Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study

Objective: The aim of this pilot randomized clinical trial was to test the feasibility and efficacy of an exergame-based cognitive-motor training program in geriatric inpatients.Methods: The study participants were randomly allocated to either the exergame intervention group or the control group. Th...

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Autores principales:	Patrizia Altorfer, Manuela Adcock, Eling D. de Bruin, Florian Graf, Eleftheria Giannouli
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	exergaming balance training cognitive training exercise step training older adults Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/9f6abc66cb674f77b97feafc80fc1505
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spelling	oai:doaj.org-article:9f6abc66cb674f77b97feafc80fc15052021-12-01T13:39:16ZFeasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study1663-436510.3389/fnagi.2021.739948https://doaj.org/article/9f6abc66cb674f77b97feafc80fc15052021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnagi.2021.739948/fullhttps://doaj.org/toc/1663-4365Objective: The aim of this pilot randomized clinical trial was to test the feasibility and efficacy of an exergame-based cognitive-motor training program in geriatric inpatients.Methods: The study participants were randomly allocated to either the exergame intervention group or the control group. The control group received the standard rehabilitation treatment offered in the clinic. In addition to the standard rehabilitation program, the intervention group conducted supervised exergame training on 5 days per week using the Dividat Senso, an exergame system specifically designed for older adults. The primary outcome was feasibility, as measured by e.g., adherence rate, attrition rate, occurrence of adverse events, System Usability Scale (SUS) and NASA-TLX score. Secondary outcomes included measures of physical and cognitive functioning such as comfortable walking speed, maximal walking speed, dual task walking speed, Short Physical Performance Battery (SPPB), Timed Up and Go test (TUG), Color-Word Interference test (D-KEFS), Trail Making test A and B (TMT), Go/No-Go test and Step Reaction Time test (SRTT). All secondary outcome measures were assessed pre- and post-intervention.Results: Thirty-nine persons were included in the study. Average adherence rate was 99%, there were no intervention-related dropouts and no adverse events. The mean System Usability Scale (SUS) score was 83.6 and the mean NASA-TLX score 45.5. Significant time-group interaction effects were found for the dual task walking speed, the Go/No-Go test and Step Reaction Time test (SRTT).Conclusion: Exergaming is a feasible, safe and effective cognitive-motor training approach in inpatient rehabilitation of geriatric patients. Incorporating exergaming in the rehabilitation program of geriatric patients offers potential to reduce fall risk factors and to increase patients’ exercise motivation and rehabilitation success.Patrizia AltorferManuela AdcockEling D. de BruinEling D. de BruinEling D. de BruinFlorian GrafEleftheria GiannouliEleftheria GiannouliFrontiers Media S.A.articleexergamingbalance trainingcognitive trainingexercisestep trainingolder adultsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Aging Neuroscience, Vol 13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	exergaming balance training cognitive training exercise step training older adults Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	exergaming balance training cognitive training exercise step training older adults Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Patrizia Altorfer Manuela Adcock Eling D. de Bruin Eling D. de Bruin Eling D. de Bruin Florian Graf Eleftheria Giannouli Eleftheria Giannouli Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study
description	Objective: The aim of this pilot randomized clinical trial was to test the feasibility and efficacy of an exergame-based cognitive-motor training program in geriatric inpatients.Methods: The study participants were randomly allocated to either the exergame intervention group or the control group. The control group received the standard rehabilitation treatment offered in the clinic. In addition to the standard rehabilitation program, the intervention group conducted supervised exergame training on 5 days per week using the Dividat Senso, an exergame system specifically designed for older adults. The primary outcome was feasibility, as measured by e.g., adherence rate, attrition rate, occurrence of adverse events, System Usability Scale (SUS) and NASA-TLX score. Secondary outcomes included measures of physical and cognitive functioning such as comfortable walking speed, maximal walking speed, dual task walking speed, Short Physical Performance Battery (SPPB), Timed Up and Go test (TUG), Color-Word Interference test (D-KEFS), Trail Making test A and B (TMT), Go/No-Go test and Step Reaction Time test (SRTT). All secondary outcome measures were assessed pre- and post-intervention.Results: Thirty-nine persons were included in the study. Average adherence rate was 99%, there were no intervention-related dropouts and no adverse events. The mean System Usability Scale (SUS) score was 83.6 and the mean NASA-TLX score 45.5. Significant time-group interaction effects were found for the dual task walking speed, the Go/No-Go test and Step Reaction Time test (SRTT).Conclusion: Exergaming is a feasible, safe and effective cognitive-motor training approach in inpatient rehabilitation of geriatric patients. Incorporating exergaming in the rehabilitation program of geriatric patients offers potential to reduce fall risk factors and to increase patients’ exercise motivation and rehabilitation success.
format	article
author	Patrizia Altorfer Manuela Adcock Eling D. de Bruin Eling D. de Bruin Eling D. de Bruin Florian Graf Eleftheria Giannouli Eleftheria Giannouli
author_facet	Patrizia Altorfer Manuela Adcock Eling D. de Bruin Eling D. de Bruin Eling D. de Bruin Florian Graf Eleftheria Giannouli Eleftheria Giannouli
author_sort	Patrizia Altorfer
title	Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study
title_short	Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study
title_full	Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study
title_fullStr	Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study
title_full_unstemmed	Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study
title_sort	feasibility of cognitive-motor exergames in geriatric inpatient rehabilitation: a pilot randomized controlled study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/9f6abc66cb674f77b97feafc80fc1505
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Feasibility of Cognitive-Motor Exergames in Geriatric Inpatient Rehabilitation: A Pilot Randomized Controlled Study

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