Elderly with frailty syndrome
Conditions
Interventions
The study will consist of two phases:
First stage will be a pilot study to analyze the feasibility and safety of the game Nintendo Wii Fit Plus in frail elderly. The pilot study will consist of five
however, we believe that will participate in this step 20 frail elderly (10 in each group). Subjects will be randomized by drawing lots into two groups: experimental group and control group. Participa
Other
Sponsors
Faculdade de Medicina da Universidade de São Paulo
Faculdade de Medicina da Universidade de São Paulo
Eligibility
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: Frail elderly and pre frail will be selected with 60 or older, diagnosed with frailty syndrome according to the criteria of Fried. The elderly should not present neurological or orthopedic diseases that promote the inability to remain in bipedalism and wade; with normal or corrected visual acuity measured by Snellen chart; Good hearing is clinically assessed by the whisper of the test; who did not have previous experience with the Nintendo Wii Fit® and who accept sign the Informed Consent and Informed of the study.
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; elderly unable to interact with the game; and in the second phase of the study will exclude elderly who are missing for more than three consecutive sessions without replacement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In the first phase of the study will be the primary outcomes applicability and safety of the training with Nintendo Wii Fit after six intervention sessions. The applicability will be quantified upon accession of the elderly to training. The safety will be evaluated through records of the possible adverse effects such as vertigo, dizziness, malaise, imbalances and others. To asses these negative effects we will realize the evaluation pre and post intervention the following parameters: blood pressure, oxygen saturation, heart rate and we will apply the BORG scale to analyses the subjective perception of the effort. After analyses of the first results and if the technique will applicable we will start the second phase of the study. In the second phase we will be evaluated the postural control with the Mini BesTest scale and the cognition with the MoCA scale. | — |
Secondary
| Measure | Time frame |
|---|---|
| The second outcomes will be: postural control evaluates by posturography (stability limit area (E), elliptical area and speed of oscillation) evaluated from the platform Neurocom Balance Manager®; quality of life by SF-36 scale; gaming performance through score records; gait by the scales Dynamic Gait Index and Functional Gait Assessment; functional capacity by Olders Americans Research and Services Multidimensional Functional Assessment Questionare (BOMFAQ); falls by International Falls Efficacy Scale; depression by GDS-15; records with falls during the study period; criteria fragility by Fried et. al. | — |
Countries
Brazil
Contacts
Public ContactJosé Pompeu
Faculdade de Medicina da Universidade de São Paulo
Outcome results
None listed