The Effect of Different Virtual Reality Trainings on Gait, Balance and Posture of Individuals With Dementia

NCT04377191 | Completed

• 2 other identifiers: 2019-655444
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Dementia, a part of geriatric syndrome, is characterized by the deterioration of multiple cognitive domains such as memory, language, orientation, learning and personality as a result of damage to the central nervous system and in terms prognosis persistent and often progressive clinical condition. In the epidemiological studies it is stated that the number of the dementia affected people approximately 2 times in every 20 years. In several studies, it has been mentioned that cognitive disorders affect individuals' motor function such as gait and postural responses. These effects lead to a vicious circle by causing immobilization of individuals due to a decrease in cognitive functions in addition to immobilization due to aging. The lack of pharmacological therapies to change the prognosis of dementia, emphasizes physical activity methods due to its neurological contributions. However, due to the fact that conventional exercise programs are seen as boring in terms of elderly individuals and the exercise attendance rates are low, the virtual reality (VR) training have been preferred recently. To the best of the investigator's knowledge, there is no study examining the effect of different virtual reality trainings on the spatio-temporal characteristics of the gait, posture and balance. Therefore, the aim of this study is to evaluate the effect of different virtual reality trainings on these parameters.

Conditions

Dementia

Keywords

dementia; virtual reality; exergame; gait

Outcome Measures

Primary Outcomes (1)

• gait speed

  Gait speed was assessed by BTS G-Walk inertial sensor. The sensor, connected to the Lumbal 4-5 intervertebral space via a semi-elastic belt, transfers the spatiotemporal characteristics of the gait to the computer via Bluetooth® 3.0 (G-Studio® software). In our study, participants were asked to walk in a corridor of 8 meters.

  change from baseline at 6 weeks

Secondary Outcomes (4)

• Spatiotemporal Characteristics of Gait

  change from baseline at 6 weeks

• Berg Balance Scale

  change from baseline at 6 weeks

• Timed Up and Go Test

  change from baseline at 6 weeks

• New York Posture Scale

  change from baseline at 6 weeks

Study Arms (3)

VR 1 Group

EXPERIMENTAL

In this group, participants received standard exercise and exergame training with Microsoft Xbox 360 Kinect for 2 days per week for 6 weeks.

Other: exergame; Other: exercise

VR 2 Group

EXPERIMENTAL

In this group, participants received standard exercise and exergame training with ALDA balance gear for 2 days per week for 6 weeks.

Other: exergame; Other: exercise

Control Group

ACTIVE COMPARATOR

In this group, participants received only standard exercise for 2 days per week for 6 weeks.

Other: exercise

Interventions

exergame OTHER

Microsoft Xbox 360 Kinect The exercises were advanced from simple to complex. The program started with exercises in a sitting position. In the next stage, the games requiring weight transfer and use of upper limbs in standing position were continued. The program ended with games that require more complex movements such as lunge and mini squats.

Also known as: virtual reality, Microsoft Xbox 360 Kinect

VR 1 Group

exercise OTHER

Standard Exercise Program The program included warm-up, main exercise and cooling. Warm-up and cooling included neck, trunk, upper-lower extremity range of movement (ROM) exercises and stretching exercises. Main exercise included postural alignment, strengthening for trunk and lower extremity, balance and walking exercises.

Control Group; VR 1 Group; VR 2 Group

Eligibility Criteria

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

You may qualify if:

• Diagnosed with dementia
• Mini-Mental State Examination (MMSE) score between 18-23 points
• Able to walk independently with/without a walking aid (a single point cane)
• Able to speak and understand Turkish
• Understand simple commands
• At least primary education

You may not qualify if:

• Severly vision and hearing problems
• Undergo acute retinal hemorrhage or ophthalmic surgery
• Acute or chronic neurological problems
• Musculoskeletal and/or neurological problems affecting movement and balance
• Vestibular problem and/or use medicine
• Uncontrolled cardiovascular disease, congestive heart failure, acute myocarditis, pulmonary hypertension, or using a pacemaker
• Malignancy
• Orthopedic or neurological surgery in the past 6 months

Sponsors & Collaborators

• Ankara Yildirim Beyazıt University: lead

Study Sites (1)

Ankara Yıldırım Beyazıt University

Ankara, 06010, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Dementia

Interventions

Exergaming; Exercise

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 2, 2020
• First Posted: May 6, 2020
• Study Start: March 25, 2019
• Primary Completion: November 9, 2019
• Study Completion: December 24, 2019
• Last Updated: May 7, 2020

Record last verified: 2020-05

Locations

TU (1)