Evaluating the Clinical Effectiveness of an Exergame-Based Training Program Using “WarioWare: Move It!” to Enhance Physical and Cognitive Function in Older Adults with Mild Cognitive Impairment and Dementia in Rural Long-Term Care Facilities: A Randomized Controlled Trial (Preprint) DOI Creative Commons
Aoyu Li, Qiang Wei, Jingwen Li

et al.

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e69109 - e69109

Published: Jan. 7, 2025

Cognitive impairment is an important public health challenge among older adults, particularly in long-term care facilities (LTCFs), where prevalence higher due to staffing shortages, limited resources, and difficulty maintaining structured exercise programs. Furthermore, adults often lose interest repetitive interventions. The exergame "WarioWare: Move It!" (Nintendo) offers a novel solution by combining aerobic exercise, motor coordination, balance training, cognitive engagement into immersive experience. This study aimed assess the clinical efficacy of exergame-based training program delivered via improving physical flexibility, joint range motion, hand dexterity, function living LTCFs. was conducted across multiple rural LTCFs Shanxi Province, China. Participants were randomly assigned intervention or control group. protocol encompassed two 60-minute sessions per week over 12 weeks, using motion-sensing exercises such as waving, jumping, arm swinging, rotational movements, object-mimicking postures with Joy-Con controllers. Primary outcome measures derived through tests, including sit reach test, shoulder flexibility trunk rotation elbow figure-of-8 walk standing dexterity tests. Statistical analysis performed mixed ANOVA, time within-participant factor group between-participant factor, effects on various measures. A total 232 participants recruited, 32 (13.8%) patients mild dementia, 18 (7.8%) moderate 182 (78.4%) impairment, all whom completed study. ANOVA revealed significant × interactions assessments, remaining distance between hands toes during forward bend (F2,156=8.484; P<.001; η²=0.098), clasped behind back (F2,156=3.666; P=.04; η²=0.045), angle formed left right (F2,156=17.353; η²=0.182). Significant also emerged for flexion (F2,156=17.655; η²=0.185), abduction (F2,156=6.281; P=.004; η²=0.075), (F2,156=3.298; P=.049; η²=0.041). In addition, complete test (F2,156=11.846; η²=0.132) number blocks moved within 1 minute (F2,156=4.016; P=.02; η²=0.049) showed interactions. Finally, scale-based exhibited statistically (all P values <.001). significantly improved dementia residing innovative feasible approach promoting resource-limited settings, demonstrating its potential widespread application diverse low-resource environments. ClinicalTrials.gov NCT06717971; https://clinicaltrials.gov/study/NCT06717971.

Language: Английский

Evaluating the Clinical Effectiveness of an Exergame-Based Training Program Using “WarioWare: Move It!” to Enhance Physical and Cognitive Function in Older Adults with Mild Cognitive Impairment and Dementia in Rural Long-Term Care Facilities: A Randomized Controlled Trial (Preprint) DOI Creative Commons
Aoyu Li, Qiang Wei, Jingwen Li

et al.

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e69109 - e69109

Published: Jan. 7, 2025

Cognitive impairment is an important public health challenge among older adults, particularly in long-term care facilities (LTCFs), where prevalence higher due to staffing shortages, limited resources, and difficulty maintaining structured exercise programs. Furthermore, adults often lose interest repetitive interventions. The exergame "WarioWare: Move It!" (Nintendo) offers a novel solution by combining aerobic exercise, motor coordination, balance training, cognitive engagement into immersive experience. This study aimed assess the clinical efficacy of exergame-based training program delivered via improving physical flexibility, joint range motion, hand dexterity, function living LTCFs. was conducted across multiple rural LTCFs Shanxi Province, China. Participants were randomly assigned intervention or control group. protocol encompassed two 60-minute sessions per week over 12 weeks, using motion-sensing exercises such as waving, jumping, arm swinging, rotational movements, object-mimicking postures with Joy-Con controllers. Primary outcome measures derived through tests, including sit reach test, shoulder flexibility trunk rotation elbow figure-of-8 walk standing dexterity tests. Statistical analysis performed mixed ANOVA, time within-participant factor group between-participant factor, effects on various measures. A total 232 participants recruited, 32 (13.8%) patients mild dementia, 18 (7.8%) moderate 182 (78.4%) impairment, all whom completed study. ANOVA revealed significant × interactions assessments, remaining distance between hands toes during forward bend (F2,156=8.484; P<.001; η²=0.098), clasped behind back (F2,156=3.666; P=.04; η²=0.045), angle formed left right (F2,156=17.353; η²=0.182). Significant also emerged for flexion (F2,156=17.655; η²=0.185), abduction (F2,156=6.281; P=.004; η²=0.075), (F2,156=3.298; P=.049; η²=0.041). In addition, complete test (F2,156=11.846; η²=0.132) number blocks moved within 1 minute (F2,156=4.016; P=.02; η²=0.049) showed interactions. Finally, scale-based exhibited statistically (all P values <.001). significantly improved dementia residing innovative feasible approach promoting resource-limited settings, demonstrating its potential widespread application diverse low-resource environments. ClinicalTrials.gov NCT06717971; https://clinicaltrials.gov/study/NCT06717971.

Language: Английский

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