Are Serious Games Promoting Mobility an Attractive Alternative to Conventional Self-training for Elderly People?

NCT02077049 | Completed DMC

• 2 other identifiers: KlinikenValens_Oesch_RCT-2013EKSG 13/081/1B
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of this study is to determine whether elderly people in rehabilitation setting show higher adherence to self-training when using computer-based-learning games (i.e. the so called serious games) than when performing conventional exercises. Secondly the study explores to which extend balance and mobility performances vary according to the mode of self-training. The primary study hypothesis is that elderly people practice longer and more frequently with serious games than with a conventional exercise booklet. The secondary hypothesis is that patients experience a significant higher improvement in their balance capacity by using serious games compared to patients performing conventional exercises.

Conditions

Mobility Limitations; Geriatric Disorder

Keywords

elderly; exercise program; self-training; mobility; computer-based learning games; serious game; balance; training adherence; training compliance; Kinect ®; Fit Bit ®

Outcome Measures

Primary Outcomes (1)

• Intensity of self-training

  Self-training intensity is defined as the frequency of training sessions (f) multiplied by the duration (T) of each training session. The training intensity (f x T) of the 10-days intervention are summated. These data are recorded daily in a logbook by the patient himself from t1 (which equates to approximately day 4 after admission) till the end of the intervention (t2) i.e. 10 workings days later. The logbook is then collected for data extraction at the end of the intervention (t2), which equates to approximately day 16-17 after patient's admission in the clinic.

  The intensity of self-training is recorded every day and thus from the begining (t1) till the end (t2) of the intervention phase ie. during 10 working days.

Secondary Outcomes (3)

• Berg Balance Scale

  The test is performed at the before the start of the intervention (t1) and again at after the end of the intervention (t2) i.e. after 10 working days

• Falls Efficacy Scale - International version

  The questionnaire is completed at the before the start of the intervention (t1) and again at after the end of the intervention (t2) i.e. after 10 working days

• Local dynamic stability

  The test is performed at the before the start of the intervention (t1) and again at after the end of the intervention (t2) i.e. after 10 working days.

Study Arms (2)

serious games self-training program

EXPERIMENTAL

Serious games are played, using Kinect® and Fit Bit®. This program is performed during the 10 days of the intervention on a self-training basis and 2 specific time-slot (2x30 min) per day are allocated for this program.

Device: serious games

Conventional self-training program

ACTIVE COMPARATOR

conventional physical exercises are performed during the 10 days of the intervention, on a self-training basis and 2 specific time-slot (2x30 min) per day are allocated for this program.

Other: Conventional self-training

Interventions

serious games DEVICE

Execution of computer-based games that stimulate patient's mobility. The game is displayed on a Television (TV) screen and the patient's movements are detected by the sensors of the Kinect® camera, requiring therefore no game console. The Fit Bit®, a mobility tracker device, is attached at the patient's belt the whole day and measure all the trips performed and stairs climbed. This serious games program is instructed individually by experienced physiotherapists.

Also known as: Kinect®, Xbox®, Windows®, Fit Bit®

serious games self-training program

Conventional self-training OTHER

Participants perform conventional physical exercises that train their balance capabilities. There are instructed by experienced physiotherapists and are adapted to each patient's physical abilities. Detailed handouts are distributed to each participants.

Also known as: gymnastic exercises, home exercises, physical exercises

Conventional self-training program

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• +65 years old
• Ability to walk independently over 20meters, with or without walking aids.
• Self-training prescribed by the doctor
• sufficient written and spoken knowledge of German to fill out questionnaires, with or without help.
• Informed consent

You may not qualify if:

• Cognitive impairment, defined as a Mini-Mental-State Examination (MMSE) score \< 26.
• Other limiting disorders hampering the practice of computer-based games (e.g. visual impairment, numbness, vertigo)

Sponsors & Collaborators

• Klinik Valens: lead
• State Secretariat for Education Research and Innovation, Switzerland: collaborator
• Office Ambient Assisted Living: collaborator

Study Sites (1)

Walenstadtberg Klinik

Walenstadtberg, Canton of St. Gallen, 8881, Switzerland

Location

Related Publications (7)

• Schnurr B, & Oesch P. Sind Nintendo Wii-Balancespiele eine machbare Alternative zum herkömmlichen Selbsttraining des Gleichgewichts nach Schlaganfall? Ergoscience (4): 147-156, 2012.

  BACKGROUND

• Bachmann S, Finger C, Huss A, Egger M, Stuck AE, Clough-Gorr KM. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ. 2010 Apr 20;340:c1718. doi: 10.1136/bmj.c1718.

  PMID: 20406866 BACKGROUND

• Global Recommendations on Physical Activity for Health. Geneva: World Health Organization; 2010. Available from http://www.ncbi.nlm.nih.gov/books/NBK305057/

  PMID: 26180873 BACKGROUND

• Phillips EM, Schneider JC, Mercer GR. Motivating elders to initiate and maintain exercise. Arch Phys Med Rehabil. 2004 Jul;85(7 Suppl 3):S52-7; quiz S58-9. doi: 10.1016/j.apmr.2004.03.012.

  PMID: 15221728 BACKGROUND

• Olney SJ, Nymark J, Brouwer B, Culham E, Day A, Heard J, Henderson M, Parvataneni K. A randomized controlled trial of supervised versus unsupervised exercise programs for ambulatory stroke survivors. Stroke. 2006 Feb;37(2):476-81. doi: 10.1161/01.STR.0000199061.85897.b7. Epub 2006 Jan 12.

  PMID: 16410482 BACKGROUND

• Oesch P, Kool J, Fernandez-Luque L, Brox E, Evertsen G, Civit A, Hilfiker R, Bachmann S. Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial. BMC Geriatr. 2017 Mar 23;17(1):77. doi: 10.1186/s12877-017-0467-7.

  PMID: 28330455 DERIVED

• Hasselmann V, Oesch P, Fernandez-Luque L, Bachmann S. Are exergames promoting mobility an attractive alternative to conventional self-regulated exercises for elderly people in a rehabilitation setting? Study protocol of a randomized controlled trial. BMC Geriatr. 2015 Sep 7;15:108. doi: 10.1186/s12877-015-0106-0.

  PMID: 26346751 DERIVED

MeSH Terms

Conditions

Mobility Limitation

Interventions

Exercise

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Peter Oesch, PhD PT

  Kliniken Valens

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD PT

Study Record Dates

• First Submitted: February 6, 2014
• First Posted: March 4, 2014
• Study Start: February 1, 2014
• Primary Completion: March 1, 2015
• Study Completion: December 1, 2015
• Last Updated: February 28, 2019

Record last verified: 2019-02

Locations

CH (1)