Hologram-Based Telerehabilitation for Individuals with Balance Disorders - Development of an Automatic Training Control

Not Applicable

Conditions: U09.9
F06.7
I64
Post COVID-19 condition, unspecified
Mild cognitive disorder
Stroke, not specified as haemorrhage or infarction

Registration Number: DRKS00033941

Lead Sponsor: INSTITUTE OF COMMUNICATION AND COMPUTER SYSTEMS (ICCS)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 460

Inclusion Criteria

Age 50-80 years
- community dwelling able to walk 500-m independently or with a stick
- Montreal Cognitive Assessment - MOCA score > 23 (the Montreal Cognitive Assessment is a validated rapid screening test of language, memory, attention, visual/spatial, reasoning, orientation skills)
- Depression subscale on Hospital Anxiety and Depression Scale < 10/21 (14-item questionnaire)
- No significant visual impairment (as self-reported by participants)
- Willing to comply with study procedures, proposed training and testing regime
- With capacity to consent
- Fulfilling all of the criteria from one of the below sub-groups

Exclusion Criteria

- Outside of the stated age bracket
- Unable to walk independently (even with use of a walking stick)
- MOCA score <23
- Score of 10 or higher on depression subscale of HADS
- Unwilling to comply with study procedures, proposed training and testing regime
- No capacity to consent
- Significant visual impairment (self-reported) • Orthostatic hypotension or uncontrolled hypertension • Other neurological problem (e.g. Parkingson’s disease, Multiple Sclerosis etc.) • Language and communication deficits impairing ability to express thoughts (e.g. Aphasia) • Has participated in a clinical drug trial in the past 6 months. • Acute musculoskeletal injury that prevents participation in a structured exercise programme (e.g. lower limb fracture). • Has an implanted medical device or cardiac pacemaker.
- Not fulfilling the inclusion criteria for one of the sub-groups (such as criteria for Stroke group, or MCI group, or chronic vestibular disorder group, or long-Covid group)

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary aim of this study is to evaluate the developed hologram trainer in combination with automatic training progression through artificial intelligence in terms of socioeconomic costs in the healthcare system, as well as the quality of life of the participants.

Secondary Outcome Measures

Name	Time	Method
The secondary outcomes aim to improve balance ability (Mini-BESTest and FGA), gait function (TUG), balance confidence (ABC scale), fear of falling (FES-I), fall prediction (keeping a diary), cognitive impairment (MoCA), mood (Hospital Anxiety and Depression Scale), and daily physical activity.