Effects of an Exergame Focused on Cognitive-motor Interference on the Cognitive and Motor Capacities of Older Adults

Study Overview
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Brief Summary
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Ageing is accompanied by a high risk of developing physical or cognitive impairments, as well as a decrease in abilities to perform two tasks simultaneously, contributing to loss of autonomy. Interventions based on the performance of cognitive-motor dual tasks show positive effects on cognitive, physical and emotional development on dual-tasking capabilities. Exergames, interactive serious games combining physical activity and technology, are a certain type of cognitive-motor dual task training. These exergames appear to be cognitively effective, discussed on a physical level, not studied on dual task functions. It is likely that a dual task cognitive-motor with the support of a exercise leads to the same benefits as training without the need for special support. In addition, the exergames benefit from specific features such as a good immersion and a playful aspect that increase the participant's adhesion. Moreover, the level of security of this type of programme has been little studied. It is likely that cognitive-motor dual tasks training supported by an exercise programme leads to few undesirable events and good adherence. Many of the recommendations specific needs gaming state that it is important to develop systems that respond to the needs specific to the population concerned in order to be effective. Within the laboratory HAVAE has been developed a tool, the virtual carpet: association between a video-projected scene and a monitoring system of position of the participants. This system makes it possible to use as a grid of play the cartography and iconography of the City of Limoges. The investigators suppose that this emphasis on local heritage will encourage the participants leaving their homes, thereby increasing their level of physical activity and their quality of life.

Official Title
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Effects of an Exergame Focused on Cognitive-motor Interference on the Cognitive and Motor Capacities of Older Adults

Conditions
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Ageing

Intervention / Treatment
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* Other: Training Programme


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: A person over 75 years of age who : resides in one of the two Municipal Autonomy Residences (RAM) of the City of Limoges (Durkheim or Casseaux), or a member of a senior club of the communal social action centre has normal or corrected vision and hearing Exclusion Criteria: Person presenting : psychiatric disorders or neurological pathologies (cardiovascular accidents, Parkinson's disease, Alzheimer's, dementia) diagnosed taking medication that affects walking or balance a need for technical assistance (double cane-crutch, walker) an inability to carry out the proposed training programme person unable to understand the Protocol

Ages Eligible for Study
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Minimum Age: 75 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
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental Arm<br>Training programme using Exergame as a support over a 12 week period | Other: Training Programme<br>* Cognitive-motor dual task exercises corresponding to associations between different motor tasks and different cognitive tasks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postural control under dual-task condition change | assessed by posturography (mm/s) | Week 3, Week 17 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mental inhibition under dual-task condition change | assessed by Stroop test time (s) | Week 3, Week 17, Week 31 | 
| Mental inhibition under dual-task condition change | assessed by Stroop test errors (n) | Week 3, Week 17, Week 31 | 
| Mental inhibition change single-task condition | assessed by Stroop test time (s) | Week 3, Week 17, Week 31 | 
| Mental inhibition change single-task condition | assessed by Stroop test errors (n) | Week 3, Week 17, Week 31 | 
| Mental flexibility change | assessed by TMT time (s) | Week 3, Week 17, Week 31 | 
| Mental flexibility change | assessed by Stroop test errors (n) | Week 3, Week 17, Week 31 | 
| Working memory change | assessed by 2N-Back test errors (n) | Week 3, Week 17, Week 31 | 
| Mobility change | assessed by TUG time (s) | Week 3, Week 17, Week 31 | 
| Balance change | assessed by BBS score | Week 3, Week 17, Week 31 | 
| Fear of falling | assessed by FES-I score | Week 3, Week 17, Week 31 | 
| Postural control under single-task condition change | assessed by posturography (mm/s) | Week 3, Week 17, Week 31 | 
| Reported physical activity level change | assessed by QAPPA score | Week 3, Week 17, Week 31 | 
| Traqued physical activity level change | assessed by embeded Armband | Week 3, Week 17, Week 31 | 
| City exploration change | assessed by the city's points of interest visits | Week 17, Week 31 | 
| Quality of life change | assessed by EQ5D5L score | Week 3, Week 17, Week 31 | 
| Safety features of the training programme | number, nature, severity and causes of the occurrence of adverse events during the intervention | Week 17 | 
| Compliance | assessed by number of sessions carried out | Week 17 | 
| Drop-out | assessed by the number of participants who do not complete the program | Week 17 | 
| Motivation change | assessed by EMAPS score | Week 3, Week 17, Week 31 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cognitive, motor, abilities, exergame