Heart Failure Clinical Trial
Official title:
The Effectiveness of Nintendo Wii Fit and Inspiratory Muscle Training in Older Patients With Heart Failure
Verified date | December 2022 |
Source | Istanbul University - Cerrahpasa (IUC) |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Heart failure is a multisystem syndrome characterized by the body's inability to pump or increase the filling pressures required for pumping the blood needed. Typically it shows objective evidence of dyspnea and fatigue during rest or exercise, or swelling of the ankles and cardiac dysfunction. This leads to great loss of functional status and quality of life. These patients seem to be more difficult to participate in cardiac rehabilitation programs due to their more comorbid, fragile and low functional capacity. It has been shown that inspiratory muscle training, which is a part of cardiac rehabilitation, not only improves lung problems but also increases functional capacity and balance, strength of respiratory and peripheral muscles, and decreases perception of depression and dyspnea in patients. Video games are increasingly being used as an alternative to traditional rehabilitation-based exercises to improve daily activity levels and increase physical fitness in the elderly because of their recreational and motivational effects. Although Nintendo wii fit gives similar results with traditional rehabilitation practices, it causes less energy costs. This suggests that it can be a suitable rehabilitation tool for elderly people with low energy levels. A review showed that video games are safe and feasible in the elderly with heart failure. Participants' balance, cognitive functions, quality of life improved and depressive mood decreased. Video games also make older people to communicate better with other family members. The aim of this study was to investigate the effectiveness of inspiratory muscle training and nintendo wii fit exercise training in elderly patients with heart failure and to compare these practices with each other.
Status | Completed |
Enrollment | 18 |
Est. completion date | December 21, 2021 |
Est. primary completion date | March 11, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 60 Years and older |
Eligibility | Inclusion Criteria: - 60 years and older - individual who can walk (even with the help of any device) - an individual without visual and auditory impairment - an individual who is cognitive to understand commands - Stable individual with medical condition - the individual signing the informed consent form Exclusion Criteria: - under 60 years - the person who cannot walk (even with the help of any device) - with visual or auditory impairment - MI in the past 6 months - previous ischemic attack - severe cognitive impairment - serious musculoskeletal disorders - symptomatic medical conditions that prevent exercise (pulmonary, cardiovascular, cancer, psychiatric, etc.) |
Country | Name | City | State |
---|---|---|---|
Turkey | Istanbul University-Cerrahpasa Institute of Cardiology | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Istanbul University - Cerrahpasa (IUC) |
Turkey,
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Rodriguez-Pascual C, Paredes-Galan E, Ferrero-Martinez AI, Gonzalez-Guerrero JL, Hornillos-Calvo M, Menendez-Colino R, Torres-Torres I, Vilches-Moraga A, Galan MC, Suarez-Garcia F, Olcoz-Chiva MT, Rodriguez-Artalejo F. The frailty syndrome is associated with adverse health outcomes in very old patients with stable heart failure: A prospective study in six Spanish hospitals. Int J Cardiol. 2017 Jun 1;236:296-303. doi: 10.1016/j.ijcard.2017.02.016. Epub 2017 Feb 8. — View Citation
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The six-minute walk test (6MWT) | 6MWT is used to determine functional exercise capacity, assess treatment efficacy, predict prognosis. This test is applied in a certain length corridor with the start and end point during 6 minute-walk. Before the test, patient is seated in a chair and rest for 10 minutes. Resting blood pressure, pulse, oxygen saturation value, dyspnea and fatigue score is recorded before and immediate after test. Before starting to test, patient is warned to tell if any problem is seen such as dizziness, pain, cramp. The patient is then asked to walk at a fast pace with a supervisor for 6 minutes. If the patient has a significant problem such as dizziness, pain, palpitation , the test is terminated immediately. At the end of test, how many meters the patient has walked for 6 minutes has recorded. | 0-8 weeks | |
Primary | The Timed Up and Go test (TUG) | The Timed Up and Go test is a simple test used to assess a person's mobility and requires both static and dynamic balance. It uses the time it takes for a person to get out of the chair, walk three meters, turn around, return to the chair and sit down. | 0-8 weeks | |
Primary | The Short Physical Performance Battery Test (SPPB) | The short physical performance battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests. It has been used as a predictive tool for possible disability and can aid in the monitoring of function in older people. The scores range from 0 (worst performance) to 12 (best performance). The SPPB has been shown to have predictive validity showing a gradient of risk for mortality, nursing home admission, and disability. | 0-8 weeks |
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