

Control Group

In this group, participants received only standard exercise for 2 days per week for 6 weeks.

Group Type: ACTIVE_COMPARATOR

exercise

Intervention Type: OTHER

Standard Exercise Program The program included warm-up, main exercise and cooling. Warm-up and cooling included neck, trunk, upper-lower extremity range of movement (ROM) exercises and stretching exercises. Main exercise included postural alignment, strengthening for trunk and lower extremity, balance and walking exercises.

Interventions

exergame

Microsoft Xbox 360 Kinect The exercises were advanced from simple to complex. The program started with exercises in a sitting position. In the next stage, the games requiring weight transfer and use of upper limbs in standing position were continued. The program ended with games that require more complex movements such as lunge and mini squats.

Intervention Type: OTHER

exergame

ALDA In the training, games that could be controlled by balance swing, trunk movements and weight transfer in sitting or standing position were used.

Intervention Type: OTHER

exercise

Standard Exercise Program The program included warm-up, main exercise and cooling. Warm-up and cooling included neck, trunk, upper-lower extremity range of movement (ROM) exercises and stretching exercises. Main exercise included postural alignment, strengthening for trunk and lower extremity, balance and walking exercises.

Intervention Type: OTHER

Other Intervention Names

virtual reality; Microsoft Xbox 360 Kinect; virtual reality; ALDA

Eligibility Criteria

Inclusion Criteria

• Diagnosed with dementia
• Mini-Mental State Examination (MMSE) score between 18-23 points
• Able to walk independently with/without a walking aid (a single point cane)
• Able to speak and understand Turkish
• Understand simple commands
• At least primary education

Exclusion Criteria

• Severly vision and hearing problems
• Undergo acute retinal hemorrhage or ophthalmic surgery
• Acute or chronic neurological problems
• Musculoskeletal and/or neurological problems affecting movement and balance
• Vestibular problem and/or use medicine
• Uncontrolled cardiovascular disease, congestive heart failure, acute myocarditis, pulmonary hypertension, or using a pacemaker
• Malignancy
• Orthopedic or neurological surgery in the past 6 months

• Minimum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ankara Yildirim Beyazıt University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Ankara Yıldırım Beyazıt University

Ankara, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

5444

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

2019-65

Identifier Type: -

Identifier Source: org_study_id