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

Loughborough University

Status: Unknown

Conditions: Older People

Treatments: Device: Exergame home training programme

Study type: Interventional

Funder types: Other

Identifiers

NCT05395676

5832

Details and patient eligibility

About

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.

Enrollment: 40 estimated patients

Sex: All

Ages: 65 to 85 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Cognitive dual task training (CDT) Group

Experimental group

Description:

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.

Treatment:

Device: Exergame home training programme

Balance dual task (BDT) training Group

Active Comparator group

Description:

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.

Treatment:

Device: Exergame home training programme