Aged, postural balance, gait, cognition, breath.
Conditions
Interventions
This study is a randomized clinical trial in which there will be an experimental group that will perform exercises using virtual reality through commercial video game games and an active control group
Other
E02.779
F04.754.137.506.662
E02.779.483
G11.427.590.530.698.277
Sponsors
Faculdade de Medicina da Universidade de São Paulo
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Eligibility
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: Seniors will be selected aged 60-80 years; of both genders; which did not show neurological and orthopedic disorders that promote disability of the elderly remain in bipedalism and wade unaided or cardiovascular disease uncompensated such as: angina; heart failure; high blood pressure decompensated; show no signs of cognitive impairment; the normal or corrected visual acuity measured by Snellen chart; normal or corrected hearing is clinically assessed by the whisper of the test; who did not have previous experience with the Kinect system and accepting to participate by signing the Informed Consent and Informed.
Exclusion criteria
Exclusion criteria: The elderly will be excluded that during the study period submit any clinical change that makes it impossible to perform physical exercises in standing position as: cardiorespiratory; orthopedic or neurological disorders; seniors who are missing for more than three consecutive sessions without replacement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint will be the performance on the Mini bestest test, which is an assessment tool of postural control, consists of 14 items that focuses on the dynamic equilibrium, comprising four domains: anticipatory postural adjustments (transition from the sitting position posture to biped, stay on fingertips, one foot); postural responses (in four different directions- previous, posterior, lateral-lateral); sensory orientation (equilíbrio- with open eyes; instável- surface with eyes closed, tilt-with eyes closed); and balance during walking (with change of speed, horizontal head movement, spins, hurdles associated with the dual task). And the 14 items are: evaluation of postural change from sitting to standing; stand on tiptoe; standing on one leg; correction with compensatory step forward, backward, side; eyes opened on a firm surface; eyes closed, foam surface; slope with closed eyes; change in gait speed; walk with head movements; floor and turn on the axis; pass over obstacles and Get up and Go timed double task. Each item is scored from zero to two; a score of zero indicates that a person is unable to perform the task, while the score two is normal. The best score is the maximum amount of points, 32 points. The test reliability coefficients for items and individuals ranging from .91 to .98, indicating stability and the ability of reproduction of the measures in subsequent applications. It is expected that the patients after interventions (video game or functional sensory motor training) present values of at least two points higher after the interventions proposed. That is, so there is a significant clinical difference one has to get two points from the initial score. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoint of the study will be: gait, cognition and cardiorespiratory capacity that will be evaluated by the respective tests and questionnaires. The gait will be evaluated Functional Gait Assessment (FGA). The Functional Gait Assessment (FGA) is an instrument that evaluates postural stability in various walking conditions. These conditions are: running on a flat surface; Change in speed of travel; Running with horizontal head movements; Running with vertical head movements; Running and turning on the shaft itself; Overcoming obstacles; Up and down steps; Walking backward; Walk with reduced base and walk with eyes closed. Each item is scored from zero to three: a zero score indicates that the person is unable to perform the task, while a score three indicates normality level. The best score is the maximum number of points, being 30. For there to be clinical significance after the interventions (video game or functional motor sensory training), a gain of at least 10% of the initial value is necessary. Random example: initial value 25 points the final value must be at least: 27.5 points. Cognition will be evaluated by the Montreal Cognitive Assessment (MoCA), which is a short cognitive assessment test specifically designed for the assessment of the milder forms of cognitive decline, which provides a rapid measure of the individual's overall cognitive status. MoCA evaluates a wide range of cognitive domains, such as: executive functions; Visuospatial capacity; Short-term memory; language; Attention, concentration; Working memory and temporal and spatial orientation. The score of this test can range from zero to thirty points. In order to have clinical significance after the interventions (videogame or functional motor sensory training), a gain of at least 10% of the initial value is necessary. Random example: initial value 25 points the final value must be at least: 27.5 points. The cardiorespiratory capacity will be evaluated by the six-minute step test ( | — |
Countries
Brazil
Contacts
Public ContactJéssica Maria;José Bacha;Pompeu
Faculdade de Medicina da Universidade de São Paulo;Faculdade de Medicina da Universidade de São Paulo
Outcome results
None listed