Идёт набор NCT06151626

A Novel Multisensory-Rhythmic Intervention in Geriatric Rehabilitation

Без фазы С лечением Virtual Reality Hand Mirror Geriatric Kinesiology, Applied

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: virtual-reality based rhythmic skill training, rhythmic skill training with visual feedback, strengthening group, breathing and muscle relaxation exercises.
Кому может быть актуально: Состояния в реестре: Virtual Reality, Hand Mirror, Geriatric, Kinesiology, Applied. Базовые параметры: 18 лет — 85 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Тайвань
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Linking From an Artificial-Intelligence Driven Assessment of Upper Extremity Motor Adaptation to a Novel Multisensory-Rhythmic Intervention in Geriatric Rehabilitation

Обзор

Human performance takes shape from the dynamic interaction between person, environment, and task. Goal-directed action is a complex task, which requires the elderly to adapt their motor response according to the environment constraints and task requirements to accomplish the task goal. Among age-related problems, motor control deficits are often the main problems which restricts the frail elderly from maintaining independence for activities of daily living. Therefore, to preserve the quality of life, motor function of the elderly must be taken into consideration, including early detection of motor control problems and development of appropriate intervention strategy for persons with either healthy or pathological brain aging. Rhythmic skill training which is a new mode of dual tasks using rhythmic cueing as an external agent for facilitating an automatized motor task. During training, rhythmic skill training can provide multi-component of sensory stimulation, strengthen motor planning and optimize motor execution, therefore, it will improve the motor performance for the elderly or patients with mild cognitive impairment. In addition, the neuroplastic changes related to sensory processing, selective attention, or working memory demands through music rhythm training can facilitate the cognitive function for the elderly which is a current trend of geriatric rehabilitation. Moreover, the advantage of virtual reality is that it provides important information related to knowledge of result, which can induce better motor and cognitive training effects. Therefore, this research project will focus on assessing and intervening motor adaptation of upper extremity for the healthy elderly and patients with mild cognitive impairment. The first purpose of the project will analyze the difference in efficiency of responsive and predictive grasping motor adaptation among the healthy young adults, healthy elderly and patients with mild cognitive impairment through a test of perturbation-based of pinch-holding-up-activity, and use artificial intelligence for more accurate classification for the grasp pattern of healthy young adults, elderly and patients with mild cognitive impairment. The second one is to verify the effects of virtual-reality based rhythmic skill training system on the motor adaptation capability of upper limb and cognition for the elderly and patients with mild cognitive impairment.

Вмешательства

Другое virtual-reality based rhythmic skill training
Participants wear VR headsets and Oculus Touch controllers and undergo rhythm skill training for a total of 35 minutes.
Другое rhythmic skill training with visual feedback
The rhythm skill training activities in this group are the same as the virtual reality-based system. Participants received 35 minutes of rhythm skill training presented through a computer interface
Другое strengthening group
Participants receive an upper limb strengthening exercise program under the supervision of a therapist to ensure that the strengthening exercises are performed correctly. This includes: proprioceptive neuromuscular facilitation, resistance training, and tendon gliding exercises.
Другое breathing and muscle relaxation exercises
5 minutes of breathing and muscle relaxation exercises

Первичные конечные точки

Change in responsive grip behavior [Срок оценки: baseline, 8 weeks and 16 weeks]

Вторичные конечные точки (8)

Change in the results of Semmes-Weinstein monofilament test [Срок оценки: baseline, 8 weeks and 16 weeks]
Change in the result of Purdue pegboard test [Срок оценки: baseline, 8 weeks and 16 weeks]
Change in the result of Minnesota manual dexterity test [Срок оценки: baseline, 8 weeks and 16 weeks]
Change in the result of Weber Two-Point Discrimination Test [Срок оценки: baseline, 8 weeks and 16 weeks]
The change in the results of Mini-Mental Status Examination (MMSE) [Срок оценки: baseline, 8 weeks and 16 weeks]
The change in the results of Digit Span (DS) subtest from the Wechsler Adult Intelligence Scale-4th [Срок оценки: baseline, 8 weeks and 16 weeks]
The change in the results of Knox Cube Test-Revised (KCT-R) [Срок оценки: baseline, 8 weeks and 16 weeks]
The change in the results of Conners continuous performance test-3 [Срок оценки: baseline, 8 weeks and 16 weeks]

Критерии участия

Критерии включения

Montreal Cognitive Assessment (MoCA) score of 23 or higher,
Clinical Dementia Rating (CDR) of 0 (for normal subjects) or 1 (for mild cognitive impairment subjects),
Healthy young participants aged between 20-39 years, healthy older adults and mild cognitive impairment participants aged between 65-85 years,
No skeletal, muscular, or neurological problems in the upper limbs in the past year, and
Sufficient visual acuity to complete the tasks.