Improved Motivation for Physical Activity in an Institutionalized Geriatric Population Through a Virtual Environment

Study Overview
=================
Brief Summary
-----------------
The purpose of this study is to test the interest of a virtual environment with cycling to increase the motivation of physical activity practice in institutionalized older adults.

Detailed Description
-----------------
The World Health Organization (WHO) recommends for people aged 65 years and over a weekly practice of at least 150 minutes of moderate-intensity endurance activities or at least 75 minutes of activity. endurance of sustained intensity, or an equivalent combination of moderate and sustained activity. However, the attractiveness for physical activity fades over the years limiting the practice of physical activity. Several types of unconventional approaches have already shown their effectiveness in the prevention of falls in the elderly but these practices find their limits in the lack of adherence to this type of exercise, especially in nursing homes. New virtual reality and gaming technologies have recently emerged and are being used as tools to prevent the risk of falling. The use of these new tools has advantages over conventional exercises: motivating. The investigators aimed to test the interest of a virtual environment with cycling to increase the motivation of physical activity practice in institutionalized older adults.

Official Title
-----------------
Improvement of Motivation for Physical Activity in an Institutionalized Geriatric Population Thanks to a Virtual Environment: Comparison of Motivation Between Classic Bike and Bike With Virtual Environment

Conditions
-----------------
Motivation, Fall

Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: age over 65 ability to cycle Exclusion Criteria: unstable cardiopathy New York Heart Association classification III or IV severe cognitive disorders with inability to follow simple orders (follow investigator, ride on the ergometric bicycles, pedal) visual disturbance preventing counting fingers at 5m
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| cycling group<br>They attended three sessions of exercise on three different conditions : a classic ergometric bicycle without chairback, an ergometric bicycle with chairback with virtual environment and the other session without virtual environment | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cycling distance in meters | Primary outcome was the cycling distance measured at each session without encouragement | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Time spent pedaling in seconds per session | Measure of the time spent pedaling per session without encouragement | 3 months | 
| The average speed in meters per second per session | Measure of the average cycling speed per session without encouragement. | 3 months | 
| Mean pedaling cadence per session in revolutions per minute | Measure of the average pedaling cadence per session without encouragement. | 3 months | 
| Borg rating of perceived exertion scale | Measure of the perceived exertion after each cycling session with Borg rating of perceived exertion scale. Range 0-10. Ten corresponding to the maximal perceived exertion | 3 months | 
| Mean pedaling power per session in Watts | Measure of the pedaling power per session without encouragement | 3 months | 
| Closed-ended question to know which condition they would prefer for a futur exercise session. | Participant were asked at the end of the third session, which condition they would prefer for a futur exercice session. Possible answers: Classic ergometric bicycle Kettler E3), Cycleo without virtual environment, Cycleo with virtual environment, None. | 3 months |