Effect of Playful Cognitive-motor Mobility Training on Balance, Gait and Cognition and on the Prevention of Falls in Seniors

Study Overview
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Brief Summary
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Falls in the elderly are the cause of considerable morbidity and mortality and constitute a public health problem with more than 9000 deaths in France among the over 65s following an accidental fall. Many scientific data suggest that regular physical activity has significant and long-lasting beneficial effects on the health of the elderly and is associated with better functional status, a lower risk of falls and improved cognitive functions. However, the attraction to physical activity fades over the years and the reasons mentioned by the elderly for a low practice of physical activity are multiple, the main one being the worsening of their state of health. The objective of this study is therefore to evaluate the impact of playful, motivating mobility training, stimulating both mobility and cognition, for 8 weeks, on the balance and mobility of elderly people in EHPAD, in particular in conditions of dual-task well known to be at high risk of falling, as well as on the prevention of falls.

Official Title
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Effect of Playful Cognitive-motor Mobility Training on Balance, Gait and Cognition and on the Prevention of Falls in Seniors

Conditions
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Fall Patients

Intervention / Treatment
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* Behavioral: training with Cycléo device (COTTOS ®),
* Other: non intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects aged over 60, residing in nursing homes Subjects able to walk 15 meters unaided MMSE > 10 Visual acuity in both eyes > 6/10 Affiliated subject or beneficiary of a social security scheme Subject having given and signed an informed consent to participate in the study, or his/her guardian Subject having a sedentary activity or practicing a usual light to moderate physical activity (physical activities < 6 METs) Exclusion Criteria: Subject with a parkinsonian syndrome, any impairment of the motor neuron, pain limiting the practice of physical activity Subject with a modification of less than 3 months of psychotropic drugs Subject practicing high intensity physical activity (> 6 METs)

Ages Eligible for Study
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Minimum Age: 60 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: Screening
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Activity<br>cognitive-motor training : Cycléo device (COTTOS ®), | Behavioral: training with Cycléo device (COTTOS ®),<br>* 8 weeks of training<br>|
| Placebo Comparator: No activity<br>no training | Other: non intervention<br>* non intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timed Up and Go (TUG) |  | change between baseline and 6 month | 
| MMSE globale cognitive assesment |  | change between baseline and 6 month | 
| Attention assessed by WAIS digit spans |  | change between baseline and 6 month | 
| Executive functions assessed by the TMT A AND B |  | change between baseline and 6 month |