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

Ageing Clinical Trial

— INCOME  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04803799
• Other study ID #: 87RI20_0047 (INCOME)
• Status: Completed
• Phase: N/A
• Start date: April 14, 2021
• Est. completion date: March 31, 2022

Study information

• Verified date: March 2022
• Source: University Hospital, Limoges
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: March 31, 2022
• Est. primary completion date: March 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 75 Years and older

Eligibility

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

Related Conditions & MeSH terms

• Ageing

Intervention

Other:
• Training Programme
Cognitive-motor dual task exercises corresponding to associations between different motor tasks and different cognitive tasks.

Locations

Country	Name	City	State
France	Résidence Autonomie CASSEAUX	Limoges
France	Résidence Autonomie DURKHEIM	Limoges

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Limoges

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postural control under dual-task condition change	assessed by posturography (mm/s)	Week 3, Week 17
Secondary	Mental inhibition under dual-task condition change	assessed by Stroop test time (s)	Week 3, Week 17, Week 31
Secondary	Mental inhibition under dual-task condition change	assessed by Stroop test errors (n)	Week 3, Week 17, Week 31
Secondary	Mental inhibition change single-task condition	assessed by Stroop test time (s)	Week 3, Week 17, Week 31
Secondary	Mental inhibition change single-task condition	assessed by Stroop test errors (n)	Week 3, Week 17, Week 31
Secondary	Mental flexibility change	assessed by TMT time (s)	Week 3, Week 17, Week 31
Secondary	Mental flexibility change	assessed by Stroop test errors (n)	Week 3, Week 17, Week 31
Secondary	Working memory change	assessed by 2N-Back test errors (n)	Week 3, Week 17, Week 31
Secondary	Mobility change	assessed by TUG time (s)	Week 3, Week 17, Week 31
Secondary	Balance change	assessed by BBS score	Week 3, Week 17, Week 31
Secondary	Fear of falling	assessed by FES-I score	Week 3, Week 17, Week 31
Secondary	Postural control under single-task condition change	assessed by posturography (mm/s)	Week 3, Week 17, Week 31
Secondary	Reported physical activity level change	assessed by QAPPA score	Week 3, Week 17, Week 31
Secondary	Traqued physical activity level change	assessed by embeded Armband	Week 3, Week 17, Week 31
Secondary	City exploration change	assessed by the city's points of interest visits	Week 17, Week 31
Secondary	Quality of life change	assessed by EQ5D5L score	Week 3, Week 17, Week 31
Secondary	Safety features of the training programme	number, nature, severity and causes of the occurrence of adverse events during the intervention	Week 17
Secondary	Compliance	assessed by number of sessions carried out	Week 17
Secondary	Drop-out	assessed by the number of participants who do not complete the program	Week 17
Secondary	Motivation change	assessed by EMAPS score	Week 3, Week 17, Week 31