Mild Cognitive Impairment Clinical Trial
Official title:
Home-rehabilitation Protocol in Elderly Subjects With Mild Cognitive Impairment (MCI) Based on Information and Communications Technology (ICT) and Serious Games for Cognitive and Physical Training. Games for Older Adults Active Life (GOAL)
Aging is often associated with pathological pathway such as in Mild Cognitive Impairment
(MCI), and that pathway may be associated to a high risk of dementia.
Tools for early identification of functional and cognitive decline and effectiveness of
treatments in counteracting the loss of functionality to preserve MCI subjects autonomy, have
been widely debated in recent years.
In literature, the importance of combined cognitive and physical training is also recognized
(Karssemeijer E, 2017).
Moving from the above mentioned findings and considerations, the aim of GOAL project is to
test a newly developed tele-rehabilitation platform to monitor and preserve functional and
cognitive abilities in individuals affected by Mild Cognitive Impairment (MCI).
Participants will be enrolled and randomly assigned to the tele-rehabilitation (GOAL group)
or usual care program (control group). A dedicated application will be developed for the GOAL
group. Thanks to the application, the participant will access different contents, such as
serious games to train cognitive abilities (Anguera et al,2013) and physical training video
lessons to endorse daily activity. Each participant of GOAL group will be provided with a
tablet, with the application installed on it, and an internet connection (if needed).
30 patients will be allocated in the treatment arm (Telerehabilitation program, GOAL group)
by randomization. Randomization will be applied with a ratio of 1:1.
The Telerehabilitation program is conceived as a combined protocol to train both cognitive
and physical domains. Participants will be requested to perform the cognitive training three
times weekly and physical training two times weekly, on alternate days. The subject will
access the Telerehabilitation contents by using a web application configured on a touchscreen
notebook, that will be provided to each participant by the research institute.
Physical exercises are going to be chosen according to adaptive physical activity model, and
each session will be made up of eleven exercises, divided in three categories: warm-up,
strengthening and stretching/relaxation. The participants will perform the exercises
according to instructions received in a sequence of videos. Every session will last 30
minutes.
Cognitive training will be based on BrainHQ exercises (BrainHQ, Posit Science,USA) which are
characterized by adaptive control of the difficulty levels. The chosen exercises aim to train
different cognitive domains including: attention, executive function, memory, processing
speed, reasoning, and visuospatial memory. Each session will last 20 minutes, and will
include four different types of exercise.
While enrolled in the 8 weeks program, participants will also be requested to wear an
actigraph. The actigraph will be placed on the non-dominant arm and will be used to monitor
daily activity and sleep quality.
At the end of the tele-rehabilitation program, participants will undergo a final assessment.
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