Attention Deficits, Balance Disorders, Traumatic Brain Injury
Conditions
Keywords
traumatic brain injury (TBI), balance disorders, attention deficits, x-box, gaming, virtual reality
Brief summary
Traumatic brain injury is an extremely common disease, it counts 50.000 deaths and 235.000 hospitalizations every year. Functional consequences of an acquired brain injury have a considerable impact on quality of lives of patients and care-givers with direct effects on balance, mobility and on psycho-social functions. Attention deficits are one of the most frequent and disabling consequences of severe brain injury. Within the wide spectrum of attentive problems, patients with traumatic brain injury frequently have shown difficulties in divided attention. Patients, care-givers and professionals frequently refer difficulties also in selective attention and vigilance as consequence of the trauma. It has been shown how these difficulties are tightly related with the missed return to work after two years from the injury. The hypothesis of this study is to investigate the feasibility of a rehabilitative protocol on gaming using the console Xbox and its efficacy in improving balance, mobility, risk of falling, attentive functions (selective and divided attention) in subjects which have had a traumatic brain injury at least 12 months before.
Detailed description
Inclusion Criteria: Chronic traumatic brain injury (\>12 months) Age\>18, \<70 years old Presence of a moderate balance deficit identified by CB&M with a score \< 65 or presence of a selective attention and shifting attention deficit identified by the TEA computerized battery (Tau\<37).
Interventions
DEVICEgaming therapy (Xbox)
DEVICEDynamic balance platform (Biodex)
Sponsors
University Hospital of Ferrara
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Chronic traumatic brain injury (\>12 months) * Age\>18, \<70 years old * Presence of a moderate balance deficit identified by UBS with a score\>15 and \< 60 or presence of a selective attention and shifting attention deficit identified by the TEA computerized battery (Tau\<37).
Exclusion criteria
* Neurologic diseases associated with possible involvement of motor functions * Medical conditions that could interfere with the safe conclusion of the study protocol * Severe cognitive-behavioural diseases (LCF\<6), * severe psychiatric diseases * Use of walking aids
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in balance with Community Balance & Mobility Scale (CB&M) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed Up and Go (TUG) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. | — |
| Unified Balance Scale (UBS) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. | — |
| Participation Objective, Participation Subjective Scale(POPS) | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. | — |
| postural sway | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. | Center of pressure (COP) trajectories |
| Attentive functions evaluation Attentive functions evaluation | 1)A week prior to treatment beginning 2) the week after treatment 3)three months follow up. | TEA computerized battery |
Countries
Italy
Outcome results
None listed