Exer-game Balance Training on Dementia

Riphah International University

Status: Completed

Conditions: Mild Cognitive Impairment

Treatments: Other: Exergaming high intensity group; Other: Exergaming moderate intensity group; Other: Exergaming low intensity group; Other: control group exergaming

Study type: Interventional

Funder types: Other

Identifiers

NCT05158595

REC/01032/Sehar

Details and patient eligibility

About

Age-related cognitive impairment is a wide phenomenon. Mild cognitive impairment is a transitional stage between Dementia and normal cognition.Mild cognitive impairment (MCI) is a syndrome that has been recognized in older adults and it has become a topic of a major focus on clinical care and research. In people with this condition, there are cognitive deficits and these have adverse effects on activities of daily living . These patients cannot recognize their impairment. Mild cognitive impairment is a risk factor for dementia.

Full description

The clinical features of MCI are memory impairment along with language or speech impairments, executive functions, and visuospatial impairments. In regard to clinical features of Mild cognitive impairment (MCI), there are motor problems as patients have difficulty in doing complex motor tasks like doing pegboard assembly and also in fine and gross motor skills performance like they have difficulty in maintaining balance and body weight. Major factors contributing to mild cognitive impairment or major causes are medical conditions like hepatic or renal failure, depression, sleep disturbances, psychological problems,s and medicine side effects. impaired attention and concentration can lead to impaired memory and a decline in cognitive function.

As literature supports the evidence of the effectiveness of Exergaming in adults with neurocognitive disorders.As Exer-gaming training program improved their lower extremity functioning, cognitive function, and reduced depression, neuropsychiatric symptoms too. Recent studies on the treatment of Exergaming and its effect on the quality of life in dementia approach the standing balance Exer-gaming being effective and has increased attention, concentration, memory, and reaction time and has improved physical, cognitive, emotional, social function and quality of life and decreased the level of frailty in dementia patients. Recent literature on Exergaming has successfully improved cognition, balance,gait, and verbal memory in MCI patients and reduced fall risk in older adults of age >55 years

Enrollment: 40 patients

Sex: All

Ages: 55+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Individuals >55 years of age.
• Patients meeting mild cognitive impairment (MCI), The Montreal Cognitive Assessment (MoCA) 20-24.
• clinical dementia rating scale (CDR) ≤ 1.0
• No unstable disease precluding the planned exercise
• Able to see and hear sufficiently to participate in planned physical and computer-based cognitive training

Exclusion criteria

• Non-ambulatory or major mobility disorder;
• Other neurological conditions associated with cognitive impairment such as stroke, Parkinson disease, and head injury
• Any clinically significant psychiatric condition, current drug or alcohol abuse, that would interfere with the ability to participate in the study
• Severe visual impairment
• Unwillingness to participate

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 4 patient groups

low intensity group

Experimental group

Description:

Will receive wobble board based Exergame balance training, game intensity will be low for this group (Size of goal will be kept large)

Treatment:

Other: Exergaming low intensity group

moderate intensity group

Experimental group

Description:

Will receive wobble board based Exergame balance training, game intensity will be low for this group (Size of goal will be kept large)

Treatment:

Other: Exergaming moderate intensity group

high intensity group

Experimental group

Description:

Will receive wobble board-based Exergame balance training, game intensity will be high for this group (Size of goal will be kept small).

Treatment:

Other: Exergaming high intensity group

control group

Active Comparator group

Description:

Will receive Exer-game balance training with Wii Fit balance games

Treatment:

Other: control group exergaming