Cognitive Exergame Training on Dual-Task Cost and Balance Stability in Older Adults

NCT ID: NCT05395676

Last Updated: 2022-05-27

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-04-11
• Study Completion Date: 2023-09-30

Brief Summary

Balance stability requires both motor and cognitive (mental) functions working together. Balance stability may decrease when performing two tasks at the same time (dual task), as cognitive and motor tasks compete for performing a higher task. Meanwhile, social distance and remote working become a necessity due to Covid-19. The primary aim is to evaluate the feasibility of cognitive exergame training in reducing dual-task costs and improve the balance performance among individuals between 65 and 85 years. The secondary aim is to observe the effectiveness of virtual home exercise on adherence and interactive rate of the population between 65 and 85 years.

Conditions

Older People

Study Design

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

Study Groups

Cognitive dual task training (CDT) Group

The CDT group (n = 20) will participate in games on Xbox one consoles that require a higher cognitive demand compared to those of the BDT group. The training sessions will include five different games that require participants to stand and use their hand reach function to interact with different cognitive (i.e. dual-tasking) skills, such as working memory, problem solving, Stroop effect, planning, attention and response time.

Group Type: EXPERIMENTAL

Exergame home training programme

Intervention Type: DEVICE

Each training programme (Xbox or Wii Fit) is aimed at improving the following issues: improper weight shifting and reduced dual tasking. The participants will be guided in the first sessions to familiarize themselves with the exercises. Then, they will be allowed to exercise independently at home. Allowing enough practice time before collecting data helps minimize practice effects. practice effects are confounding factors that can affect the results and make it difficult to identify whether the improvement in outcome is due to the training or not. The duration of the training programme will be approximately 30 minutes. Each game will be played three times (the duration for each game is approximately one minute).

Balance dual task (BDT) training Group

The BDT group (n = 20) will participate in the conventional training programme on Wii consoles that have been used by previous studies (Barcala et al. 2013; Chao et al. 2015; Kannan et al. 2019), to improve balance performance. The training sessions will include five different games that require participants to stand and use their weight shift to control the game while maintaining balance.

Group Type: ACTIVE_COMPARATOR

Exergame home training programme

Intervention Type: DEVICE

Each training programme (Xbox or Wii Fit) is aimed at improving the following issues: improper weight shifting and reduced dual tasking. The participants will be guided in the first sessions to familiarize themselves with the exercises. Then, they will be allowed to exercise independently at home. Allowing enough practice time before collecting data helps minimize practice effects. practice effects are confounding factors that can affect the results and make it difficult to identify whether the improvement in outcome is due to the training or not. The duration of the training programme will be approximately 30 minutes. Each game will be played three times (the duration for each game is approximately one minute).

Interventions

Exergame home training programme

Each training programme (Xbox or Wii Fit) is aimed at improving the following issues: improper weight shifting and reduced dual tasking. The participants will be guided in the first sessions to familiarize themselves with the exercises. Then, they will be allowed to exercise independently at home. Allowing enough practice time before collecting data helps minimize practice effects. practice effects are confounding factors that can affect the results and make it difficult to identify whether the improvement in outcome is due to the training or not. The duration of the training programme will be approximately 30 minutes. Each game will be played three times (the duration for each game is approximately one minute).

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Individuals between 65-85 years
• Individuals with no sign of aphasia
• Individuals with a manual muscle test score of ≤5/5
• Individuals who can perform a full range of movement (ROM) against gravity
• Individuals who can stand for five minutes without the use of an assistive device

Exclusion Criteria

• Individuals with a neurological condition (e.g. vestibular deficit, stroke, Parkinson's disease, epilepsy or peripheral neuropathy) o Individuals with a cardiovascular or musculoskeletal disorder
• Individuals with any lower limb injury or balance disorder within the last 12 months that has affected their physical activity
• Individuals with cognitive impairment such as dementia
• Individuals who score over 13 points on the Short FES-I

• Minimum Eligible Age: 65 Years
• Maximum Eligible Age: 85 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Loughborough University

OTHER

Sponsor Role: lead

Responsible Party

Ahmet Begde

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ahmet Begde

Role: PRINCIPAL_INVESTIGATOR

Loughborough University

Alaa Algurafi

Role: PRINCIPAL_INVESTIGATOR

Loughborough University

Matthew Pain

Role: STUDY_DIRECTOR

Loughborough University

Glen Blenkinsop

Role: STUDY_DIRECTOR

Loughborough University

Eef Hogervorst

Role: STUDY_DIRECTOR

Loughborough University

Locations

Loughborough University

Loughborough, Leicestershire, United Kingdom

Site Status: RECRUITING

Countries

United Kingdom

Central Contacts

Ahmet Begde

Role: CONTACT

a.begde@lboro.ac.uk

+4407391312843

Facility Contacts

Ahmet Begde

Role: primary

Other Identifiers

5832

Identifier Type: -

Identifier Source: org_study_id