Gaming-Based Tele-Exercise Program to Improve Physical Function in Frail Older Adults: Feasibility Randomized...

Area of Science:

• Gerontology
• Rehabilitation Science
• Digital Health

Background:

• Frailty in older adults is linked to reduced physical activity, increased fall risk, and accelerated aging.
• A novel gaming-based cognitive-motor (CogXergaming) tele-exercise protocol was developed for prefrail older adults.
• This intervention aims to mitigate adverse health outcomes and improve quality of life.

Purpose of the Study:

• To test the preliminary feasibility and effectiveness of the CogXergaming telehealth protocol.
• To assess the impact of CogXergaming on physical function in prefrail older adults.

Main Methods:

• A pilot randomized control trial assigned community-dwelling, prefrail older adults to either CogXergaming or a control group (Matter of Balance).
• The CogXergaming group underwent 6 weeks of supervised, gaming-based tele-exercises (3 sessions/week).
• Effectiveness was measured using tests for balance, self-efficacy, gait, strength, and endurance.

Main Results:

• Both groups showed high adherence, with 83% in CogXergaming and 88% in the control group completing the intervention.
• The CogXergaming group demonstrated significant improvements in dynamic balance, gait function, and muscle strength compared to the control group.
• No significant changes were observed in the control group for these measures.

Conclusions:

• CogXergaming is a feasible and applicable intervention for prefrail older adults.
• Game-based tele-exercise protocols show promise for improving physical function in this population.
• Further research is needed to confirm the efficacy of CogXergaming training.