Exergaming for Community-Dwelling Older Adults

Study Overview
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Brief Summary
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This study aimed to utilize an interactive exergame mat system to develop a novel cognitive-physical training program and explore the training effects on physical performance, cognitive function, dual-task walking (DTW), and fall risk compared to the control condition.

Detailed Description
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The exercise group performed exergames with simultaneous cognitive-physical training, while the control group underwent a multicomponent exercise intervention focused on physical and cognitive training. A 2-hour training session was completed weekly for 3 months.

Official Title
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Novel Mat Exergaming to Improve the Physical Performance, Cognitive Function, and Dual-task Walking and Decrease the Fall Risk of Community-dwelling Older Adults

Conditions
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Elderly, Exercise

Intervention / Treatment
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* Other: cognitive-physical training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged 65 years or older, and being able to walk independently without any assistive devices Exclusion Criteria: had severe lower-extremity joint pain, cognitive impairment, or visual problems that impeded their participation

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: exercise group<br>exergames with simultaneous cognitive-physical training | Other: cognitive-physical training<br>* combined physical and cognitive training<br>|
| Active Comparator: control group<br>multicomponent exercise intervention focused on physical and cognitive training | Other: cognitive-physical training<br>* combined physical and cognitive training<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in lower-limb muscle strength | 30-second chair stand test | before and after 3-month exercise training interventions | 
| change in upper-limb muscle strength | 30-second arm curl test | before and after 3-month exercise training interventions | 
| change in aerobic endurance | 2-minute step test | before and after 3-month exercise training interventions | 
| change in lower-body flexibility | chair sit and reach test | before and after 3-month exercise training interventions | 
| change in upper-body flexibility | back scratch test | before and after 3-month exercise training interventions | 
| change in dynamic balance | 8-foot up and go test | before and after 3-month exercise training interventions | 
| change in static balance | single-leg stand test | before and after 3-month exercise training interventions | 
| change in grasp strength | hand grip strength | before and after 3-month exercise training interventions | 
| change in lower limb motor function | foot tapping test | before and after 3-month exercise training interventions | 
| change in cognitive function | Montreal Cognitive Assessment | before and after 3-month exercise training interventions | 
| change in cognitive dual-task walking | 8-foot up and go walking while counting | before and after 3-month exercise training interventions | 
| change in motor dual-task walking | 8-foot up and go walking while carrying a tray | before and after 3-month exercise training interventions | 
| change in fall risk | fall risk questionnaire | before and after 3-month exercise training interventions |