Effects of an Exergame Focused on Cognitive-motor Interference on the Cognitive and Motor Capacities of Older Adults (INCOME)

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.

Study Overview

• Status: Completed
• Conditions: Ageing
• Intervention / Treatment: Other: Training Programme

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• France
  • Limoges, France, 87000
    • Résidence Autonomie CASSEAUX
  • Limoges, France, 87000
    • Résidence Autonomie DURKHEIM

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 73 years and older (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

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

Study Plan

How is the study designed?

Design Details

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

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental Arm; Training programme using Exergame as a support over a 12 week period	Other: Training Programme; Cognitive-motor dual task exercises corresponding to associations between different motor tasks and different cognitive tasks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postural control under dual-task condition change	assessed by posturography (mm/s)	Week 3, Week 17

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Mental inhibition under dual-task condition change	assessed by Stroop test time (s)	Week 3, Week 17, Week 31
Mental inhibition under dual-task condition change	assessed by Stroop test errors (n)	Week 3, Week 17, Week 31
Mental inhibition change single-task condition	assessed by Stroop test time (s)	Week 3, Week 17, Week 31
Mental inhibition change single-task condition	assessed by Stroop test errors (n)	Week 3, Week 17, Week 31
Mental flexibility change	assessed by TMT time (s)	Week 3, Week 17, Week 31
Mental flexibility change	assessed by Stroop test errors (n)	Week 3, Week 17, Week 31
Working memory change	assessed by 2N-Back test errors (n)	Week 3, Week 17, Week 31
Mobility change	assessed by TUG time (s)	Week 3, Week 17, Week 31
Balance change	assessed by BBS score	Week 3, Week 17, Week 31
Fear of falling	assessed by FES-I score	Week 3, Week 17, Week 31
Postural control under single-task condition change	assessed by posturography (mm/s)	Week 3, Week 17, Week 31
Reported physical activity level change	assessed by QAPPA score	Week 3, Week 17, Week 31
Traqued physical activity level change	assessed by embeded Armband	Week 3, Week 17, Week 31
City exploration change	assessed by the city's points of interest visits	Week 17, Week 31
Quality of life change	assessed by EQ5D5L score	Week 3, Week 17, Week 31
Safety features of the training programme	number, nature, severity and causes of the occurrence of adverse events during the intervention	Week 17
Compliance	assessed by number of sessions carried out	Week 17
Drop-out	assessed by the number of participants who do not complete the program	Week 17
Motivation change	assessed by EMAPS score	Week 3, Week 17, Week 31

Collaborators and Investigators

• Sponsor: University Hospital, Limoges

Study record dates

Study Major Dates

• Study Start (Actual): April 14, 2021
• Primary Completion (Actual): March 31, 2022
• Study Completion (Actual): March 31, 2022

Study Registration Dates

• First Submitted: March 8, 2021
• First Submitted That Met QC Criteria: March 16, 2021
• First Posted (Actual): March 18, 2021

Study Record Updates

• Last Update Posted (Actual): July 25, 2022
• Last Update Submitted That Met QC Criteria: July 22, 2022
• Last Verified: March 1, 2022

More Information

Terms related to this study

• Keywords: Cognitive, motor, abilities, exergame
• Other Study ID Numbers: 87RI20_0047 (INCOME)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No