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Effects of an Exergame Focused on Cognitive-motor Interference on the Cognitive and Motor Capacities of Older Adults

Not Applicable
Completed
Conditions
Ageing
Interventions
Other: Training Programme
Registration Number
NCT04803799
Lead Sponsor
University Hospital, Limoges
Brief Summary

Ageing is accompanied by a high risk of developing physical or cognitive impairments, as well as a decrease in abilities to perform two tasks simultaneously, contributing to loss of autonomy.

Interventions based on the performance of cognitive-motor dual tasks show positive effects on cognitive, physical and emotional development on dual-tasking capabilities. Exergames, interactive serious games combining physical activity and technology, are a certain type of cognitive-motor dual task training. These exergames appear to be cognitively effective, discussed on a physical level, not studied on dual task functions. It is likely that a dual task cognitive-motor with the support of a exercise leads to the same benefits as training without the need for special support.

In addition, the exergames benefit from specific features such as a good immersion and a playful aspect that increase the participant's adhesion. Moreover, the level of security of this type of programme has been little studied. It is likely that cognitive-motor dual tasks training supported by an exercise programme leads to few undesirable events and good adherence.

Many of the recommendations specific needs gaming state that it is important to develop systems that respond to the needs specific to the population concerned in order to be effective. Within the laboratory HAVAE has been developed a tool, the "virtual carpet":

association between a video-projected scene and a monitoring system of position of the participants. This system makes it possible to use as a grid of play the cartography and iconography of the City of Limoges. The investigators suppose that this emphasis on local heritage will encourage the participants leaving their homes, thereby increasing their level of physical activity and their quality of life.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria

A person over 75 years of age who :

  • resides in one of the two Municipal Autonomy Residences (RAM) of the City of Limoges (Durkheim or Casseaux), or a member of a senior club of the communal social action centre
  • has normal or corrected vision and hearing
Exclusion Criteria

Person presenting :

  • psychiatric disorders or neurological pathologies (cardiovascular accidents, Parkinson's disease, Alzheimer's, dementia) diagnosed
  • taking medication that affects walking or balance
  • a need for technical assistance (double cane-crutch, walker)
  • an inability to carry out the proposed training programme
  • person unable to understand the Protocol

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Experimental ArmTraining ProgrammeTraining programme using Exergame as a support over a 12 week period
Primary Outcome Measures
NameTimeMethod
Postural control under dual-task condition changeWeek 3, Week 17

assessed by posturography (mm/s)

Secondary Outcome Measures
NameTimeMethod
Balance changeWeek 3, Week 17, Week 31

assessed by BBS score

Mobility changeWeek 3, Week 17, Week 31

assessed by TUG time (s)

Mental inhibition under dual-task condition changeWeek 3, Week 17, Week 31

assessed by Stroop test errors (n)

Mental inhibition change single-task conditionWeek 3, Week 17, Week 31

assessed by Stroop test errors (n)

Mental flexibility changeWeek 3, Week 17, Week 31

assessed by Stroop test errors (n)

Working memory changeWeek 3, Week 17, Week 31

assessed by 2N-Back test errors (n)

Fear of fallingWeek 3, Week 17, Week 31

assessed by FES-I score

Postural control under single-task condition changeWeek 3, Week 17, Week 31

assessed by posturography (mm/s)

Reported physical activity level changeWeek 3, Week 17, Week 31

assessed by QAPPA score

Traqued physical activity level changeWeek 3, Week 17, Week 31

assessed by embeded Armband

City exploration changeWeek 17, Week 31

assessed by the city's points of interest visits

Quality of life changeWeek 3, Week 17, Week 31

assessed by EQ5D5L score

Safety features of the training programmeWeek 17

number, nature, severity and causes of the occurrence of adverse events during the intervention

ComplianceWeek 17

assessed by number of sessions carried out

Drop-outWeek 17

assessed by the number of participants who do not complete the program

Motivation changeWeek 3, Week 17, Week 31

assessed by EMAPS score

Trial Locations

Locations (2)

Résidence Autonomie CASSEAUX

🇫🇷

Limoges, France

Résidence Autonomie DURKHEIM

🇫🇷

Limoges, France

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