Effects of Non-immersive Virtual Reality Training Compared to Otago Exercise Program on Balance and Spatiotemporal Gait Parameters in Elderly Population

NCT06672354 | Recruiting

• 1 other identifier: FUI/CTR/2024/41
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Falling is a serious concern for the growing elderly population due to age-related decline in physical function, leading to injuries, loss of independence, and a decline in overall well-being. The Otago Exercise Program (OEP), for the elderly consists of lower limb strengthening and balance exercises, leading to better strength, balance, and reduced fear of falling. The interactive and game-like nature of VR training can make it more engaging and motivating for older adults. It can provide challenging and engaging approach to exercise that can help to improve stability, enhance quality of life and reduce the risk of fall.

Conditions

Elderly; Balance; Gait; Virtual Reality

Keywords

Elderly; Balance; Gait; Virtual Reality

Outcome Measures

Primary Outcomes (7)

• Balance

  The Mini-BESTest includes 14 items that examine performance tasks related to dynamic balance. The test has a maximum score of 28 points from 14 items that are each scored from 0-2.

  12 weeks

• Gait Speed

  he 10 Meter Walk Test, will be used to assess walking speed in meters per second over a short distance. Using the data from the test i.e. time taken to complete distance and step count, gait speed will be evaluated based on the given formula: Distance walked/time(sec)

  12 weeks

• Cycle Time

  The 10 Meter Walk Test, will be used to assess walking speed in meters per second over a short distance. Using the data from the test i.e. time taken to complete distance and step count, cycle time will be evaluated based on the given formula: Time(sec) x 2 /No. of steps

  12 weeks

• Stride Length

  The 10 Meter Walk Test, a performance measure will be used to assess walking speed in meters per second over a short distance. Using the data from the test i.e. time taken to complete distance and step count, stride length will be evaluated based on the given formula: gait speed (m/s) x cycle time(sec)

  12 weeks

• Cadence

  The 10 Meter Walk Test, a performance measure will be used to assess walking speed in meters per second over a short distance. Using the data from the test i.e. time taken to complete distance and step count, cadence will be evaluated based on the given formula: No of steps x 60/time(sec)

  12 weeks

• Leg Strength

  The 30 Second Sit to Stand Test will be used to test leg strength and endurance in older adults. The test stand involves recording the number of stands a person can complete in 30 seconds.

  12 weeks

• Fear of Fall

  The Falls Efficacy Scale International, measure of "fear of falling" or "concerns about falling. It is a 16-item questionnaire, the item scores are summed up to obtain a total, with a score ranging from minimum 16 to maximum 64.

  12 weeks

Study Arms (2)

Otago Exercise Program Group

EXPERIMENTAL

It includes participants receiving Otago Exercise Program, which consists of stengthening, balance exercises and walking plan.

Procedure: Otago Exercise Program

Non-Immersive Virtual Reality Group

EXPERIMENTAL

This group involves participants receiving VR training exercises by using Xbox Kinect 360.

Procedure: Non-Immersive Virtual Reality Training

Interventions

Otago Exercise Program PROCEDURE

1- Otago Exercise Program: i) This exercise program will consist of strengthening, balance exercises and walking plan. The OEP will be performed according to the following: 5 min warm-up, 10 min resistance training and 15 min balance exercises. ii) The strength training protocol targets, on hip abductors, knee flexors, knee extensors, plantarflexors, and dorsiflexors.All exercises will be performed for 10 repetitions. This protocol recommends strength training 3 days per week. iii) The balance retraining protocol incorporates various exercises. The exercises progress in difficulty through four levels, with Level 1 being the easiest and Level 4 the most challenging. Balance exercises will progress from holding onto a stable supporting structure such as heavy furniture to perform the exercises independent of the support. The protocol recommends participants to carry out balance exercises 3 days a week. iv) Participants will be instructed to walk at their usual pace for 30 minutes, twice

Otago Exercise Program Group

Non-Immersive Virtual Reality Training PROCEDURE

In this interventional group, VR training exercises will be performed by using Xbox Kinect, which includes a Kinect sensor.-The monitor or Tv screen will recognize the movements of participants via camera and infra-red motion sensors.-In order to perform simulated exercises in each session, the participant will be positioned at 1.5-2 meter from the monitor or TV screen.-The virtual reality training exercises will include Kinect Adventure games (Rally Ball, 20,000 leaks, Reflex Ridge) and Sports pack 1 games (Super Saver, Target Kick, Body ball).-Exercises will be continued for 30-45 minutes each session, for 3 alternate days per week for a total period of 12 weeks.

Non-Immersive Virtual Reality Group

Eligibility Criteria

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

You may qualify if:

• Age 55 years and above
• Male and female both
• Able to independently ambulate, without the assistance of a walking aid.
• Participants that are able to maintain upright position with eyes open and eyes close for 10 seconds in standing position

You may not qualify if:

• Wheel-chair bound elderly
• Diagnosed with neurological disorder
• Severe cognitive impairment (MMSE scoring of 17 or \<17)
• Recent orthopedic trauma
• Severe degenerative conditions

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Thrapy

Islamabad, 44000, Pakistan

RECRUITING

Central Study Contacts

HAFSAH EHSAN, DPT

CONTACT

+923129671303; hafsah.ehsan98@gmail.com

Study Design

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

Study Record Dates

• First Submitted: October 31, 2024
• First Posted: November 4, 2024
• Study Start: June 20, 2024
• Primary Completion: November 15, 2024
• Study Completion: December 20, 2024
• Last Updated: November 4, 2024

Record last verified: 2024-10

Locations

PA (1)