The Effectiveness of Exergaming for Older People Mobility and Balance

NCT06711393 | Not Yet Recruiting DMC

• 1 other identifier: 61/2023
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The mobility problems of older people are often related to the decrease of functional capacity and health \[1\], weakened physical condition, attitude to life and fear of falling \[2\]. Relatively little research has been done on the possibilities and effectiveness of exergaming on the mobility of old people. Interventions that include exergaming have been found to motivate and increase commitment to rehabilitation \[3\], to improve mobility, balance \[4\], performance in daily activities and independence \[5\]. The aim of randomized intervention trial is to find out the effect of physical exercises performed on the technological device (YetiHome®) on identified preclinical movement problems during a 2-month follow-up period. The goal is to produce information about the effectiveness of gamified physical exercises in preventing movement problems and supporting older people living at home. This study investigates the effectiveness of the YetiHome in improving the physical functioning of older people. YetiHome is an assistive technology device developed for special groups. YetiHome is a small interactive touchscreen tablet with 27" screen and with Android operating system and it includes numerous applications. Added exergaming solution for the balance training. There is no previous scientific research on the effectiveness of the YetiHome on the mobility problems and activity of the community-dwelling older people living independently at home. The aim of randomized intervention trial is to find out the effect of physical exercises performed on the technological device (YetiHome®) on identified preclinical movement problems during a 2-month follow-up period. The goal is to produce information about the effectiveness of gamified physical exercises in preventing movement problems and supporting older people living at home. This study investigates the effectiveness of the YetiHome in improving the physical functioning of older people. YetiHome is an assistive technology device developed for special groups. YetiHome is a small interactive touchscreen tablet with 27" screen and with Android operating system and it includes numerous applications. Added exergaming solution for the balance training. There is no previous scientific research on the effectiveness of the YetiHome on the mobility problems and activity of the community-dwelling older people living independently at home.

Conditions

Mobility Limitation

Keywords

Older adults; Balance; Mobility limitation; Preclinical mobility limitation

Outcome Measures

Primary Outcomes (3)

• Balance Short Physical Performance Battery (SPPB)

  Short Physical Performance Battery (SPPB), Scores range from 0 to 12. The lower the SPPB total score, the greater the risk of future mobility.

  From baseline to the end of intervention at 8 weeks

• One Leg Balance (OLB)

  AinoneBalance -solution, Movement path length. Standing 10 seconds with feet together, semi tandem, tandem, the eyes open and closed, on hard and soft surface.

  From baseline to the end of intervention at 8 weeks

• Mobility

  Short Physical Performance Battery (SPPB), Scores range from 0 to 12. The lower the SPPB total score, the greater the risk of future mobility.

  From enrollment to the end of treatment at 8 weeks

Study Arms (2)

Exergaming group

EXPERIMENTAL

Exergaiming group plaing games during intervention period

Other: Exercise

Control group

ACTIVE COMPARATOR

Regular exercise without exergaming

Other: Exercise as usual

Interventions

Exercise OTHER

Traditional home exercise including balance and muscle strength training 15 minutes at the time and three times over the week. In addition, game-based exercises 15 minutes at the time and three times over the week.

Exergaming group

Exercise as usual OTHER

Traditional home exercise including balance and muscle strength training 15 minutes at the time and three times over the week without exergaming.

Control group

Eligibility Criteria

• Age: 75 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Living at home.
• Not a user of health and social services.
• Sufficient cognitive ability to do exercises independently.

You may not qualify if:

• Risk of hip fracture and inability to perform exercise independently.

Sponsors & Collaborators

• University of Oulu: lead

Study Sites (1)

Research unit of health sciences and technology

Oulu, PL 8000, Finland

Location

Related Publications (4)

• Neumann S, Meidert U, Barbera-Guillem R, Poveda-Puente R, Becker H. Effects of an Exergame Software for Older Adults on Fitness, Activities of Daily Living Performance, and Quality of Life. Games Health J. 2018 Oct;7(5):341-346. doi: 10.1089/g4h.2017.0079.

  PMID: 30325234 BACKGROUND

• Pacheco TBF, de Medeiros CSP, de Oliveira VHB, Vieira ER, de Cavalcanti FAC. Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis. Syst Rev. 2020 Jul 18;9(1):163. doi: 10.1186/s13643-020-01421-7.

  PMID: 32682439 BACKGROUND

• Oesch P, Kool J, Fernandez-Luque L, Brox E, Evertsen G, Civit A, Hilfiker R, Bachmann S. Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial. BMC Geriatr. 2017 Mar 23;17(1):77. doi: 10.1186/s12877-017-0467-7.

  PMID: 28330455 BACKGROUND

• Pauelsen M, Nyberg L, Roijezon U, Vikman I. Both psychological factors and physical performance are associated with fall-related concerns. Aging Clin Exp Res. 2018 Sep;30(9):1079-1085. doi: 10.1007/s40520-017-0882-9. Epub 2017 Dec 20.

  PMID: 29264814 BACKGROUND

Related Links

• GeroNursing Center, Research unit of health sciences and technology, University of Oulu

MeSH Terms

Conditions

Mobility Limitation

Interventions

Exercise

Condition Hierarchy (Ancestors)

Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

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

Study Officials

• Satu Elo Elo, PhD, Adjunct professor, Principal lecturer

  University of Oulu

  STUDY DIRECTOR

Central Study Contacts

Sari Arolaakso Senior Lecturer, PhD Student

CONTACT

+358 503109334; Sari.J.Arolaakso@student.oulu.fi

Satu Elo, PhD, Adjunct professor, Principal lecturer

CONTACT

satu.elo@oamk.fi

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer, PhD student

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: December 2, 2024
• Study Start: November 27, 2024
• Primary Completion: December 20, 2024
• Study Completion: February 28, 2025
• Last Updated: December 2, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

FI (1)