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Exercising With Computers in Later Life (EXCELL)

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. Identifier: NCT01082042
Recruitment Status : Completed
First Posted : March 5, 2010
Last Update Posted : March 5, 2010
British Geriatrics Society
Information provided by:
NHS Grampian

Brief Summary:
This is a pilot study to assess whether balance training with the Nintendo® Wii is comparable to a physiotherapist−led falls group in terms of improvement in balance. The acceptability of the Nintendo® Wii will also be assessed.

Condition or disease
Accidental Falls Exercise

Detailed Description:

The population is ageing and as a result medical staff and allied health professionals are likely to see an increase in the number of patients with falls. Community dwelling individuals over 65 fall at a rate of 30% per year. This risk increases with advancing age. Falls have significant consequences for both the individual and the population as a whole. Falls risk increases with age due to increased body sway, a reduction in reaction times, deterioration in the efficiency of the walking pattern and diminished balance.

People who fall should be referred for multidisciplinary falls assessment. Locally, patients are assessed by the multidisciplinary team and, if appropriate, attend falls group. This group consists of a 12 week exercise program to improve balance and muscle strength (patients attend the group up to 3 times weekly). Previously trials have shown variable compliance with exercise programs but locally compliance is felt to be good. Falls groups aim to reduce falls through the benefits of exercise; improvement in muscle strength,balance, general fitness and well being. It has been shown that exercise has statistically significant beneficial effects on balance.

Due to advances in technology, equipment has been produced to improve balance on both the medical and commercial market. There is a large variability in cost between this equipment with commercial prices being much lower. The Wii has been very successful in encouraging sedentary youths to partake in exercise (all be it in a limited form). WiiFit is a specifically designed "game" for the Wii to improve balance with an element of entertainment value.

This project is important due the large number of falls that occur in the community and the significant impact this has on an under resourced NHS. It is timely because the WiiFit has only just been introduced into the market. Through the use of a Wii, balance training may be more enjoyable and as a result elderly community dwellers may be more likely to participate in exercise programmes. The Wii is considerably cheaper than the medical alternatives and if an improvement can be shown in post−intervention balance assessments, then we have to consider whether the use of similar equipment should be instituted in falls groups.

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Study Type : Observational
Actual Enrollment : 21 participants
Observational Model: Case Control
Time Perspective: Prospective
Official Title: Exercising With Computers in Later Life (EXCELL) - Pilot and Feasibility Study of the Nintendo® WiiFit in Community-dwelling Fallers
Study Start Date : January 2009
Actual Primary Completion Date : June 2009
Actual Study Completion Date : June 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Falls

Standard Care
Individuals who attended the local falls group
Intervention group
Individuals who undertook the 12 week exercise (Nintendo WiiFit) intervention

Primary Outcome Measures :
  1. Improvement in formal balance score [ Time Frame: 4 weeks and 12 weeks following the exercise intervention ]
    Berg and Tinetti balance scores

Secondary Outcome Measures :
  1. Acceptability of the Nintendo WiiFit in community-dwelling older fallers [ Time Frame: 12 weeks ]
    Individual interview and completion of the Attitudes to Falls-Related Interventions Scale (AFRIS)

  2. Participants degree of concern about falling in certain situations following the intervention [ Time Frame: 4 weeks and 12 weeks ]
    Falls Efficacy Scale - International (FES-I)

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   70 Years and older   (Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Standard Care: The standard care group was recruited from the local falls group that is run from the local Medicine for the Elderly Department.

Intevention Group: Participants were recruited following a publicity campaign.


Inclusion Criteria:

  • age 70 years or older
  • living locally in the community (in either sheltered accommodation or own home
  • fallen at least once in the preceding 12 months
  • abbreviated mental test (AMT) of seven or over

Exclusion Criteria:

  • wheelchair bound
  • people living in a care home or long-term hospital care.

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 identifier (NCT number): NCT01082042

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United Kingdom
Department of Medicine for the Elderly, Woodend Hospital
Aberdeen, Aberdeenshire, United Kingdom, AB15 6XS
Sponsors and Collaborators
NHS Grampian
British Geriatrics Society
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Principal Investigator: Marie A Williams, MBChB NHS Grampian
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Dr Marie Williams, NHS Grampian Identifier: NCT01082042    
Other Study ID Numbers: BGS05/2008
First Posted: March 5, 2010    Key Record Dates
Last Update Posted: March 5, 2010
Last Verified: June 2009
Keywords provided by NHS Grampian:
Balance, postural
Aged, over 70
Accidental falls