Clinical trial NCT03842215: A Smart Physical Examination System for the Health Management in Elderly
Official title: Development and Clinical Applications of a Smart Physical Examination System for the Health Management in Elderly
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Physical Activity
Keywords: smart physical examination system
health management
elderly
Lead sponsor: Changhua Christian Hospital
Sponsor class: OTHER
First posted: 2019-02-15
Enrollment: 300
Sex: ALL
Minimum age (years): 55
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Community-dwelling people who are recruited from the local community, hospital, club.

Brief summary: The object of this study is to develop a smart physical examination system targeted on the unmet need of the elderly.Furthermore,the ultimate goal is to realize a commercial product aiming at the silver hair market with functional advantages to meet the unmet needs of health management in elderly.

Detailed description: Aging usually results in a decline of motor function. However, elderly tends to refuse the regular health examination because of travel issues or lack of self-health awareness. Examination unit also has difficulty to intensively track and instantly feedback the health status of elderly due to insufficient manpower. If elderly goes to the hospital only when the health problem is getting worse, his/her health is often irreversible and the cost of medical care would be increased. It is therefore an essential issue for the early detection of functional changes in elderly to prevent the deterioration of the health and function. Currently, the telemedicine cares provided by hospitals are not universal due to the out-of-date legislation and non-successful business model. The wearing and operation issues of the wearable devices used for health management are still a gap affecting the acceptance of elderly. Accordingly, the objective of this project is to develop a handy and easy-to-use smart physical examination system targeted on the unmet need of the elderly. With the use of motion-sensing and big data analysis technology, the non-contact professional and intelligent assessment could simplify the general health checkup procedures to promote the health management and to reduce the manpower cost of health care. Following the principle of commercialization, this project aims at working out the product prototype, finalize the assessment tools/algorithm, and put it into the clinical trials. The project research team comprising the physicians, therapists, hardware and software systems engineering experts, with the early manufacturing involvement from the industry partner. The team members will work closely to solve the clinical, engineering, and market demand issues during the development process. The project will build a platform to deepen the bilateral understanding and research cooperation to solve the aging society problem. The ultimate goal is to realize a commercial product aiming at the silver hair market with functional advantages to meet the unmet needs of health management in elderly.

Eligibility criteria: Inclusion Criteria:

1.55-85 years old 2.people who can do movement by 3.people who can walk \>10m independently.

Exclusion Criteria:

1. people who implant cardiac rhythm, have cardiac arrhythmia,tumor,infection,or any other internal disease.
2. people who have visual disturbance (Corrected vision\<4.0 or any ophthalmic diseases caused bad eyesight),hearing loss,movement disorder.
3. people who can't stand stably.
4. people who can't fill out a questionnaire independently.

Primary outcomes:
measure: Single Leg Balance Test
timeFrame: Test once while subject is recruited.
measure: Functional Reach Test
timeFrame: Test once while subject is recruited.
measure: Chair Sit and Reach Test
timeFrame: Test once while subject is recruited.
measure: 2 minute step
timeFrame: Test once while subject is recruited.
measure: Arm Curl Test
timeFrame: Test once while subject is recruited.
measure: 30-sec sit -to-stand
timeFrame: Test once while subject is recruited.
measure: Euro QOL-5D
timeFrame: Test once while subject is recruited.
measure: International Physical Activity Questionnaire (IPAQ)
timeFrame: Test once while subject is recruited.
Secondary outcomes:
Other outcomes:
Locations:
city: Changhua
country: Taiwan
facility: Changhua Christian Hospital
Study officials:
affiliation: Changhua Christian Hospital
name: TaSen Wei
role: PRINCIPAL_INVESTIGATOR
References:
citation: Arias-Palencia NM, Solera-Martinez M, Gracia-Marco L, Silva P, Martinez-Vizcaino V, Canete-Garcia-Prieto J, Sanchez-Lopez M. Levels and Patterns of Objectively Assessed Physical Activity and Compliance with Different Public Health Guidelines in University Students. PLoS One. 2015 Nov 4;10(11):e0141977. doi: 10.1371/journal.pone.0141977. eCollection 2015.
citation: Choi JS, Kang DW, Seo JW, Kim DH, Yang ST, Tack GR. The development and evaluation of a program for leg-strengthening exercises and balance assessment using Kinect. J Phys Ther Sci. 2016 Jan;28(1):33-7. doi: 10.1589/jpts.28.33. Epub 2016 Jan 30.
citation: Franz-Ritscherle A, Lange DE. [Effectiveness of various audiovisual technics to improve oral hygiene behavior]. Dtsch Zahnarztl Z. 1983 Sep;38(9):811-5. No abstract available. German.
citation: Handrigan GA, Maltais N, Gagne M, Lamontagne P, Hamel D, Teasdale N, Hue O, Corbeil P, Brown JP, Jean S. Sex-specific association between obesity and self-reported falls and injuries among community-dwelling Canadians aged 65 years and older. Osteoporos Int. 2017 Feb;28(2):483-494. doi: 10.1007/s00198-016-3745-x. Epub 2016 Aug 25.
citation: Jorgensen MG. Assessment of postural balance in community-dwelling older adults - methodological aspects and effects of biofeedback-based Nintendo Wii training. Dan Med J. 2014 Jan;61(1):B4775.
citation: Jorgensen MG, Laessoe U, Hendriksen C, Nielsen OB, Aagaard P. Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2013 Jul;68(7):845-52. doi: 10.1093/gerona/gls222. Epub 2012 Oct 31.
citation: King AC, Taylor CB, Haskell WL, Debusk RF. Strategies for increasing early adherence to and long-term maintenance of home-based exercise training in healthy middle-aged men and women. Am J Cardiol. 1988 Mar 1;61(8):628-32. doi: 10.1016/0002-9149(88)90778-3.
citation: Laufer Y, Dar G, Kodesh E. Does a Wii-based exercise program enhance balance control of independently functioning older adults? A systematic review. Clin Interv Aging. 2014 Oct 23;9:1803-13. doi: 10.2147/CIA.S69673. eCollection 2014.
citation: Palacios-Cena D, Ortiz-Gutierrez RM, Buesa-Estellez A, Galan-Del-Rio F, Cachon Perez JM, Martinez-Piedrola R, Velarde-Garcia JF, Cano-DE-LA-Cuerda R. Multiple sclerosis patients' experiences in relation to the impact of the kinect virtual home-exercise programme: a qualitative study. Eur J Phys Rehabil Med. 2016 Jun;52(3):347-55. Epub 2016 Feb 17.
citation: Santos-Eggimann B, Cuenoud P, Spagnoli J, Junod J. Prevalence of frailty in middle-aged and older community-dwelling Europeans living in 10 countries. J Gerontol A Biol Sci Med Sci. 2009 Jun;64(6):675-81. doi: 10.1093/gerona/glp012. Epub 2009 Mar 10.
citation: Schutzer KA, Graves BS. Barriers and motivations to exercise in older adults. Prev Med. 2004 Nov;39(5):1056-61. doi: 10.1016/j.ypmed.2004.04.003.
citation: Walston J, McBurnie MA, Newman A, Tracy RP, Kop WJ, Hirsch CH, Gottdiener J, Fried LP; Cardiovascular Health Study. Frailty and activation of the inflammation and coagulation systems with and without clinical comorbidities: results from the Cardiovascular Health Study. Arch Intern Med. 2002 Nov 11;162(20):2333-41. doi: 10.1001/archinte.162.20.2333.