Comparison of virtual reality based training and motor-cognitive dual task training effects on the linear and nonlinear features of center of pressure in older adults

The main purpose of this study is to find which type of treatment (cognitive-motor intervention or virtual reality method) is more effective to improve the postural control of older adults. It is estimated 27 healthy older adults are sufficient for this study. The inclusion criteria for healthy older adults are the following: Age ≥ 65 years old, be free from any severe cardiopulmonary disease, neurological disorder, musculoskeletal impairment or any history of falls in the prior 6 months. Subjects are excluded from either group if had any dizziness, fatigue, vigorous physical activity or stress before testing. After baseline evaluation, subjects are randomly allocated to one of the two groups: (1) cognitive-motor dual-task training, (2) virtual reality based training. Cognitive-motor dual-task training is balance training while simultaneously engaging in a secondary cognitive task. Virtual reality based training is balance training in a virtual environment using programs of Wii fit. Participants in these groups are attended 12-16 sessions, 3 sessions per week, and 60 minutes per session. The outcome measurements take place at 3 time points: (1) before initiation of intervention (baseline), (2) after completion of training, (3) 8 weeks after completion of training. The outcome measurements are linear and nonlinear parameters of center of pressure under different dual task conditions and parameters related to clinical and neurocognitive tests.

Tehran University of Medical Sciences