About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Parallel
Treatments tested in this trial
Virtual Reality Balance Training
Procedure/SurgeryThe 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
Wii Fit balance training
Procedure/SurgeryThe 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
Treatment groups
Trial outcomes
Primary outcomes
Postural stability
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
Balance
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.
Concern of Fall
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
Cognition
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
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