Mimic-game & Groove: A TeleXercise Intervention to Get Active & Get Healthy

NCT05134870 | Completed

• 1 other identifier: 2020-0923
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The composite effect of reduced balance, cognition, gait abnormalities/gait disturbances, and physical activity in older adults leads to fear of falling and decreased participation in daily activities, resulting in reduced cardiovascular fitness and deconditioning. Although many conventional balance and strength training programs have been implemented for older adults, these adults do not receive adequate practice dosage to make significant improvements, most likely due to lack of adherence to therapy and/or inadequate incorporation of all domains of the ICF model (body functions and structures, activities and participation) and lack of targeting cognitive-motor interference (deterioration of motor and/or cognitive function when both tasks are performed together). The use of TeleXercise via Tele rehabilitation has been found to be relatively enjoyable for older adults due to increased motivation and adherence to therapy, which led to the added improvement of physical and cognitive functioning. The overall aim of this pilot is to develop and test the Mimic-Me \& Groove TeleXercise platform and then evaluate the compliance and efficacy of the TeleXercise intervention compared to control group receiving standard of care (education on conventional exercise and fall prevention program) for older adults as well as its effect on enhancing balance, gait, and cognition, and physical activity. Investigators also hope that the net effect of improvement in these domains of health outcomes will result in pre and post improvement in endurance and cardiovascular function and reduction of fall risk and improved quality of life of older adults. The study investigates the efficacy of a TeleXercise intervention in older adults by demonstrating its feasibility, compliance rate and also determine the efficacy of the Mimic-Me \& Groove TeleXercise in improving health outcomes such as motor and cognitive functions, thereby reducing cognitive-motor interference. The study will also aim to determine the effectiveness of the TeleXercise in improving cardiovascular fitness and physical activity (PA) in older adults.

Conditions

Healthy Older Adults

Keywords

Tele-rehabilitation; TeleXercise; Mimic-Game-&Groove

Outcome Measures

Primary Outcomes (6)

• Change in time during 30-second chair stand test.

  This test is conducted to assess leg strength and endurance.

  Change in time from pre-test (Week 0) to post-training (week 5)

• Change in time during four-step square test

  To test the dynamic balance and to assess the person's ability to step over objects forward, sideways, and backwards

  Change in time from pre-test (Week 0) to post-training (week 5)

• Change in time during Sharpened Romberg

  To assess the static balance of participants in sensory integration taxing condition

  Change in time from pre-test (Week 0) to post-training (week 5)

• Change in time during 2-minute step in place test

  To assess the cardiovascular exercise tolerance

  Change in time from pre-test (Week 0) to post-training (week 5)

• Change in time during One-legged Stance test

  To assess the static balance of participants in sensory integration taxing condition

  Change in time from pre-test (Week 0) to post-training (week 5)

• Change in time during Tinetti Performance Oriented Mobility Assessment

  To assess gait and balance together

  Change in time from pre-test (Week 0) to post-training (week 5)

Secondary Outcomes (13)

• Change in correct responses during Letter Number sequencing test

  Change in number of correct response from pre-test (Week 0) to post-training (week 5)

• Change in correct responses during Visual stroop test

  Change in number of correct response from pre-test (Week 0) to post-training (week 5)

• Change in correct responses during Auditory stroop

  Change in number of correct response from pre-test (Week 0) to post-training (week 5)

• Change in correct response during Flanker inhibitory control and attention test

  Change in number of correct response from pre-test (Week 0) to post-training (week 5)

• Change in correct response during List Sorting Memory test

  Change in number of correct response from pre-test (Week 0) to post-training (week 5)

Study Arms (1)

TeleXercise intervention

EXPERIMENTAL

TeleXercise intervention will be delivered via exergaming-based animation videos combined with or without cognitive exercises by a health coach. Participants will need a computer/tablet/smart phone for the study. The health coach will launch the exercise application on their computer and share their screen with the participants. They have to mimic the exercises shown to them. The intervention will have 12 sessions for 4 weeks, each session for 1.5 hours, including warm-ups and cool-down. Warm-up and cool down are for 20 minutes. A wearable device provided will measure the heart rate and physical activity during the training. Participants are provided with a set of balance exercises which includes non-interactive balance games (stepping forward, backward, sideways), Tai-Chi, Weight shifting (to right leg, left leg and practice distributing equal weights on both the legs), Aerobic (stepping in place), dance, strength, and stretching

Behavioral: Mimic- game and groove- Telerehabilitation

Interventions

Mimic- game and groove- Telerehabilitation BEHAVIORAL

Participants will mimic the exergaming-based animation videos shown to them by the health coach. They will also wear a wearable device that will measure the heart rate and physical activity during the training. The intervention will have 12 sessions for 4 weeks, each session for 1.5 hours, including warm-ups and cool-down. Warm-up and cool down are for 20 minutes. Additionally, Participants are provided with a set of balance exercises which includes non-interactive balance games (stepping forward, backward, sideways), Tai-Chi, Weight shifting (to right leg, left leg and practice distributing equal weights on both the legs), Aerobic (stepping in place), dance, strength, and stretching

Also known as: Tele rehabilitation

TeleXercise intervention

Eligibility Criteria

• Age: 55 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age group: Community-dwelling healthy older adults between the age group of 55 - 85 years
• Participants without any history of fracture for the last 1 year
• Should have either a desktop computer/laptop/tablet and a WIFI connection.
• Absence of any acute or chronic neurological (Stroke, Parkinson's disease, Alzheimer's disease), cardiopulmonary, musculoskeletal, or systemic diagnosis.
• No recent major surgery (\< 6 months) or hospitalization (\< 3 months)
• Not on any sedative drugs
• Can understand and communicate in English

You may not qualify if:

• Participants will not proceed with the study if at baseline measurement HR \> 85% of age-predicted maximal heart rate (HRmax) (HRmax = 220 - age)
• Inability to stand for at least 5 minutes without an assistive device (length of each exercise)
• History of bone fracture or significant other systemic disease or surgery in the last six months
• Uncontrolled acute medical, surgical, neurological or cardiovascular disease.
• Moderate to severe cognitive impairment (MOCA \<24/30)

Sponsors & Collaborators

• University of Illinois at Chicago: lead

Study Sites (1)

University of Illinois at Chicago

Chicago, Illinois, 60612, United States

Location

MeSH Terms

Interventions

Telerehabilitation

Intervention Hierarchy (Ancestors)

Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Health Services; Health Care Facilities Workforce and Services; Telemedicine; Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Tanvi S Bhatt, PhD

  University of Illinois at Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PI

Study Record Dates

• First Submitted: August 13, 2021
• First Posted: November 26, 2021
• Study Start: August 28, 2020
• Primary Completion: February 20, 2023
• Study Completion: July 30, 2023
• Last Updated: May 16, 2024

Record last verified: 2024-05

Locations

US (1)