Ageing
Conditions
Keywords
Cognitive, motor, abilities, exergame
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.
Interventions
OTHERTraining Programme
Cognitive-motor dual task exercises corresponding to associations between different motor tasks and different cognitive tasks.
Sponsors
University Hospital, Limoges
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postural control under dual-task condition change | Week 3, Week 17 | assessed by posturography (mm/s) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mental inhibition change single-task condition | Week 3, Week 17, Week 31 | assessed by Stroop test time (s) |
| Mental flexibility change | Week 3, Week 17, Week 31 | assessed by TMT time (s) |
| Working memory change | Week 3, Week 17, Week 31 | assessed by 2N-Back test errors (n) |
| Mobility change | Week 3, Week 17, Week 31 | assessed by TUG time (s) |
| Balance change | Week 3, Week 17, Week 31 | assessed by BBS score |
| Fear of falling | Week 3, Week 17, Week 31 | assessed by FES-I score |
| Postural control under single-task condition change | Week 3, Week 17, Week 31 | assessed by posturography (mm/s) |
| Mental inhibition under dual-task condition change | Week 3, Week 17, Week 31 | assessed by Stroop test time (s) |
| Traqued physical activity level change | Week 3, Week 17, Week 31 | assessed by embeded Armband |
| City exploration change | Week 17, Week 31 | assessed by the city's points of interest visits |
| Quality of life change | Week 3, Week 17, Week 31 | assessed by EQ5D5L score |
| Safety features of the training programme | Week 17 | number, nature, severity and causes of the occurrence of adverse events during the intervention |
| Compliance | Week 17 | assessed by number of sessions carried out |
| Drop-out | Week 17 | assessed by the number of participants who do not complete the program |
| Motivation change | Week 3, Week 17, Week 31 | assessed by EMAPS score |
| Reported physical activity level change | Week 3, Week 17, Week 31 | assessed by QAPPA score |
Countries
France
Outcome results
None listed