Effects of Different Guiding Strategies on Biomechanics of Human Movement.

Healthy Aging Clinical Trial

Official title:

Effects of Different Guiding Strategies on Biomechanics of Human Movement.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05362214
• Other study ID #: 109-423
• Status: Completed
• Start date: May 11, 2021
• Est. completion date: September 15, 2021

Study information

• Verified date: May 2022
• Source: National Cheng-Kung University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

With regards to the increase in the aging population globally, how to build up a successfully aging society has become the main issue in health care and socioeconomic. In addition, living with high physical function is one of the main goals and solutions, and exercising regularly is a direct and obvious way to achieve this goal. However, being elderly, it might not be easy for them to practice or do exercise every day due to some of their limitations such as learning difficulty and lack of motivation.

Nowadays, there are many different types of exercise supporting tools, which are in terms of visual or auditory cues, including two-dimensional (2D) or three-dimensional (3D) cues. Accordingly, several studies mentioned the positive outcomes of using a 3D visual cue compared with using the 2D one. Also, a study found that combining visual and auditory cues together resulted in a better perception than using either one alone.

Coupled with a coming of a small flyable robot so-called "drone", which can be programmed to fly autonomously in a 3D space, a few research teams applied it in many interactive applications with humans such as sports education relating for example dancing and boxing. Moreover, there was a research team that explored the interaction between a human and a drone in a close-range design by controlling the drone using both hands movement, which was inspired by Tai Chi martial art exercise. As a result, they found important findings of the calming and focusing experience of the participants due to the low level of constant propeller noise of the drone.

Regarding this, the investigators assumed that applying a drone, which can be recognized as a 3D visual cue, to a kind of exercise may provide some benefits in terms of physical health. In addition, the investigators applied it to a simple Chinese martial art exercise called "Baduanjin Qigong" since it was recommended for everyone, especially for the elderly because of its low requirement for physical and cognitive abilities.

However, based on our findings, there is no published information about the effects of the drone as a visual cue or exercise guiding tool in terms of biomechanical effects of human motion. Therefore, these effects would be observed throughout this study.

Besides, the investigators hypothesized that exercising with the drone, which is a 3D visual cue in this study, could provide a significant difference in biomechanics effects such as the center of pressure (COP) and smoothness of the arm when compared with using a 2D visual cue like video, or no visual cue like the audio illustration. Also, resulting in a positive direction as an exercise guiding tool for the elderly such as increasing their motivation during exercise.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 15
• Est. completion date: September 15, 2021
• Est. primary completion date: September 15, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years and older

Eligibility

Inclusion Criteria:

• 20 years old above

• Able to perform regular exercise

• Able to understand Chinese or Taiwanese language

• Never practice Baduanjin Qigong

Exclusion Criteria:

• Having illness or diseases that cannot perform physical exercise such as musculoskeletal disease.

• Having any kinds of chronic disease that might be more activated by performing Baduanjin exercise such as cardiovascular diseases, chronic respiratory diseases, osteoporosis, etc.

• Having chronic diseases that cannot perform Baduanjin exercise according to the experimental protocols such as blindness, deafness and hearing impairment, or Alzheimer's diseases, etc.

Related Conditions & MeSH terms

• Healthy Aging

Locations

Country	Name	City	State
Taiwan	National Cheng Kung University	Tainan

Sponsors (1)

Lead Sponsor	Collaborator
National Cheng-Kung University Hospital

Country where clinical trial is conducted

Taiwan, 

References & Publications (12)

Eriksson S, Unander-Scharin Å, Trichon V, Unander-Scharin C, Kjellström H, Höök K. Dancing with drones: Crafting Novel Artistic Expressions Through Intercorporeality. Proceedings of the 2019 CHI Conference on Human Factors in Computing Systems. 2019 May 2;1-12. doi: 10.1145/3290605.3300847.

Kim H, Landay JA. Aeroquake: Drone Augmented Dance. Proceedings of the 2018 Designing Interactive Systems Conference. 2018 June 8;691-701. doi: 10.1145/3196709.3196798.

La Delfa J, Baytas MA, Patibanda R, Ngari H, Khot RA, Mueller F'F. Drone Chi: Somaesthetic human-drone interaction. Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems. 2020 April 23;1-13. doi: 10.1145/3313831.3376786.

Lin PS, Hsieh CC, Cheng HS, Tseng TJ, Su SC. Association between Physical Fitness and Successful Aging in Taiwanese Older Adults. PLoS One. 2016 Mar 10;11(3):e0150389. doi: 10.1371/journal.pone.0150389. eCollection 2016. — View Citation

Liu XY, Gao J, Yin BX, Yang XY, Bai DX. Efficacy of Ba Duan Jin in Improving Balance: A Study in Chinese Community-Dwelling Older Adults. J Gerontol Nurs. 2016 May 1;42(5):38-46. doi: 10.3928/00989134-20160201-03. — View Citation

McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016 Jun;17(3):567-80. doi: 10.1007/s10522-016-9641-0. Epub 2016 Mar 2. Review. — View Citation

Pierno AC, Caria A, Castiello U. Comparing effects of 2-D and 3-D visual cues during aurally aided target acquisition. Hum Factors. 2004 Winter;46(4):728-37. — View Citation

Sodhi R, Benko H, Wilson A. LightGuide. Proceedings of the SIGCHI Conference on Human Factors in Computing Systems. 2012 May 5;179-188. doi: 10.1145/2207676.2207702.

Tse CK, Yu CK. The Effects of Visual Cues, Blindfolding, Synesthetic Experience, and Musical Training on Pure-Tone Frequency Discrimination. Behav Sci (Basel). 2018 Dec 24;9(1). pii: E2. doi: 10.3390/bs9010002. — View Citation

Zheng G, Fang Q, Chen B, Yi H, Lin Q, Chen L. Qualitative Evaluation of Baduanjin (Traditional Chinese Qigong) on Health Promotion among an Elderly Community Population at Risk for Ischemic Stroke. Evid Based Complement Alternat Med. 2015;2015:893215. doi: 10.1155/2015/893215. Epub 2015 Sep 21. — View Citation

Zou L, SasaKi JE, Wang H, Xiao Z, Fang Q, Zhang M. A Systematic Review and Meta-Analysis Baduanjin Qigong for Health Benefits: Randomized Controlled Trials. Evid Based Complement Alternat Med. 2017;2017:4548706. doi: 10.1155/2017/4548706. Epub 2017 Mar 7. Review. — View Citation

Zwaan SG, Barakova EI. Boxing against Drones: Drones in Sports Education. Proceedings of the The 15th International Conference on Interaction Design and Children. 2016 June 21;607-612. doi: 10.1145/2930674.2935991.

* Note: There are 12 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Center of pressure (COP)	The center of pressure (COP) of every participant while performing each selected movement of Baduanjin exercise were observed with regards to the three different guiding strategies including audio, video, and drone.	2 hours
Primary	Smoothness of arm movement	The smoothness of arm movement of every participant while performing each selected movement of Baduanjin exercise were observed with regards to the three different guiding strategies including audio, video, and drone.	2 hours
Primary	Motivation and feedback of participants toward the drone guiding system	Motivation and feedback of the participants toward the drone guiding system were measured through a questionnaire using Agree Disagree Rating Questions (5 scales: strongly agree, agree, neither agree nor disagree(normal), disagree, strongly disagree).	2 hour
Secondary	Accuracy of the drone guiding system	The accuracy of the drone guiding system was evaluated according to the paths that the drone could perform compared with the preprogrammed paths for each selected movement of Baduanjin exercise. However, only the endpoints of the drone were evaluated for accuracy testing since the inputs of the preprogrammed paths were specific endpoint values, not the entire trajectories of the drone.	2 hours
Secondary	Precision of the drone guiding system	The precision of the drone guiding system was evaluated according to the entire trajectories that the drone performed in the 2nd, 3rd, 4th, and 5th times compared with the trajectory that the drone performed in the 1st time.	2 hours