Functional Autonomy
Conditions
Keywords
Institutionalized olders adults, SERIOUS GAME
Brief summary
Assessment of the effect of a 12 weeks serious game based exercises program on physical performance in older adults living in nursing homes, in comparison with a control group that benefits from a classical exercise training program including balance, muscle strengthening and walking exercises with the same duration.
Detailed description
Recent reviews of the literature have shown that exergames may have interest in balance rehabilitation, physical performance maintenance, and fall prevention in community dwelling older adults with neurodegenerative disease or at risk of fall. These reviews also show however that classical exergames are not adapted for rehabilitation of patients with functional limitations, which could explain their relatively moderate benefits in those patients. To overcome this lack, a serious game has been co-developed with medical to be adapted to the specific needs and characteristics of nursing home residents In this study , the investigators propose to compare the effects on physical performance, falls incidence, and quality of life of a 12-weeks serious game based exercise program and a classical exercises program
Interventions
OTHERserious game
Effect of serious game on elderly in comparison of the physical activity adapted meeting
OTHERclassic program
Effect of serious game on elderly in comparison of the physical activity adapted meeting
Sponsors
University Hospital, Montpellier
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* older adults aged 65 and over, living in nursing homes and able to walk without technical assistance and sign an informed consent.
Exclusion criteria
* subjects with cognitive impairments (MMSE \< 14) or with conditions that contra-indicate the involvement in a rehabilitation program for medical or ethics reasons; subjects with a history of seizure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Short Physical Performance Baterry (SPPB) | 3 months | Short Physical Performance Baterry (SPPB) at baseline (T0) and at 3 months.The Short Physical Performance Battery (SPPB) is the sum of the scores on three criteria: the balance test, the walking speed test and the chair lift test. This test makes it possible to evaluate the physical performance of an individual. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of fall | 3 months | incidence of fall |
| Balance | at baseline (T0) | Timed Up and Go Test, Tinetti Test and unipodal standing in simple and dual-task |
| Short Physical Performance Baterry (SPPB) | 6 months | SPPB score at 6 months.The Short Physical Performance Battery (SPPB) is the sum of the scores on three criteria: the balance test, the walking speed test and the chair lift test. This test makes it possible to evaluate the physical performance of an individual. |
| Satisfaction evaluation | At inclusion | Lickert Scale at inclusion.A Likert scale is a psychometric tool to measure an attitude in individuals.The scale contains for each item a graduation generally comprising five or seven answer choices that qualify the degree of agreement |
| Evaluation of the quality of life | At inclusion | SF12 questionnaire |
| Cognition | At inclusion | Mini Mental State Examination |
Countries
France
Outcome results
None listed