Comparison of Exergaming and Vestibular Training on Gaze Stability, Balance and Gait Performance of Older Adults.

NCT04414462 | Completed DMC

• 1 other identifier: REC/00743 Amina bukhari
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Exergames showed beneficial effects than conventional exercises for gaze stability, balance and gait improvements in older individuals. Further studies should be conducted to explore the benefits of exergames on older adults. This study aims to explore that exergaming has more effects on gaze stability, balance and gait performance of older individuals.

Conditions

Older Adults

Keywords

Exergaming; vestibular training; gaze stability; Balance; Gait; older adults

Outcome Measures

Primary Outcomes (3)

• Timed Up and Go test (TUG)

  TUG is a test used to assess a person's mobility. TUG measured the time required for an individual to stand up from a chair with armrests, walk 3 m, turn, walk back to the chair, and sit down. Normal healthy elderly usually completes the task in ten seconds or less. Very frail or weak elderly with poor mobility may take 2 minutes or more.

  Change from Baseline balance to 6th Weeks

• Dynamic Visual Acuity

  It provides an objective and instrumented way of assessing Vestibulo-ocular reflex (VOR)function in response to rotational and functional head movement stimuli. The DVA testing system consisted of a personal computer with a monitor and a velocity sensor which is fixed on a headset to the participant's head. Minimum acceptable head testing velocity was 150◦/s.

  Change from Baseline vestibular ocular reflex to 6th Week

• Dynamic Gait Index

  Dynamic gait index is used to assess gait, balance and fall risk. It is a valuable clinical tool for evaluating dynamic balance in community dwelling older adults. Total score is 24, a score \< 19/24 is predictive of falls risk in community dwelling elderly

  Change from Baseline gait to 6th Week

Secondary Outcomes (1)

• Force Platform

  Change from Baseline postural variation to 6th Week

Study Arms (2)

Group I

EXPERIMENTAL

Group I will receive following exergaming training: heading, tightrope tension,snowboard slalom and table tilt game

Other: exergaming training

Group II

ACTIVE COMPARATOR

Group II will receive Habituation,wobble board exercises,double leg,single leg and tandem stance training.

Other: training - Group II

Interventions

exergaming training OTHER

* HEADING: For 5 mins a day,3 days a week in first 3 weeks (beginner level game) and for 10 mins a day, 3 days a week for 3 weeks. (advanced level game) * TIGHTROPE TENSION: For 5 mins a day,3 days a week in first 3 weeks (beginner level game) and for 10 mins a day, 3 days a week for 3 weeks. (advanced level game) * SNOWBOARD SLALOM: For 5 mins a day,3 days a week in first 3 weeks (beginner level game) and for 10 mins a day, 3 days a week for 3 weeks. (advanced level game) * TABLE TILT: For 5 mins a day,3 days a week in first 3 weeks (beginner level game) and for 10 mins a day, 3 days a week for 3 weeks. (advanced level game)

Group I

training - Group II OTHER

* Wobble board for 4 mins a day,3 days a week for first 3 weeks and for 8 mins a day,3 days a week for 3 weeks. * Habituation exercises for 4 mins a day,3 days a week for first 3 weeks and for 8 mins a day,3 days a week for 3 weeks. * Double leg stance with eyes open and eyes closed on firm surface and on foam for 4 mins a day,3 days a week for first 3 weeks and for 8 mins a day,3 days a week for 3 weeks. * Single leg stance with eyes open and eyes open on firm surface and on foam for 4 mins a day,3 days a week for first 3 weeks and for 8 mins a day,3 days a week for 3 weeks. * Tandem walk stance with eyes open and eyes closed on firm surface and on foam for 4 mins a day,3 days a week for first 3 weeks and for 8 mins a day,3 days a week for 3 weeks.

Group II

Eligibility Criteria

• Age: 60 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• A score of 21 and above on berg balance scale.
• A minimum head velocity of 150◦/s on dynamic visual acuity test.

You may not qualify if:

• Acute Musculoskeletal pain
• Uncontrollable cardiovascular disease (e.g. High blood pressure, Uncontrolled sugar)
• Weakness from known neurological problems (Parkinson's, stroke, multiple sclerosis)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan General Railway Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (6)

• Tomita Y, Arima K, Tsujimoto R, Kawashiri SY, Nishimura T, Mizukami S, Okabe T, Tanaka N, Honda Y, Izutsu K, Yamamoto N, Ohmachi I, Kanagae M, Abe Y, Aoyagi K. Prevalence of fear of falling and associated factors among Japanese community-dwelling older adults. Medicine (Baltimore). 2018 Jan;97(4):e9721. doi: 10.1097/MD.0000000000009721.

  PMID: 29369207 BACKGROUND

• Siddiqi FA, Masood T, Osama M, Azim ME, Babur MN. Common balance measures and fall risk scores among older adults in Pakistan: Normative values and correlation. J Pak Med Assoc. 2019 Feb;69(2):246-249.

  PMID: 30804593 BACKGROUND

• Lee Y, Choi W, Lee K, Song C, Lee S. Virtual Reality Training With Three-Dimensional Video Games Improves Postural Balance and Lower Extremity Strength in Community-Dwelling Older Adults. J Aging Phys Act. 2017 Oct 1;25(4):621-627. doi: 10.1123/japa.2015-0271. Epub 2017 Sep 19.

  PMID: 28290746 BACKGROUND

• Hall CD, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife TD, Furman JM, Getchius TS, Goebel JA, Shepard NT, Woodhouse SN. Treatment for Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems? J Neurol Phys Ther. 2016 Apr;40(2):156. doi: 10.1097/01.NPT.0000481898.55592.6e. No abstract available.

  PMID: 26934418 BACKGROUND

• Swanenburg J, Babler E, Adelsberger R, Straumann D, de Bruin ED. Patients with chronic peripheral vestibular hypofunction compared to healthy subjects exhibit differences in gaze and gait behaviour when walking on stairs and ramps. PLoS One. 2017 Dec 18;12(12):e0189037. doi: 10.1371/journal.pone.0189037. eCollection 2017.

  PMID: 29253883 BACKGROUND

• Bukhari SA, Ghous M, Butt P, Kiyani SK, Tariq A. Comparison of exergaming and vestibular training on gaze stability, balance, and gait performance of older adults: A single blind randomized control trial. J Pak Med Assoc. 2022 Oct;72(10):1909-1912. doi: 10.47391/JPMA.3566.

  PMID: 36660969 DERIVED

Study Officials

• Misbah Ghous, MSNMPT

  Riphah International University Islamabad

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 30, 2020
• First Posted: June 4, 2020
• Study Start: August 1, 2020
• Primary Completion: October 1, 2020
• Study Completion: October 31, 2020
• Last Updated: March 9, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)