Clinical trial NCT04803799: Effects of an Exergame Focused on Cognitive-motor Interference on the Cognitive and Motor Capacities of Older Adults
Official title: Effects of an Exergame Focused on Cognitive-motor Interference on the Cognitive and Motor Capacities of Older Adults
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Ageing
Keywords: Cognitive, motor, abilities, exergame
Lead sponsor: University Hospital, Limoges
Sponsor class: OTHER
First posted: 2021-03-18
Enrollment: 40
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Postural control under dual-task condition change
timeFrame: Week 3, Week 17
Secondary outcomes:
measure: Mental inhibition under dual-task condition change
timeFrame: Week 3, Week 17, Week 31
measure: Mental inhibition under dual-task condition change
timeFrame: Week 3, Week 17, Week 31
measure: Mental inhibition change single-task condition
timeFrame: Week 3, Week 17, Week 31
measure: Mental inhibition change single-task condition
timeFrame: Week 3, Week 17, Week 31
measure: Mental flexibility change
timeFrame: Week 3, Week 17, Week 31
measure: Mental flexibility change
timeFrame: Week 3, Week 17, Week 31
measure: Working memory change
timeFrame: Week 3, Week 17, Week 31
measure: Mobility change
timeFrame: Week 3, Week 17, Week 31
measure: Balance change
timeFrame: Week 3, Week 17, Week 31
measure: Fear of falling
timeFrame: Week 3, Week 17, Week 31
measure: Postural control under single-task condition change
timeFrame: Week 3, Week 17, Week 31
measure: Reported physical activity level change
timeFrame: Week 3, Week 17, Week 31
measure: Traqued physical activity level change
timeFrame: Week 3, Week 17, Week 31
measure: City exploration change
timeFrame: Week 17, Week 31
measure: Quality of life change
timeFrame: Week 3, Week 17, Week 31
measure: Safety features of the training programme
timeFrame: Week 17
measure: Compliance
timeFrame: Week 17
measure: Drop-out
timeFrame: Week 17
measure: Motivation change
timeFrame: Week 3, Week 17, Week 31
Other outcomes:
Locations:
city: Limoges
country: France
facility: Résidence Autonomie CASSEAUX
city: Limoges
country: France
facility: Résidence Autonomie DURKHEIM
Study officials:
References: