To examine the benefits of using a video-game, Dance, Dance, Revolution, as an exercise modality to improve gait and balance in individuals with Huntington's disease.
The primary purpose of this study was to determine the effectiveness of a therapist-guided Video-game Biofeedback Modulated Exercise (ViBE) program administered via Dance Dance Revolution to improve dynamic balance, gait and mobility in individuals with Huntington's Disease. Secondary aims were to explore whether the ViBE intervention would improve quality of life, fall risk, and neuropsychological functions. The investigators hypothesized that the video-game program would lead to greater improvements in walking, dynamic balance, quality of life, fall risk, and neuropsychological function than a control handheld video game program. Since motivation is essential to the long-term maintenance of an exercise program the investigators were also interested in finding out how successful people with Huntington's Disease were at playing Dance Dance Revolution, what their perceptions were of playing the game, and whether they thought that it was beneficial
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
24
use of the video-game, Dance, Dance Revolution as an exercise to improve gait and balance
hand-held video games
The Ohio State University Atwell Hall
Columbus, Ohio, United States
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: forward velocity.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: forward stride length.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: forward swing percent.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: forward double support percent.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: forward heel to heel base of support.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: backwards velocity.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: backwards stride length.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: backwards swing percent.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: backwards double support percent.
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Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: backwards heel to heel base of support.
Time frame: 6 weeks
Gait Parameters
utilized GAITRite to obtain spatiotemporal measures of gait: obstacle velocity.
Time frame: 6 weeks
Tinetti Mobility Test
Observation of gait and balance with quantifiable 16-item assessment with an ordinal scale of 0-2 for up to a total score of 32, with higher scores indicating better performance. It is reliable and predicts falls among those with Parkinson's disease and Huntington's disease.
Time frame: 6 weeks
Four Square Step Test
Examines ability to step over an object in multiple directions and is timed. Participants are instructed to step over a cane into each square in a specific order. Faster times indicate better balance. It has been shown to predict falls in the elderly.
Time frame: 6 weeks
Activities-Specific Balance Confidence Scale
Individuals rate their balance confidence from 1-100 on 16 tasks and total score is the mean; higher scores indicate greater confidence and lower fall risk. The Activities-Specific Balance Confidence Scale is reliable and valid in elderly and neurological populations.
Time frame: 6 weeks
World Health Organization Quality of Life
This questionnaire is a measure of quality of life addressing 4 domains including physical, psychological, social, and environment health. Responses on 26 items are on a five-point scale (from 1 = very dissatisfied to 5 = very satisfied) and each item is added to achieve a total score for each domain. The mean score for each domain is calculated then multiplied by 4 to get the domain score which are then transformed to a scaled score of 0-100 comparable to the original WHOQOL-100 therefore a total score between 0-400 with high scores indicating better quality of life. The WHOQOLBref has good reliability and validity.
Time frame: post intervention and post hand-held game, each lasts 6 weeks