Effects of Video Games and Ball Tossing on Eye Hand Coordination in Elderly With Mild Cognitive Impairment.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 34
- 试验地点
- 1
- 主要终点
- VISUAL-MOTOR INTEGRATION
研究概览
简要总结
One of the key challenges faced by individuals with mild cognitive impairment (MCI) is the decline in cognitive and motor abilities, particularly eye-hand coordination (EHC), which is essential for performing daily activities and maintaining independence. Impaired EHC can severely affect the quality of life in older adults, leading to difficulties in performing routine tasks like dressing, eating, and bathing, and increasing dependency on caregivers.
Signs and symptoms include difficulty with precise movements like buttoning clothes, spilling drinks while pouring, struggling to catch a ball, messy handwriting. This study aims to explore and compare the effectiveness of two interventions-video games and ball tossing exercises-in improving Eye-hand coordination (EHC) in older adults with Mild Cognitive Impairment (MCI).
Key outcome measures, including the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) and its supplemental test visual perception test and motor coordination test, will evaluate the effectiveness of the interventions on eye hand coordination.
We will include older adults with 60 and above age with MoCA score of 18-25(MCI patients), who can do independent ADLs and beery vmi score of 80 and above.
The participants would be assessed at the start of intervention through MoCA scale for MCI screening and Beery VMI testing method for Eye Hand Coordination for inclusion score.
详细描述
A reduction in cognitive function that occurs during the transitional period from normal aging to dementia is known as mild cognitive impairment (MCI) As people age, they experience a decline in cognitive function.The overall prevalence of MCI was 15.56% in older aged people.
Older individuals with MCI, they commonly face a decline in both cognitive and motor abilities, which can severely affect their quality of life.
One of the consequence of cognitive decline is impaired hand-eye coordination, a critical skill for daily activities and maintaining independence This impairment arises as MCI affects cognitive functions such as attention, making it difficult for individuals to focus on tasks, often leading to wandering hand and eye movements and hesitation during actions.
Hand-eye coordination, the brain's ability to synchronize visual input with hand movements, plays an essential role in performing activities of daily living (ADLs) and independence of older adults. Impaired hand-eye coordination is associated with the early stages of cognitive decline, indicating that cognitive deterioration has a significant impact on this ability.
Signs and symptoms include difficulty with precise movements like buttoning clothes, spilling drinks while pouring, struggling to catch a ball, messy handwriting, clumsiness when reaching for objects, frequent misjudging distances, and taking longer to complete tasks requiring hand-eye coordination due to slower reaction times etc.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Older population aged from 60years and above
- •Normal/ normal to corrected vision
- •MoCA Score of 18-25 for screening / MCI patients
- •Can do Independent ADLS
- •Beery VMI Score: 80 and above score
排除标准
- •History of head trauma, loss of consciousness, stroke, rapid cognitive decline
- •Diagnosis of mental illness/neurocognitive disorders
- •Diagnosed Vestibular disorders
- •Hearing, vision and communication impairments
研究组 & 干预措施
video games and ball tossing intervention
TAPD game:Tap the correct targets as they scroll down the screen. Be careful, though, the current target colour will change and the scrolling speed will increase progressively by time. it will have 5 difficulty levels Hand eye coordination game:Tap changing illuminating squares
Ball tossing intervention:
Exercise 1: Participant will be supposed to dribble/ tap soft bouncing ball on ground with one hand. After one set of exercise, 2 minutes of rest will be given and then again same exercise will be performed.
Exercise 2: Participants will be supposed to throw soft ball to the wall and aim for re-bound catch, initially starts from football sized soft ball and progress to small ball to increase difficulty level according to participants.
For easy level, participants can start from catching the ball after tapping to ground in the first week depending upon their ability.
Exercise 3: Participants will be supposed to tap table tennis ball with table tennis bat in air in vertical direction
干预措施: Experimental Group (Procedure)
ball tossing intervention
Exercise 1: Participant will be supposed to dribble/ tap soft bouncing ball on ground with one hand. After one set of exercise, 2 minutes of rest will be given and then again same exercise will be performed.
Exercise 2: Participants will be supposed to throw soft ball to the wall and aim for re-bound catch, initially starts from football sized soft ball and progress to small ball to increase difficulty level according to participants.
For easy level, participants can start from catching the ball after tapping to ground in the first week depending upon their ability.
Exercise 3: Participants will be supposed to tap table tennis ball with table tennis bat in air in vertical direction
干预措施: Control Group (Procedure)
结局指标
主要结局
VISUAL-MOTOR INTEGRATION
时间窗: 6 weeks
The Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) is a gold standard measure designed to identify challenges related to the coordination of visual and motor skills like eye hand coordination in both children and adults aged (2-100) year old. Visual Motor Integration takes approximately 10-15 min. Raw scores on the Beery VMI can range from 1 to 27, with a higher score reflecting a better performance. Raw scores are converted into standard scores according to age and each part of test has total of 30 scores to mark as there are 30 each shapes/tasks to complete. Interpretation: Standard Score Range \& Interpretation: \>129 = Very high 120-129 = High 110-119 = Above average 90-109 = Average 80-89 = Below average 70-79 = Low
次要结局
未报告次要终点