Exercise Intensity and Video Games: Persons Post-stroke

August 28, 2020 updated by: Judith E Deutsch, PT, PhD, Rutgers, The State University of New Jersey

Exercise Intensity During Interactive Video Games and Standard of Care of Individuals Post-Stroke

Persons post stroke executed stepping activities under four conditions: standard of care, interacting with: an off-the-shelf Microsoft-Kinect game, with a self-paced repeated custom video game and a game-paced random custom video game. Exercise intensity (neuromuscular and cardiovascular), enjoyment and perceived effort were measured during and after each condition.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Persons post stroke were first familiarized with the four exercise conditions and then instrumented with a metabolic system and heart rate sensor. They played the games in two counter balanced blocks: repeated (standard of care and self-paced repeated custom) and random (Microsoft-Kinect game and game-paced random custom). Games were played for 8.5 minutes with ten minutes of rest in between so they could return to physiological baseline. During exercise they reported exertion and at the end of teach exercise trial they completed an enjoyment questionnaire. At the end of the first block, participants removed the metabolic system's mask and were assessed for motor recovery. Performances were video taped. At the end of data collection preferences for the activities were ranked and participants answered open ended questions. Data for neuromuscular and cardiovascular intensity, enjoyment and perceived effort were reduced and analyzed using a Repeated Measures Analysis of Variance (RMANOVA) with the appropriate post-hoc corrections. Where possible clinically meaningful changes were calculated.

Study Type

Interventional

Enrollment (Actual)

15

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • New Jersey
      • Newark, New Jersey, United States, 07011
        • School of Health Professions

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

19 years to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • men and women post-stroke at least six months T
  • able to ambulate 100 feet without physical assistance but allowed to use assistive devices and orthotics,
  • able to stand for 3 minutes.
  • cleared for exercise with the PARQ.

Exclusion Criteria:

  1. history of severe heart disease, heart attack, valve replacement or coronary artery bypass surgery, severe lung disease, uncontrolled diabetes, traumatic brain injury or neurological disorder other than stroke
  2. Are unable to follow directions.
  3. Do not have adequate vision and hearing ability (either aided or unaided with glasses, contacts or hearing aids
  4. Are unable to sign a consent form.
  5. Unstable medical condition or musculoskeletal disorder such as severe arthritis, knee surgery, hip surgery, or any other condition that the investigators determine would impair the ability to perform the required stepping for the games presented.
  6. Any other medical condition contraindications to exercise.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: Single
Participants exercised in two counter balanced blocks: repeated (standard of care and self-paced repeated custom game) and random (Kinect game and game-paced random custom game). Exercise bouts were for 8.5 minutes with ten minutes of rest in between so they could return to physiological baseline. Data were collected in a single session lasting two hours.
Participants performed stepping movements that were either cued by the investigator or interacted with a video game. There were three video game exercises that all involved stepping in either a repeated or a random pattern that was either self-paced or game paced.
Other Names:
  • Video Game Play
  • Standard of Care Stepping Activities

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Neuromuscular intensity
Time Frame: collected continuously during each of the four conditions. Collected in a single 2 hour session
movement repetitions (stepping and marching) measured through video tape measured continuously during each exercise bout
collected continuously during each of the four conditions. Collected in a single 2 hour session
Cardiovascular intensity (metabolic Units)
Time Frame: collected continuously during each of the four conditions. Collected in a single 2 hour session
metabolic units measured continuously during each exercise bout
collected continuously during each of the four conditions. Collected in a single 2 hour session
Cardiovascular intensity (Percent of maximum heart rate)
Time Frame: collected continuously during each of the four conditions. Collected in a single 2 hour session
the percent of the maximum heart rate
collected continuously during each of the four conditions. Collected in a single 2 hour session
Enjoyment
Time Frame: four times collected in a single 2 hour session (once at the completion of each the four conditions).
measured with the PACES questionnaire after each exercise bout
four times collected in a single 2 hour session (once at the completion of each the four conditions).
Borg Rate if Perceived Exertion Scale
Time Frame: Collected three times (at the beginning, middle and end) of each of the four exercise bouts during a single two hour session
Measures perception of effort on a scale of 6-20
Collected three times (at the beginning, middle and end) of each of the four exercise bouts during a single two hour session

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Preference ranking
Time Frame: collected once at the end of the completed data collection of a 2 hour session
ranking exercise preference from highest (1) to lowest (4)
collected once at the end of the completed data collection of a 2 hour session
Fugl Meyer Motor Assessment Scale_ Lower Extremity Section
Time Frame: collected once during the single 2 hour data collection session
measure of lower extremity motor recovery
collected once during the single 2 hour data collection session

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Open ended questions
Time Frame: collected once during a single 2 hour data collection session
questions about preference and exertion and anything else the participants wants to share
collected once during a single 2 hour data collection session

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Judith Deutsch, PT, PhD, Rutgers University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 1, 2017

Primary Completion (Actual)

August 30, 2018

Study Completion (Actual)

August 30, 2018

Study Registration Dates

First Submitted

April 7, 2020

First Submitted That Met QC Criteria

August 28, 2020

First Posted (Actual)

September 4, 2020

Study Record Updates

Last Update Posted (Actual)

September 4, 2020

Last Update Submitted That Met QC Criteria

August 28, 2020

Last Verified

August 1, 2020

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Yes

IPD Plan Description

All IPD that underlie the results of a publication will be available through the publishers repository. We

IPD Sharing Time Frame

Data will be made available through the appropriate journal data sharing plan.

IPD Sharing Access Criteria

For systematic reviews or other secondary analyses.

IPD Sharing Supporting Information Type

  • Study Protocol
  • Informed Consent Form (ICF)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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