Effects of Training in a Virtual Environment on the Performance of Gait, Postural Control and Executive Functions in Healthy Elderly
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Mini-BESTest of Dynamic Balance Evaluation - Balance Evaluation Systems Test
研究概览
简要总结
The objective of this work was to compare the effects of two balance training programs, one Nintendo Wii Fit-based and the other traditionally-based without the use of a gaming system, on the (1) balance, (2) gait, (3) functionality and (4) cognition ability in older adults. It is a prospective, single blinded, randomized clinical trial performed at Center of Research of the courses of Speech Therapy, Physical Therapy and Occupational Therapy of São Paulo University. Thirty-two older adults are randomly in control and experimental group, 16 each one. The study includes only participants scoring at least 24 in the Mini-Mental State Examination to rule out effects of dementia; without the presence of depression, according to the Geriatric Depression Scale of Yesaváge - version 15 (GDS-15 ≤ 5) and scores on the Berg Balance Scale (EBB ≥ 41).
详细描述
The objective of this work is to compare the effects of two balance training programs, one Nintendo Wii Fit-based and the other traditionally-based without the use of a gaming system, on balance, gait, functionality and cognition ability in older adults. It is a prospective, single blinded, randomized clinical trial performed at Center of Research of the courses of Speech Therapy, Physical Therapy and Occupational Therapy of São Paulo University. Thirty-two older adults are randomly in control and experimental group, 16 each one. Both groups performed 14 training sessions, twice a week, for seven weeks. Each session is composed of a 30 minute-global-exercise series including stretching, muscle strength and axial mobility exercises. After this, both groups performed more 30 minutes of balance training: the control group performed balance exercises without external cues, visual or auditory feedbacks or cognitive stimulations; the experimental group performed the balance training with 10 Wii Fit games which stimulated motor and cognitive functions. The main outcome measures are: (1) Mini-BESTest of Dynamic Balance Evaluation; (2) Dynamic Gait Index (DGI); (3) Montreal Cognitive Assessment (MoCA); and (4) Falls Efficacy Scale - International (FES-I).
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 60 to 85 years.
- •Absence of other neurological disorders or co-morbidities that may affect gait;
- •Absence of dementia (score above 24 on the Mini Mental State Examination - MMSE);
- •Absence of depression (score above 5 on the Geriatric Depression Scale of Yesaváge - version 15);
- •Score on the Berg Balance Scale above 41;
- •Vision and hearing adequate or corrected to normal;
- •Ability to walk independently;
排除标准
- •Biomechanical alterations (other pathologies) that could compromise the completion of training;
- •Presence of any neurological, auditory or visual deficit that could compromise distracting task performance during balance and gait training;
研究组 & 干预措施
Virtual Reality Training
The virtual reality training was done by experimental group with ten games of Nintendo Wii Fit.
干预措施: Virtual Reality Training (Device)
Physical Therapy
The Control Group was trained by conventional Physical Therapy exercises.
干预措施: Physical Therapy (Other)
结局指标
主要结局
Mini-BESTest of Dynamic Balance Evaluation - Balance Evaluation Systems Test
时间窗: Up to 3 months
The Mini-BESTest test is a 14-item test that focuses on dynamic balance, specifically anticipatory transitions, postural responses, sensory orientation and dynamic gait.
次要结局
- Falls Efficacy Scale - International(Up to 3 months)
- Dynamic Gait Index(Up to 3 months)
- Montreal Cognitive Assessment(Up to 3 months)