Effects of Video Games and Ball Tossing on Eye Hand Coordination in Elderly With Mild Cognitive Impairment.

NCT07182396 | Recruiting

• 1 other identifier: FUI/CTR/2025/04
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

One of the key challenges faced by individuals with mild cognitive impairment (MCI) is the decline in cognitive and motor abilities, particularly eye-hand coordination (EHC), which is essential for performing daily activities and maintaining independence. Impaired EHC can severely affect the quality of life in older adults, leading to difficulties in performing routine tasks like dressing, eating, and bathing, and increasing dependency on caregivers. Signs and symptoms include difficulty with precise movements like buttoning clothes, spilling drinks while pouring, struggling to catch a ball, messy handwriting. This study aims to explore and compare the effectiveness of two interventions-video games and ball tossing exercises-in improving Eye-hand coordination (EHC) in older adults with Mild Cognitive Impairment (MCI). Key outcome measures, including the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) and its supplemental test visual perception test and motor coordination test, will evaluate the effectiveness of the interventions on eye hand coordination. We will include older adults with 60 and above age with MoCA score of 18-25(MCI patients), who can do independent ADLs and beery vmi score of 80 and above. The participants would be assessed at the start of intervention through MoCA scale for MCI screening and Beery VMI testing method for Eye Hand Coordination for inclusion score.

Conditions

Cognitive Dysfunction; Cognitive Disorder; Cognitive Decline

Keywords

Eye hand coordination; mild cognitive impairment; video games intervention; MoCA; Beery VMI( Beery Buktenica developmental test)

Outcome Measures

Primary Outcomes (1)

• VISUAL-MOTOR INTEGRATION

  The Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) is a gold standard measure designed to identify challenges related to the coordination of visual and motor skills like eye hand coordination in both children and adults aged (2-100) year old. Visual Motor Integration takes approximately 10-15 min. Raw scores on the Beery VMI can range from 1 to 27, with a higher score reflecting a better performance. Raw scores are converted into standard scores according to age and each part of test has total of 30 scores to mark as there are 30 each shapes/tasks to complete. Interpretation: Standard Score Range \& Interpretation: \>129 = Very high 120-129 = High 110-119 = Above average 90-109 = Average 80-89 = Below average 70-79 = Low

  6 weeks

Study Arms (2)

video games and ball tossing intervention

EXPERIMENTAL

TAPD game:Tap the correct targets as they scroll down the screen. Be careful, though, the current target colour will change and the scrolling speed will increase progressively by time. it will have 5 difficulty levels Hand eye coordination game:Tap changing illuminating squares Ball tossing intervention: Exercise 1: Participant will be supposed to dribble/ tap soft bouncing ball on ground with one hand. After one set of exercise, 2 minutes of rest will be given and then again same exercise will be performed. Exercise 2: Participants will be supposed to throw soft ball to the wall and aim for re-bound catch, initially starts from football sized soft ball and progress to small ball to increase difficulty level according to participants. For easy level, participants can start from catching the ball after tapping to ground in the first week depending upon their ability. Exercise 3: Participants will be supposed to tap table tennis ball with table tennis bat in air in vertical direction

Procedure: Experimental Group

ball tossing intervention

ACTIVE COMPARATOR

Exercise 1: Participant will be supposed to dribble/ tap soft bouncing ball on ground with one hand. After one set of exercise, 2 minutes of rest will be given and then again same exercise will be performed. Exercise 2: Participants will be supposed to throw soft ball to the wall and aim for re-bound catch, initially starts from football sized soft ball and progress to small ball to increase difficulty level according to participants. For easy level, participants can start from catching the ball after tapping to ground in the first week depending upon their ability. Exercise 3: Participants will be supposed to tap table tennis ball with table tennis bat in air in vertical direction

Procedure: Control Group

Interventions

Experimental Group PROCEDURE

VIDEO GAME-TAPD: Week 1st-6th: Start with kids level and progress upto expert level and Participants will automatically progress to advanced level based on their individual ability and progress in game in progressing weeks. (kids level to expert level: according to game levels) Hand eye coordination game:Tap changing illuminating squares. Week1- 3 repetitions(2sets),Week2- 4 repetitions(2 sets),Week3- 5 repetitions(2 sets),Week4- 6 repetitions(2 sets),Week5- 7 repetitions(2 sets),Week6- 8 repetitions(2 sets) Ball tossing intervention:Week 1-2 (Exercise 1 (2 sets, 20/30/40 repetitions) and Exercise 2(2 sets, 20/30/40 repetitions) with ground tap catch Week 3-4 (Exercise 2 (2 sets, 20/30/40 repetitions) with direct catch and Exercise 3 (2 sets, 20/30/40 repetitions) Week 5-6 (Exercise 1 (2 sets, 50 repetitions) , Exercise 2 (2 sets, 50 repetitions) with direct catch and Exercise 3 (2 sets, 50 repetitions) Number of reps adjusted according to session number per week

video games and ball tossing intervention

Control Group PROCEDURE

Week 1-2 (Exercise 1 (2 sets, 20/30/40 repetitions) and Exercise 2(2 sets, 20/30/40 repetitions) with ground tap catch Week 3-4 (Exercise 2 (2 sets, 20/30/40 repetitions) with direct catch and Exercise 3 (2 sets, 20/30/40 repetitions) Week 5-6 (Exercise 1 (2 sets, 50 repetitions) , Exercise 2 (2 sets, 50 repetitions) with direct catch and Exercise 3 (2 sets, 50 repetitions) Number of reps adjusted according to session number per week e.g * Day 1: 20 reps per week * Day 2: 30 reps per week * Day 3: 40 reps per week Progression: Participants will progress to advanced level based on their individual ability and progress. Levels of complexity will be adjusted according to patient progress.

ball tossing intervention

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Older population aged from 60years and above
• Normal/ normal to corrected vision
• MoCA Score of 18-25 for screening / MCI patients
• Can do Independent ADLS
• Beery VMI Score: 80 and above score

You may not qualify if:

• History of head trauma, loss of consciousness, stroke, rapid cognitive decline
• Diagnosis of mental illness/neurocognitive disorders
• Diagnosed Vestibular disorders
• Hearing, vision and communication impairments

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Cognitive Dysfunction

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Central Study Contacts

Muttayaba Ishtiaq, DPT

CONTACT

+92 321-5312943; imuttayaba58@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: September 12, 2025
• First Posted: September 19, 2025
• Study Start: September 13, 2024
• Primary Completion: December 10, 2025
• Study Completion: January 10, 2026
• Last Updated: September 19, 2025

Record last verified: 2025-09

Locations

PA (1)