Nintendo Wii Virtual Reality Application In Dementia

Nintendo Wii Virtual Reality Application In Older People With Alzheimer's Dementia

•This study was planned to investigate the effects of the Nintendo Wii virtual reality application on muscle strength and fall risk in individuals with AD.

The aim of the present study is to investigate the effect of the virtual reality application on muscle strength and fall in individuals with Alzheimer' Dementia (AD).

Study Overview

• Status: Completed
• Conditions: Age-Related Memory Disorders
• Intervention / Treatment: Other: Nintendo Wii Virtual Reality Application

Detailed Description

Purpose: This study was planned to investigate the effects of the Nintendo Wii virtual reality application on muscle strength and fall risk in individuals with AD.

Method: The study included a total of 32 volunteers between the ages of 65-80, with mild or moderate AD diagnosed. These individuals were divided into 2 groups as a training group and control group. The training group was trained with games from different categories such as balance and aerobic exercises with a Nintendo Wii virtual reality device 2 times a week for a period of 6 weeks, with 1 session lasting for 30 minutes. Mini-Mental State Test, Knee Extension Muscle Strength, Timed Up and Go Test, Tinetti Falls Efficacy Scale results of individuals were recorded in the evaluation.

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Konya, Turkey
    • Karaman Ahmet Mete Nursing Home

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 65 years to 80 years (Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• included volunteers between the ages of 65-80 with mild or moderate AD diagnosis,
• who did not have any difficulty or problems in communicating,
• who did not have any neurological diseases that disrupt balance and coordination such as a cerebrovascular event, Parkinson's disease, Multiple Sclerosis, and neurological disorder,
• who obtained a score of 18 - 24 points in the Mini-Mental State Test (MMST)

Exclusion Criteria:

• Patients diagnosed with rapidly progressing dementia (infection, vascular, hematologic diseases),
• Those who could not be contacted during the follow-up period or who did not participate in the training session, those who experienced cardiac and cerebrovascular events, endocrine disorders, fluid-electrolyte imbalance and infection,
• Those with malignancy and those who received chemotherapy and radiotherapy that causes malignancy, delirium or depression and malignant sensory loss (those with the Semmes-Weinstein monofilament thickness of 4.56 and above),
• Those with a lower or upper extremity amputation at any level

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Nintendo Wii Virtual Reality Application In Older People With Alzheimer's Dementia; The study included a total of 32 volunteers between the ages of 65-80, who stayed in Karaman Ahmet Mete Nursing Home, Elderly Care and Rehabilitation Center, with mild or moderate Alzheimer's dementia diagnosed by a neurologist. As a result of the power analysis, it was calculated that at least 16 individuals could be included in each group (at least 32 individuals in total). Randomization was performed by the sealed-envelope method. According to this method, 4 females and 12 males were determined to be in the control group, while 5 females and 11 males were determined to be in the training group. The evaluation was completed before the intervention. The same evaluation was conducted after 6 weeks. The training group was trained with games from different categories such as balance and aerobic exercises with a Nintendo Wii virtual reality device 2 times a week for a period of 6 weeks, with 1 session lasting for 30 minutes, and each patient was trained with the same games.	Other: Nintendo Wii Virtual Reality Application; The training group was trained with games from different categories such as balance and aerobic exercises with a Nintendo Wii virtual reality device 2 times a week for a period of 6 weeks, with 1 session lasting for 30 minutes.
No Intervention: Older People With Alzheimer's Dementia; In the control group, no application was performed during this period, and routine medical treatments were continued. The training group was evaluated before and after the training, while the control group was re-evaluated at the end of the 6th week after the first evaluation. After the study was completed, the volunteers from the control group were also given training.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Age :mean or median age	Age, Categorical: >=65 years	period of 6 weeks
Body Mass Index	BMI was recorded in kg/m^2.	period of 6 weeks
Sex/Gender	Sex: Female, Male	period of 6 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Mini-Mental State Test for Cognitive status	According to the MMST, 24-30 points were considered as normal cognitive levels, 18-23 points were considered as mild cognitive disorders, and 0-17 points were considered as severe cognitive disorders	period of 6 weeks

Collaborators and Investigators

• Sponsor: Kırıkkale University
• Investigators: Principal Investigator: Konya Karaman Ahmet Mete Nursing Home, Karaman Ahmet Mete Nursing Home. Konya in Turkey

Study record dates

Study Major Dates

• Study Start (Actual): January 15, 2018
• Primary Completion (Actual): June 6, 2018
• Study Completion (Actual): January 15, 2019

Study Registration Dates

• First Submitted: March 10, 2021
• First Submitted That Met QC Criteria: March 25, 2021
• First Posted (Actual): March 26, 2021

Study Record Updates

• Last Update Posted (Actual): March 26, 2021
• Last Update Submitted That Met QC Criteria: March 25, 2021
• Last Verified: March 1, 2021

More Information

Terms related to this study

• Keywords: Virtual reality; Muscle strength; Fall; Alzheimer's Dementia
• Additional Relevant MeSH Terms: Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Neurobehavioral Manifestations; Neurocognitive Disorders; Dementia; Memory Disorders
• Other Study ID Numbers: Karamanoğlu Mehmet Bey U; Kırıkkale University (Other Identifier: No:04/03)

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
• product manufactured in and exported from the U.S.: No