Exercise Intensity and Video Games: Persons Post-stroke

NCT04538326 | Completed

• 1 other identifier: Pro20160000916
• Study Type: interventional
• Target: 15
• Locations: 1 country
• Sites: 1

Brief Summary

Persons post stroke executed stepping activities under four conditions: standard of care, interacting with: an off-the-shelf Microsoft-Kinect game, with a self-paced repeated custom video game and a game-paced random custom video game. Exercise intensity (neuromuscular and cardiovascular), enjoyment and perceived effort were measured during and after each condition.

Conditions

Stroke

Keywords

active video games; virtual reality; exercise intensity; Parkinson Disease

Outcome Measures

Primary Outcomes (5)

• Neuromuscular intensity

  movement repetitions (stepping and marching) measured through video tape measured continuously during each exercise bout

  collected continuously during each of the four conditions. Collected in a single 2 hour session

• Cardiovascular intensity (metabolic Units)

  metabolic units measured continuously during each exercise bout

  collected continuously during each of the four conditions. Collected in a single 2 hour session

• Cardiovascular intensity (Percent of maximum heart rate)

  the percent of the maximum heart rate

  collected continuously during each of the four conditions. Collected in a single 2 hour session

• Enjoyment

  measured with the PACES questionnaire after each exercise bout

  four times collected in a single 2 hour session (once at the completion of each the four conditions).

• Borg Rate if Perceived Exertion Scale

  Measures perception of effort on a scale of 6-20

  Collected three times (at the beginning, middle and end) of each of the four exercise bouts during a single two hour session

Secondary Outcomes (2)

• Preference ranking

  collected once at the end of the completed data collection of a 2 hour session

• Fugl Meyer Motor Assessment Scale_ Lower Extremity Section

  collected once during the single 2 hour data collection session

Other Outcomes (1)

• Open ended questions

  collected once during a single 2 hour data collection session

Study Arms (1)

Single

OTHER

Participants exercised in two counter balanced blocks: repeated (standard of care and self-paced repeated custom game) and random (Kinect game and game-paced random custom game). Exercise bouts were for 8.5 minutes with ten minutes of rest in between so they could return to physiological baseline. Data were collected in a single session lasting two hours.

Behavioral: Exercise

Interventions

Exercise BEHAVIORAL

Participants performed stepping movements that were either cued by the investigator or interacted with a video game. There were three video game exercises that all involved stepping in either a repeated or a random pattern that was either self-paced or game paced.

Also known as: Video Game Play, Standard of Care Stepping Activities

Single

Eligibility Criteria

• Age: 19 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• men and women post-stroke at least six months T
• able to ambulate 100 feet without physical assistance but allowed to use assistive devices and orthotics,
• able to stand for 3 minutes.
• cleared for exercise with the PARQ.

You may not qualify if:

• history of severe heart disease, heart attack, valve replacement or coronary artery bypass surgery, severe lung disease, uncontrolled diabetes, traumatic brain injury or neurological disorder other than stroke
• Are unable to follow directions.
• Do not have adequate vision and hearing ability (either aided or unaided with glasses, contacts or hearing aids
• Are unable to sign a consent form.
• Unstable medical condition or musculoskeletal disorder such as severe arthritis, knee surgery, hip surgery, or any other condition that the investigators determine would impair the ability to perform the required stepping for the games presented.
• Any other medical condition contraindications to exercise.

Sponsors & Collaborators

• Rutgers, The State University of New Jersey: lead

Study Sites (1)

School of Health Professions

Newark, New Jersey, 07011, United States

Location

Related Publications (3)

• Kafri M, Myslinski MJ, Gade VK, Deutsch JE. Energy expenditure and exercise intensity of interactive video gaming in individuals poststroke. Neurorehabil Neural Repair. 2014 Jan;28(1):56-65. doi: 10.1177/1545968313497100. Epub 2013 Jul 29.

  PMID: 23897906 RESULT

• Kafri M, Myslinski MJ, Gade VK, Deutsch JE. High metabolic cost and low energy expenditure for typical motor activities among individuals in the chronic phase after stroke. J Neurol Phys Ther. 2014 Oct;38(4):226-32. doi: 10.1097/NPT.0000000000000053.

  PMID: 25198864 RESULT

• Deutsch JE, James-Palmer A, Damodaran H, Puh U. Comparison of neuromuscular and cardiovascular exercise intensity and enjoyment between standard of care, off-the-shelf and custom active video games for promotion of physical activity of persons post-stroke. J Neuroeng Rehabil. 2021 Apr 14;18(1):63. doi: 10.1186/s12984-021-00850-2.

  PMID: 33853608 DERIVED

MeSH Terms

Conditions

Stroke; Parkinson Disease

Interventions

Exercise

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Parkinsonian Disorders; Basal Ganglia Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases

Intervention Hierarchy (Ancestors)

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

Study Officials

• Judith Deutsch, PT, PhD

  Rutgers University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: Participants were told that the purpose of the study was to learn more about what type of exercise they liked. There was no indication that intensity was an outcome measure.
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor and Director Rivers Lab

Model Details: Repeated measures, counter-balanced

Study Record Dates

• First Submitted: April 7, 2020
• First Posted: September 4, 2020
• Study Start: May 1, 2017
• Primary Completion: August 30, 2018
• Study Completion: August 30, 2018
• Last Updated: September 4, 2020

Record last verified: 2020-08

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ICF
• Time Frame: Data will be made available through the appropriate journal data sharing plan.
• Access Criteria: For systematic reviews or other secondary analyses.

Locations

US (1)