Effects of Video Games and Ball Tossing on Eye Hand Coordination in Elderly With Mild Cognitive Impairment.
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60+
SponsorFoundation University Islamabad
About this trial
One of the key challenges faced by individuals with mild cognitive impairment (MCI) is the decline in cognitive and motor abilities, particularly eye-hand coordination (EHC), which is essential for performing daily activities and maintaining independence. Impaired EHC can severely affect the quality of life in older adults, leading to difficulties in performing routine tasks like dressing, eating, and bathing, and increasing dependency on caregivers.
Signs and symptoms include difficulty with precise movements like buttoning clothes, spilling drinks while pouring, struggling to catch a ball, messy handwriting. This study aims to explore and compare the effectiveness of two interventions-video games and ball tossing exercises-in improving Eye-hand coordination (EHC) in older adults with Mild Cognitive Impairment (MCI).
Key outcome measures, including the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) and its supplemental test visual perception test and motor coordination test, will evaluate the effectiveness of the interventions on eye hand coordination.
We will include older adults with 60 and above age with MoCA score of 18-25(MCI patients), who can do independent ADLs and beery vmi score of 80 and above.
The participants would be assessed at the start of intervention through MoCA scale for MCI screening and Beery VMI testing method for Eye Hand Coordination for inclusion score.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Older population aged from 60years and above
Normal/ normal to corrected vision
MoCA Score of 18-25 for screening / MCI patients
Can do Independent ADLS
Disqualifiers
History of head trauma, loss of consciousness, stroke, rapid cognitive decline
Diagnosis of mental illness/neurocognitive disorders
Diagnosed Vestibular disorders
Hearing, vision and communication impairments
Trial design
Design model
Parallel
Treatments tested in this trial
Experimental Group
Procedure/SurgeryVIDEO GAME-TAPD: Week 1st-6th: Start with kids level and progress upto expert level and Participants will automatically progress to advanced level based on their individual ability and progress in game in progressing weeks. (kids level to expert level: according to game levels) Hand eye coordination game:Tap changing illuminating squares. Week1- 3 repetitions(2sets),Week2- 4 repetitions(2 sets),Week3- 5 repetitions(2 sets),Week4- 6 repetitions(2 sets),Week5- 7 repetitions(2 sets),Week6- 8 repetitions(2 sets) Ball tossing intervention:Week 1-2 (Exercise 1 (2 sets, 20/30/40 repetitions) and Exercise 2(2 sets, 20/30/40 repetitions) with ground tap catch Week 3-4 (Exercise 2 (2 sets, 20/30/40 repetitions) with direct catch and Exercise 3 (2 sets, 20/30/40 repetitions) Week 5-6 (Exercise 1 (2 sets, 50 repetitions) , Exercise 2 (2 sets, 50 repetitions) with direct catch and Exercise 3 (2 sets, 50 repetitions) Number of reps adjusted according to session number per week
Control Group
Procedure/SurgeryWeek 1-2 (Exercise 1 (2 sets, 20/30/40 repetitions) and Exercise 2(2 sets, 20/30/40 repetitions) with ground tap catch Week 3-4 (Exercise 2 (2 sets, 20/30/40 repetitions) with direct catch and Exercise 3 (2 sets, 20/30/40 repetitions) Week 5-6 (Exercise 1 (2 sets, 50 repetitions) , Exercise 2 (2 sets, 50 repetitions) with direct catch and Exercise 3 (2 sets, 50 repetitions) Number of reps adjusted according to session number per week e.g * Day 1: 20 reps per week * Day 2: 30 reps per week * Day 3: 40 reps per week Progression: Participants will progress to advanced level based on their individual ability and progress. Levels of complexity will be adjusted according to patient progress.
Treatment groups
34 Participants
are divided into 2 treatment groupsGroup A: video games and ball tossing interventionExperimental treatment 1 intervention
Group B: ball tossing interventionActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
VISUAL-MOTOR INTEGRATION
The Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) is a gold standard measure designed to identify challenges related to the coordination of visual and motor skills like eye hand coordination in both children and adults aged (2-100) year old. Visual Motor Integration takes approximately 10-15 min. Raw scores on the Beery VMI can range from 1 to 27, with a higher score reflecting a better performance. Raw scores are converted into standard scores according to age and each part of test has total of 30 scores to mark as there are 30 each shapes/tasks to complete. Interpretation: Standard Score Range \& Interpretation: \>129 = Very high 120-129 = High 110-119 = Above average 90-109 = Average 80-89 = Below average 70-79 = Low
Time frame
6 weeksSponsors and contacts
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Source ClinicalTrials.gov