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Effects of Kinect-Based Exergaming Versus Wii Fit Training on Balance and Fall Risk Among Healthy Older Adults

12 maggio 2026 aggiornato da: Foundation University Islamabad

Study, titled Effects of Kinect-Based Exergaming versus Wii Fit on Balance and Fall Risk among Healthy Older Adults, is a randomized controlled trial comparing the balance training effects of Xbox Kinect and Wii Fit.

After obtaining informed consent, 46 healthy older adults will be randomly allocated (1:1) using sealed envelopes to a 6-week training program in either group. Static, Dynamic, and Anticipatory balance will be assessed at baseline and post-intervention using the Biodex Balance System for objective comparison.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

Balance is a complex, multidimensional concept related to postural control, referring essentially to the ability to maintain a stable posture. Each year, an estimated 37.3 million individuals experience a fall that requires hospitalization and may lead to severe injuries, such as fractures and traumatic brain injuries. Traditional balance exercises reduce fall risk but may have low long-term adherence in seniors. The introduction of VR-based games engages participants in interactive balance exercises.

The objective of this study is to evaluate the effects of Kinect-based exergaming compared to Wii Fit balance training on reducing fall risk in elderly individuals, focusing on parameters of Fall incidence, as well as Static, Dynamic, and Anticipatory balance.

The study will be a non-blinded Randomized Controlled Trial (RCT), consisting of 2 groups. The Study will be conducted over 1 year at the Multidisciplinary Development Lab (MDL) of the Foundation University College of Physical Therapy (FUCP).

A calculated sample of 46 subjects will be selected via a non-probability convenience sampling technique, followed by randomization in a 1:1 ratio to Group A (Kinect-based exergaming) or Group B (Wii Fit) using the sealed-envelope method.

After CBRC registration, ethical approval will be obtained from the Ethical Review Commitee (ERC) of Foundation University Medical College (FUMC).

Individuals fulfilling the inclusion criteria will be selected, followed by written informed consent after explaining the study purpose. Participants will then be randomly allocated to one of the 2 groups.

At baseline, investigators will assess postural control using the Postural Stability System and balance confidence using the Falls Efficacy Scale. Objective static and dynamic balance will be evaluated using the Berg Balance Scale, while cognitive function will be assessed using the Montreal Cognitive Assessment (MoCA).

One group will be provided with Kinect-based exer-gaming balance training. The second group will be provided with the Wii Fit Balance Training. Exercise training would be performed over a 6-week intervention period, administering exercise training 3 days per week. All outcome measurements would be performed before and after the 6-week intervention period. Data will be entered and analyzed on SPSS v. 22.

Tipo di studio

Interventistico

Iscrizione (Stimato)

46

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Backup dei contatti dello studio

  • Nome: Muhammad Ehab Azim, PhD
  • Numero di telefono: 03155330080
  • Email: ehab@fui.edu.pk

Luoghi di studio

  • Pakistan
    • Punjab Province
      • Islamabad, Punjab Province, Pakistan, 44000
        • Reclutamento
        • Foundation University College of Physical Therapy
        • Contatto:

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

  • Adulto
  • Adulto più anziano

Accetta volontari sani

No

Descrizione

Inclusion Criteria:

  • Older adults aged ≥55, community-dwelling, with a BBS score between 21-50, including both mild to moderate Risk falls
  • Able to stand without assistive devices
  • Cognitively able to follow instructions, with a MoCA score ≥ 22
  • Both Genders: Males and females

Exclusion Criteria:

  • History of Neurological disorders affecting balance (e.g., Parkinson's disease, stroke)
  • Acute Vestibular disorders/Major Musculoskeletal impairments (e.g., Arthritis)
  • Participation in other balance training programs within the past 6 months
  • Any condition posing a safety risk (e.g., severe osteoporosis, uncontrolled hypertension

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Separare

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Group A

Participants in this group will engage in four interactive mini-games from the Kinect Adventures collection, specifically selected for their dynamic full-body demands:

Games will be

  1. 20,000 leaks
  2. Reflex ridge
  3. River rush and
  4. Rally ball The total duration of the intervention protocol is 6 weeks. However, progression depends on the participant's comfort, performance, and adaptation to the training tasks. Training sessions will be done 3 days a week for 40-50 minutes/day
Procedura: Virtual Reality Balance Training

The total duration of the intervention protocol is 6 weeks. However, progression depends on the participant's comfort, performance, and adaptation to the training tasks. Training sessions will be done 3 days a week for 40- 50 minutes/day (18). Group 1 will receive Kinect-based exergaming balance training. Warm-up exercise will be for 5 minutes, including gentle stretching exercises, and 5 minutes will be given for a cool down, including deep breathing exercises

Group (A) / (Kinect-based Exergaming balance training):

  1. 20,000 leaks
  2. Reflex ridge
  3. River rush
  4. Rally ball
Sperimentale: Group B

Participants in this group will engage in four interactive games , specifically selected for their dynamic full-body demands.These games collectively target key balance components,static control, dynamic adjustment, and anticipatory balance Games will be

  1. Lotus focus
  2. Soccer header,
  3. Tight rope walk and
  4. Ski slalom. The total duration of the intervention protocol is 6 weeks. However, progression depends on the participant's comfort, performance, and adaptation to the training tasks. Training sessions will be done 3 days a week for 40-50 minutes/day.
Procedura: Wii Fit balance training

The total duration of the intervention protocol is 6 weeks. However, progression depends on the participant's comfort, performance, and adaptation to the training tasks. Training sessions will be done 3 days a week for 40- 50 minutes/day (18). Group 2 will receive Wii Fit balance training. Warm-up exercise will be for 5 minutes, including gentle stretching exercises, and 5 minutes will be given for a cool down, including deep breathing exercises

Group (B) / Wii Fit balance training:

  1. Soccer header
  2. Lotus Focus(Minimal)
  3. Tightrope Walk
  4. Ski slalom

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Postural stability
Lasso di tempo: 6 weeks.

Static postural stability will be assessed using the Biodex Balance System SD at stability level 12. The Overall Stability Index (OSI) measures the variance of platform displacement during static standing. The Overall Stability Index (OSI) is expressed in degrees. Lower OSI values indicate better postural stability and reduced postural sway, whereas higher values indicate impaired balance control.

Assessment will be performed at baseline and after 6 weeks of intervention. Intervention will be conducted 3 sessions per week for 6 weeks, with each session lasting 30-45 minutes
6 weeks.
Balance
Lasso di tempo: 6 weeks
Berg Balance scale will be used. 5-point ordinal scale (graded 0-4), Max score = 56 41-56 = low fall risk, 21-40 = medium fall risk, 0 -20 = high fall risk R=0.88-0.98.
6 weeks
Concern of Fall
Lasso di tempo: 6 weeks

Fall Efficacy Scale will be used. 16 items Questionnaire. Individuals are instructed to score their concern of falling during an activity. Performed at the start of the treatment protocol, and after 8 weeks at the end of the intervention

1 as not concerned at all and 4 as very concerned. The item scores are summed up to obtain a total of 64. 16 = no concern about falling, > 16 = concern about falling
6 weeks
Cognition
Lasso di tempo: 6 weeks

Montreal Cognitive Assessment (MoCA) A 30-item global cognitive screening tool scored from 0-30. Higher scores indicate better cognition.

26-30: Normal cognition 18-25: Mild cognitive impairment (MCI) 10-17: Moderate cognitive impairment

≤ 9: Severe cognitive impairment One extra point is added for individuals with ≤12 years of formal education to adjust for educational bias
6 weeks
Dynamic balance
Lasso di tempo: 6 weeks

Dynamic balance will be assessed using the Biodex Balance System SD at stability level 6 under unstable surface conditions. Balance performance will be quantified using the Overall Stability Index (OSI). The Overall Stability Index (OSI) is expressed in degrees.Lower OSI scores represent improved dynamic balance and neuromuscular control, whereas higher values indicate poorer balance performance.

Assessment will be performed at baseline and after 6 weeks of intervention. Intervention will be conducted 3 sessions per week for 6 weeks, with each session lasting 30-45 minutes
6 weeks
Limits of Stability
Lasso di tempo: 6 weeks

Limits of Stability testing will be used to assess the participant's ability to intentionally displace the center of pressure toward visual targets without losing balance. Higher LOS scores indicate better anticipatory postural control and balance performance, whereas lower scores indicate impaired balance ability.

Assessment will be performed at baseline and after 6 weeks of intervention. Intervention will be conducted 3 sessions per week for 6 weeks, with each session lasting 30-45 minutes
6 weeks
Fall Risk Index
Lasso di tempo: 6 week

The Fall Risk Test using the Biodex Balance System will assess the participant's risk of falls under progressively unstable conditions. Higher Fall Risk Index scores indicate greater fall risk and poorer balance ability, whereas lower scores indicate improved balance and reduced fall risk.

Assessment will be performed at baseline and after 6 weeks of intervention.
6 week

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Foundation University Islamabad

Investigatori

  • Investigatore principale: Nayab Khan, DPT, Foundation University Islamabad

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Stimato)

5 maggio 2026

Completamento primario (Stimato)

1 luglio 2026

Completamento dello studio (Stimato)

15 luglio 2026

Date di iscrizione allo studio

Primo inviato

4 maggio 2026

Primo inviato che soddisfa i criteri di controllo qualità

12 maggio 2026

Primo Inserito (Effettivo)

19 maggio 2026

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

19 maggio 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

12 maggio 2026

Ultimo verificato

1 maggio 2026

Maggiori informazioni

Termini relativi a questo studio

Parole chiave

Altri numeri di identificazione dello studio

  • FUI/FUCP/CTR/Neuro2/Nayyab

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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