NCT02251470

Brief Summary

BACKGROUND: Virtual gaming systems offer new possibilities for home-based exercises (HBE) in rehabilitation. Pilot studies with stroke patients indicate that the application of Nintendo Wii® (WII) is practicable and can improve balance under clinical conditions. However, larger trials are necessary to verify these positive effects after discharge from the hospital. AIM: This study aims to prepare and optimize a phase III trial which compares the effects of two HBE programs for stroke patients. METHODS: A pilot study with randomized control design and repeated measures over three-months will be conducted. Twenty elderly stroke patients will be randomly allocated to an experimental group (EG) and a control group (CG). All participants will receive an introduction to a HBE program by an individual mentoring over 6 weeks. During the following 6 weeks the participants perform the HBE on their own. The EG will perform a balance exercise program using the WII, the CG will perform a balance exercise program without technical support. Recruiting potential, the participants' acceptance of the intervention and economic aspects will be examined. Additionally, basic information about sensitivity of change and potential effect sizes regarding the proposed instruments to measure mobility are expected.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
14

participants targeted

Target at P25-P50 for phase_1 stroke

Timeline
Completed

Started Oct 2014

Shorter than P25 for phase_1 stroke

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 25, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 29, 2014

Completed
2 days until next milestone

Study Start

First participant enrolled

October 1, 2014

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2015

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2015

Completed
Last Updated

December 2, 2015

Status Verified

December 1, 2015

Enrollment Period

8 months

First QC Date

September 25, 2014

Last Update Submit

December 1, 2015

Conditions

Keywords

strokebalanceexer-gaminghome-based exercisesWiipostural balanceNintendobalance boardWii-Fithomefeasibility

Outcome Measures

Primary Outcomes (1)

  • Feasibility

    Recruiting potential, the participants' acceptance/satisfaction of the intervention and economic aspects

    12-weeks

Secondary Outcomes (1)

  • Mobility

    Baseline - after 6 weeks - after 12 weeks

Study Arms (2)

HBE Wii (EG)

EXPERIMENTAL

Participants receive an introduction of using the Nintendo Wii by an individual mentoring for over 6 weeks (a total of 6 sessions á 60 minutes). During the following 6 weeks the participants perform the balance exercise program (wii-fit balances games) at home (instruction: min. 3 times a week for each 30 minutes).

Other: HBE Wii (EG)

HBE Control (CG)

ACTIVE COMPARATOR

Participants receive an introduction for conventional/traditional balance exercise by an individual mentoring for over 6 weeks (a total of 6 sessions á 60 minutes). During the following 6 weeks the participants perform the balance exercise program (exercises in standing and walking) at home (instruction: min. 3 times a week for each 30 minutes).

Other: HBE Control (CG)

Interventions

Wii-Fit Balance games (Soccer Heading, Ski Slalom, Table Tilt, Balance Bubble etc.)

HBE Wii (EG)

Simple balance exercises with own body weight (Single limb stance, stepping, side sways etc.)

HBE Control (CG)

Eligibility Criteria

Age60 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • cerebral infarction
  • place of residence: Halle (Saale) and immediate surroundings
  • television in household
  • independent ambulatory (functional ambulation classification \> 3)
  • self-selected walking speed \> 0,4 m/s

You may not qualify if:

  • Strong visual impairment despite visual aid
  • Deafness / verbal communication is not possible
  • distinct mobility limitations due to comorbidity
  • Body weight \>120kg
  • Epilepsy
  • Cardiac pacemaker
  • Acute psychiatric, disease/dementia

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Hospital "BG-Kliniken Bergmannstrost"

Halle, Saxony-Anhalt, D-06112, Germany

Location

University Hospital Halle

Halle, Saxony-Anhalt, D-06120, Germany

Location

Related Publications (1)

  • Golla A, Muller T, Wohlfarth K, Jahn P, Mattukat K, Mau W. Home-based balance training using Wii Fit: a pilot randomised controlled trial with mobile older stroke survivors. Pilot Feasibility Stud. 2018 Aug 25;4:143. doi: 10.1186/s40814-018-0334-0. eCollection 2018.

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesVascular DiseasesCardiovascular Diseases

Study Officials

  • Wilfried Mau, Prof. Dr.

    Institute of Rehabilitation Medicine

    STUDY DIRECTOR
  • André Golla

    Institute of Rehabilitation Medicine

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
André Golla

Study Record Dates

First Submitted

September 25, 2014

First Posted

September 29, 2014

Study Start

October 1, 2014

Primary Completion

June 1, 2015

Study Completion

August 1, 2015

Last Updated

December 2, 2015

Record last verified: 2015-12

Locations