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Visual Training Program to Improve Balance and Prevent Falls in Older Adults

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00549406
First Posted: October 25, 2007
Last Update Posted: December 23, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
Ontario Neurotrauma Foundation
Canadian Institutes of Health Research (CIHR)
Information provided by:
Sunnybrook Health Sciences Centre
  Purpose
The ability to maintain balance and avoid falling is highly dependent on the ability to locate objects and architectural features in the environment. This need to continually monitor the environment as one moves about in daily life suggests a critical role for visual attention, gaze control, and spatial memory, all of which are known to decline with aging. In this study, the investigators will test the efficacy of a computer-based visual-training program designed to improve the ability to rapidly extract information from the peripheral visual field. It is expected that older adults involved in the visual training intervention will improve the speed, accuracy, and effectiveness of reach-to-grasp balance-recovery reactions evoked by sudden unpredictable balance perturbation.

Condition Intervention Phase
Accidental Falls Musculoskeletal Equilibrium Procedure: computerized visual training Procedure: computerized word puzzles Procedure: video-game based visual training Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Visual Processing and Postural Reactions: Development and Pilot Testing of a "Visual Training" Program to Improve Balance Control and Prevent Falls in Older Adults

Resource links provided by NLM:


Further study details as provided by Sunnybrook Health Sciences Centre:

Primary Outcome Measures:
  • ability to use peripheral vision to recover balance by grasping a handhold [ Time Frame: within one week of starting and completing the intervention ]

Secondary Outcome Measures:
  • natural gaze and balance-recovery behavior (in responding to a sudden unpredictable balance perturbation while walking in an unfamiliar environment); clinical balance measures; visual-processing measures [ Time Frame: within one week of starting and completing the intervention ]

Enrollment: 33
Study Start Date: June 2008
Study Completion Date: February 2012
Primary Completion Date: July 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
computer-based visual-training program UFOV
Procedure: computerized visual training
two one-hour training sessions per week, for five consecutive weeks
Other Name: "Useful Field of View" (UFOV) training
Experimental: 2
video-game based visual training
Procedure: video-game based visual training
two one-hour training sessions per week, for five consecutive weeks
Other Name: Video game training
Placebo Comparator: 3
computerized word puzzles
Procedure: computerized word puzzles
two one-hour sessions per week, for five consecutive weeks
Other Name: "Super Text-Twist" puzzles

  Show Detailed Description

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   64 Years to 80 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Community dwelling
  • Functional mobility (no dependence on mobility aids)
  • Impaired visual processing (UFOV divided attention score of 200ms or worse)

Exclusion Criteria:

  • Neurological or musculoskeletal disorder
  • Cognitive disorder (e.g. dementia)
  • Uncorrected visual impairments
  • Recurrent dizziness or unsteadiness
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00549406


Locations
Canada, Ontario
Centre for Studies in Aging, Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada, M4N 3M5
Sponsors and Collaborators
Sunnybrook Health Sciences Centre
Ontario Neurotrauma Foundation
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Brian E Maki, PhD, PEng Sunnybrook Health Sciences Centre, University of Toronto
Principal Investigator: Sandra M McKay, PhD Sunnybrook Health Sciences Centre, University of Toronto
  More Information

Responsible Party: Dr Brian Maki, Director, Centre for Studies in Aging, Sunnybrook Health Sciences Centre
ClinicalTrials.gov Identifier: NCT00549406     History of Changes
Other Study ID Numbers: 2007-PREV-INT-452
CIHR grant# MOP-13355
First Submitted: October 24, 2007
First Posted: October 25, 2007
Last Update Posted: December 23, 2014
Last Verified: December 2014

Keywords provided by Sunnybrook Health Sciences Centre:
Vision
Visual attention
Postural balance
Geriatrics