Hand Training Device For Cognitive Care

National Cheng-Kung University Hospital80 enrolled

Overview

Previous studies indicated that auditory stimulation as an external cue might have positive impacts on sensorimotor synchronization. Additionally, according to previous reports apart from traditional interventions, digitized game-based device, such as FTOMBVG, are beneficial for the brain activation in elderly. Moreover, enhanced finger force control and coordination lead to better hand dexterity and is believed to eventually improve life independence in the healthy elderly and the elderly with cognitive decline. Therefore, this study aims to develop an advanced systems based on the previous one, that can provide hand function rehabilitation, cognitive training, and emotional comfort for the elderly or people suffer from cognitive deficiency. They can enhance their finger force control or visual to motor synchronization by music embedded during the gaming process.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Healthy Elderly Mild Cognitive Impairment (MCI)

Interventions

Eligibility

Sex: ALLMin age: 65 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Ability to communicate in Mandarin Chinese or Taiwanese * MCI, according to clinical neurological assessment, Montreal Cognitive Assessment (MoCA):≦25\&≧19 * Ability to perform ADL independently, no hand function disability * Voluntarily participation and ability to sign the informed consent form Exclusion Criteria: * Alzheimers disease diagnosed by physicians or meeting the diagnostic criteria for dementia * Physician's diagnosis of stroke * Any mental illness or behavior problems and inability to cooperate with the trainer * Visual impairment or hand diseases resulting in an inability to perform finger press * received other cognitive or physical training in the past year * any sight, hearing, or communication impairment

Outcomes

Primary Outcomes

Oxygenated hemoglobin (HbO)

The Oxygenated hemoglobin (HbO) was measured while the participants play the game under both conditions

Time frame: 30 minutes

Montreal Cognitive Assessment (MoCA) test

The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: Short term memory, Visuospatial abilities, Executive functions, Attention, concentration and working memory, Language, Orientation to time and place. The sensitivity of MoCA for detecting MCI is 90%.

Time frame: 10 minutes

EN value

The force independence is collected from the data during force control game in each evaluation session. The parameter of force independence is an index of five digits overall enslaving presented as EN.

Time frame: 5 minutes

Secondary Outcomes

Maximum voluntary isometric contraction (MVIC)

Maximum voluntary isometric contraction of each digit is measured for training reference.

Time frame: 10 seconds