Effects of a Serious Game With Elderly People

Study Overview
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Brief Summary
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Assessment of the effect of a 12 weeks serious game based exercises program on physical performance in older adults living in nursing homes, in comparison with a control group that benefits from a classical exercise training program including balance, muscle strengthening and walking exercises with the same duration.

Detailed Description
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Recent reviews of the literature have shown that exergames may have interest in balance rehabilitation, physical performance maintenance, and fall prevention in community dwelling older adults with neurodegenerative disease or at risk of fall. These reviews also show however that classical exergames are not adapted for rehabilitation of patients with functional limitations, which could explain their relatively moderate benefits in those patients. To overcome this lack, a serious game has been co-developed with medical to be adapted to the specific needs and characteristics of nursing home residents In this study , the investigators propose to compare the effects on physical performance, falls incidence, and quality of life of a 12-weeks serious game based exercise program and a classical exercises program

Official Title
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Effects of a Serious Game Based Exercise Program on the Functional Autonomy in Older Adults Living in Nursing Homes : SERIOUS AUTONOMY

Conditions
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Functional Autonomy

Intervention / Treatment
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* Other: serious game
* Other: classic program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: older adults aged 65 and over, living in nursing homes and able to walk without technical assistance and sign an informed consent. Exclusion Criteria: subjects with cognitive impairments (MMSE < 14) or with conditions that contra-indicate the involvement in a rehabilitation program for medical or ethics reasons; subjects with a history of seizure.

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: serious game<br>the effect on physical performance of a personalized, 12-weeks rehabilitation program using a serious game | Other: serious game<br>* Effect of serious game on elderly in comparison of the physical activity adapted meeting<br>|
| Other: Classic program<br>the effect on physical performance of a personalized, 12-weeks rehabilitation program using a classical exercise program in older subjects living in a nursing home | Other: classic program<br>* Effect of serious game on elderly in comparison of the physical activity adapted meeting<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Short Physical Performance Baterry (SPPB) | Short Physical Performance Baterry (SPPB) at baseline (T0) and at 3 months.The Short Physical Performance Battery (SPPB) is the sum of the scores on three criteria: the balance test, the walking speed test and the chair lift test. This test makes it possible to evaluate the physical performance of an individual. | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Short Physical Performance Baterry (SPPB) | SPPB score at 6 months.The Short Physical Performance Battery (SPPB) is the sum of the scores on three criteria: the balance test, the walking speed test and the chair lift test. This test makes it possible to evaluate the physical performance of an individual. | 6 months | 
| incidence of fall | incidence of fall | 3 months | 
| incidence of fall | incidence of fall | 6 months | 
| Balance | Timed Up and Go Test, Tinetti Test and unipodal standing in simple and dual-task | at baseline (T0) | 
| Balance | Timed Up and Go Test, Tinetti Test and unipodal standing in simple and dual-task | 3 months | 
| Cognition | Mini Mental State Examination | At inclusion | 
| Cognition | Mini Mental State Examination | 3 months | 
| Satisfaction evaluation | Lickert Scale at inclusion.A Likert scale is a psychometric tool to measure an attitude in individuals.The scale contains for each item a graduation generally comprising five or seven answer choices that qualify the degree of agreement | At inclusion | 
| Satisfaction evaluation | Lickert Scale at inclusion.A Likert scale is a psychometric tool to measure an attitude in individuals.The scale contains for each item a graduation generally comprising five or seven answer choices that qualify the degree of agreement | 3 months | 
| Evaluation of the quality of life | SF12 questionnaire | At inclusion | 
| Evaluation of the quality of life | SF12 questionnaire | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Institutionalized olders adults, SERIOUS GAME