The Effect of Cognitive Exergame Training on Dual-Task Cost and Balance Stability of the Individuals Between 65 and 85 Years
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Change in Dual-task cost
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 85 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
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.
干预措施: Exergame home training programme (Device)
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.
干预措施: Exergame home training programme (Device)
结局指标
主要结局
Change in Dual-task cost
时间窗: 8 weeks
A dual-task cost (DTC) occurs when attention is divided between two tasks (e.g. cognitive and motor tasks), or a delay in one task causes attention to divert to the other. This may cause a decline in balance stability and an increase in dual-task cost. Calculation of dual-task cost A decrease in dual-task performance (i.e. dual-task cost) is represented with a negative value, whereas an improvement in dual-task performance is represented by a positive value. DTE(%)=((dual task - single task))/(single task )× 100% An example of the formula for measuring dual-task interference using absolute values of LOS parameters is DTE(%)=((dual-task LOS (RT) - single task LOS (RT)))/(single task LOS (RT)) × 100% An increase in response latency indicates a reduction in performance, thus the following will be used instead: DTE(%)=(-(dual task - single task))/(single task )× 100%
Change in Static balance task
时间窗: 8 weeks
The static balance is the ability to keep standing steady with eyes open and with eyes closed without losing balance or taking a step (Winter 1995). The following centre of pressure COP parameters will be computed separately for the anteroposterior (AP) and Mediolateral (ML) directions, such The COP mean velocity (MV), stander deviation (SD) and total displacement area (TD) parameters.
次要结局
- Change in Limit of stability task(8 weeks)
- Change in Arithmetic tasks(8 weeks)
- Change in Functional Reach (FR) Test(8 weeks)
- Change in Visual sensitivity test(8 weeks)
- Change in Corsi Block-Tapping Test(8 weeks)
- Change in Hopkins Verbal Learning Test(8 weeks)
- Change in Mobility (Fall Risk)(8 weeks)
- Change in Stroop Colour-Word test(8 weeks)
研究者
Ahmet Begde
Principal Investigator
Loughborough University