• To assess the effectiveness of Dual task training vs Nintendo Wii-fit among older adults.
• To compare the quality of life and physical performance among the older adults in both groups
Design
All participants will be informed about the study and signed written informed consent before interventions. Participants for the study will be recruited from well-known older homes of Islamabad and Rawalpindi. All patients will come about into two groups the experimental group 1 and experiment group 2, keeping the process completely randomized (sealed envelope method will be used
Settings and conduct
Nijat Trust treatment center in Rawalpindi In this study simple random sampling technique is used by sealed envelop method
Participants/Inclusion and exclusion criteria
Inclusion criteria:
o Both male and female above 60 yrs.
o Able to stand , no use of walking device
o Mini mental status Examination those who scored more than 24 will be enrolled in study
o Berg balance range 52 or less points out of 56 will be included 9
o Ability to walk 10m without the assistance of another person;
Exclusion criteria:
o Psychiatric disorder, inability to walk.
o Who were unable to ambulate without assistive devices
o Musculoskeletal impairment/injury
o Medical conditions and medication affecting
Intervention groups
There are 2 groups DTT group (Dual task training ) and NWT group (Nintendo Wii-fit group)
0
Main outcome variables
Berg balance scale, Time up and go.Physical performance test , SF-36 survey, The Activities-Specific Balance Confidence (ABC) Scale
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20211022052835N3
Registration date:2022-02-14, 1400/11/25
Registration timing:prospective
Last update:2022-02-14, 1400/11/25
Update count:0
Registration date
2022-02-14, 1400/11/25
Registrant information
Name
Fouzia Batool
Name of organization / entity
Shifa Tameer-e-Millat University
Country
Pakistan
Phone
+92 51 8441752
Email address
fouzia_dpt.ahs@stmu.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-02-25, 1400/12/06
Expected recruitment end date
2022-05-31, 1401/03/10
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of Dual task training vs Nintendo Wii-fit to improve balance among older adults
Public title
Effectiveness of Dual task training vs Nintendo Wii-fit to improve balance among older adults
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Both male and female above 60 yrs.
Able to stand , no use of walking device
Mini mental status Examination those who scored more than 24 will be enrolled in study
Berg balance range 52 or less points out of 56 will be included
Ability to walk 10m without the assistance of another person;
Exclusion criteria:
Psychiatric disorder, inability to walk.
Who are unable to ambulate without assistive devices
Musculoskeletal impairment/injury
Medical conditions and medication affecting
Age
From 60 years old to 75 years old
Gender
Both
Phase
N/A
Groups that have been masked
Participant
Sample size
Target sample size:
42
Randomization (investigator's opinion)
Randomized
Randomization description
In this study simple random sampling technique is used by sealed envelop method by using a computerized random number generator. The sequence of random allocation is done by an individual who has not directly involved in the study. Random numbers is written on index cards and placed in thick and opaque sealed envelops before the study. After taking consent from the older adult for their participation in the study, the therapist opens the envelop and give the respective protocol to the individual. The study is single blinded as participants is not aware of the intervention group they are placed in. Elders will be placed either in to the experimental group 1 (Dual task training DTT) or experimental group 2 (NWF Nintendo Wii-fit) keeping the process completely randomized ,sealed envelope method will be used.
Blinding (investigator's opinion)
Single blinded
Blinding description
Prior to collecting data, participants would be informed about both the treatment techniques used in both groups; experimental group A (DDT) and experimental group B (NWF). Further they are informed that you will get one of these treatment depending upon the group written on the card inside the envelop you choose. The group A or B belongs to which way of treatment is known to therapist but the patient doesn't know about it.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Institutional Review Board & Ethics Committee (IRB & EC) Shifa International Hospital Ltd. (SIH), Sh
Street address
Pitras Bukhari Road, Shifa international hospital Ltd. sector h-8/4 Islamabad
City
Islamabad
Postal code
44790
Approval date
2022-01-22, 1400/11/02
Ethics committee reference number
IRB#301-21
Health conditions studied
1
Description of health condition studied
Unsteadiness on feet, Difficulty in balancing
ICD-10 code
R26.81
ICD-10 code description
Unsteadiness on feet
Primary outcomes
1
Description
Balance
Timepoint
Before intervention, 4, 8 week after intervention
Method of measurement
Berg balance test, Time up and go test, Activities-Specific Balance Confidence (ABC) Scale
Secondary outcomes
1
Description
Physical performance
Timepoint
Before intervention, 4 and 8 weeks after intervention
Method of measurement
Physical performance tests for measuring multiple domains of physical function
2
Description
Quality of life
Timepoint
Before intervention, 4 and 8 weeks after intervention
Method of measurement
SF-36
Intervention groups
1
Description
Intervention group: Intervention for DDT group:• Week 1-6 (30 – 40minutes )• Warm up 5mintues • Balance training • Dynamic weight shifting , shifting with eyes • Closed/open ,transfer , standing static/• Dynamic , internal and external perturbations with timing and speed , • Reaching and walking forward and backward, tandem sideways walk , up and down stairs (plain and foam obstacles) • Week 6-12 (30-40minutes)• Dual task walking with subtraction n addition • Placing pencil in holes of covered cup , • Walking with fully filled glass of water , transferring objects at different heights , walking with Toss a ball from one hand to the other• Bounce a ball
Category
Rehabilitation
2
Description
Intervention group: Intervention for NWT group • Week 1-6 30 minutes • Warm up for 5 minutes • Soccer heading game• Yoga tree pose (once)• Week 6-12 10+10+10 minutes• Soccer heading• Ski slalom• Table tilt• Yoga tree pose (3 times)