Dual Task Training in Elderly Using the BioRescue

Study Overview
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Brief Summary
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Mild cognitive impairment (MCI) is accompanied by gait and balance problems while dual tasking. During a 6 to 8 weeks training with the BioRescue (virtual reality), institutionalized elderly people with MCI will relearn dual tasks in combination with balance. Afterwards, the transferring effect on gait in general, balance and cognition will be examined.

Official Title
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What is the Influence of Dualtask-training With the BioRescue (Analyses and Rehabilitation of Mobility) on Static Balance, Dynamic Balance During Gait and Cognitive-motor Dual Tasks During Gait: A Randomized Controlled Trial

Conditions
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Mild Cognitive Impairment

Intervention / Treatment
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* Other: Biorescue training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: minimum age: 65 Participants with increased fall-risk (i.e. Timed Up-and-Go Test (TUG) > 20 sec) Participants with Mild Cognitive Impairment (MCI) measured by the Montreal Cognitive Assessment (MoCa < 25). MCI: A state of altered cognition, characterized by a decline in one or more cognitive domains, typically including memory while the independence for daily activities remains intact. Participants have a positive result on the 'Stops Walking While Talking' test Exclusion Criteria: Diagnosis of Dementia, based on a specialized diagnostic bilan of a doctor-specialist. In rehabilitation for a recent injury or recent prothesis of the upper or lower extremities. Serious limitations of the lower and or upper limb. Not able to walk more than 10 meters independently (walking-aid allowed).

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

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: A additional BioRescue training<br>Using a playful rehabilitation, BioRescue | Other: Biorescue training<br> <br> |
| No Intervention: Regular training<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Static balance | measured using the BioRescue | day 1 | 
| Static balance | measured using the BioRescue | week 8 | 
| Dynamic Balance | instrumented timed Up-and-Go test | day 1 | 
| Dynamic Balance | instrumented timed Up-and-Go test | week 8 | 
| instrumented timed Up-and-Go test while dual-tasking | instrumented timed Up-and-Go test while dual-tasking | day 1 | 
| instrumented timed Up-and-Go test while dual-tasking | instrumented timed Up-and-Go test while dual-tasking | week 8 | 
| stops walking while talking test | stops walking while talking test | day 1 | 
| stops walking while talking test | stops walking while talking test | week 8 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| fall incidence | The incidence of falls for each participant will be registered in the institution | up to 8 weeks | 
| cognitive function | measured by the MOCA (Montreal Cognitive Assesment) | day 1 | 
| cognitive function | measured by the MOCA (Montreal Cognitive Assesment) | week 8 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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elderly