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A Study of the Telerehabiliation Intervention Effect of the Tai Chi Exercise on Elderly With Sarcopenia

Primary Purpose

Sarcopenia

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
AI telerehabilitation - Tai Chi
general telerehabilitation - Tai Chi
traditional rehabilitation - Tai Chi
AI telerehabilitation - Yi Jin Jing
general telerehabilitation - Yi Jin Jing
traditional rehabilitation - Yi Jin Jing
AI telerehabilitation - Ba Duan Jin
general telerehabilitation - Ba Duan Jin
traditional rehabilitation - Ba Duan Jin
Sponsored by
Northeast Normal University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Sarcopenia focused on measuring sarcopenia, human pose

Eligibility Criteria

60 Years - 75 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria: (1) Patients between the ages of 60-75 years; (2) who meet the screening criteria for sarcopenia in Asia established by AWGS 2019; (3) who have a computer at home (4) who can use a computer or was accompanied by family number who can use a computer. Exclusion Criteria: (1) participants taking medications that significantly impact musculoskeletal function (2) participants suffering from respiratory failure or other bodily problems; (3) participants with mental disorders or neurological disorders; (4) patients who participate in other training programs on a regular basis.

Sites / Locations

  • Chinese Center of Exercise EpidemiologyRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm Type

Experimental

Active Comparator

Active Comparator

Experimental

Active Comparator

Active Comparator

Experimental

Active Comparator

Active Comparator

Arm Label

AI telerehabilitation - Tai Chi

general telerehabilitation - Tai Chi

traditional rehabilitation - Tai Chi

AI telerehabilitation - Yi Jin Jing

general telerehabilitation - Yi Jin Jing

traditional rehabilitation - Yi Jin Jing

AI telerehabilitation - Ba Duan Jin

general telerehabilitation - Ba Duan Jin

traditional rehabilitation - Ba Duan Jin

Arm Description

All sessions were conducted online, with participants practicing along with Tai Chi videos while the AI guided the movements throughout the session. A remote rehabilitation program was installed in patients' homes by study team members. Participants who do not know how to use a computer were assisted by their family members.

All sessions were conducted in an online format, with participants practicing along with Tai Chi videos while the professional Tai Chi instructors supervised and guided the movements throughout the session. A computer connected to a high-resolution webcam was used to establish real-time remote visual communication between the rehabilitation unit and the patient's home via Tencent conferencing software (Meeting/Tencent).

All sessions were conducted offline and implemented by professional Tai Chi instructors. The audio from the video used for the other two groups was utilized to assist the practice of participants in traditional rehabilitation - Tai Chi group.

All sessions were conducted online, with participants practicing along with Yi Jin Jing videos while the AI guided the movements throughout the session. A remote rehabilitation program was installed in patients' homes by study team members. Participants who do not know how to use a computer were assisted by their family members.

All sessions were conducted in an online format, with participants practicing along with Yi Jin Jing videos while the professional Yi Jin Jing instructors supervised and guided the movements throughout the session. A computer connected to a high-resolution webcam was used to establish real-time remote visual communication between the rehabilitation unit and the patient's home via Tencent conferencing software (Meeting/Tencent).

All sessions were conducted offline and implemented by professional Yi Jin Jing instructors. The audio from the video used for the other two groups was utilized to assist the practice of participants in traditional rehabilitation - Yi Jin Jing group.

All sessions were conducted online, with participants practicing along with Ba Duan Jin videos while the AI guided the movements throughout the session. A remote rehabilitation program was installed in patients' homes by study team members. Participants who do not know how to use a computer were assisted by their family members.

All sessions were conducted in an online format, with participants practicing along with Ba Duan Jin videos while the professional Ba Duan Jin instructors supervised and guided the movements throughout the session. A computer connected to a high-resolution webcam was used to establish real-time remote visual communication between the rehabilitation unit and the patient's home via Tencent conferencing software (Meeting/Tencent).

All sessions were conducted offline and implemented by professional Ba Duan Jin instructors. The audio from the video used for the other two groups was utilized to assist the practice of participants in traditional rehabilitation - Ba Duan Jin group.

Outcomes

Primary Outcome Measures

Using quantitative CT to investigate the change of skeletal muscle area in sarcopenic elderly.
articipants will receive quantitative CT scans before and after the intervention to assess the change from baseline skeletal muscle area at 3 months.
Using a Jamar hydraulic hand dynamometer to investigate change of handgrip in sarcopenic elderly.
Participants will receive a handgrip strength test before and after the intervention to assess the change from baseline handgrip strength at 3 months.
Using a bioelectrical impedance body composition analyzer with a multifrequency device to investigate the change of relative skeletal muscle mass index in sarcopenic elderly.
Participants will receive a relative skeletal muscle mass index test before and after the intervention to assess the change from baseline relative skeletal muscle index at 3 months.

Secondary Outcome Measures

Collect participants' self-evaluation of their life state and physical state.
Participants were asked to write a self-assessment report of no more than 500 words before and after the intervention, including physical status and life status.
Collect video of participants throughout the intervention.
The entire intervention process was recorded and video of the entire intervention process was collected from the participants.

Full Information

First Posted
March 2, 2023
Last Updated
March 2, 2023
Sponsor
Northeast Normal University
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1. Study Identification

Unique Protocol Identification Number
NCT05767710
Brief Title
A Study of the Telerehabiliation Intervention Effect of the Tai Chi Exercise on Elderly With Sarcopenia
Official Title
An Alternative Remote Rehabilitation Strategy for the Improvement of Sarcopenia in the Elderly: Tai Chi as an Exercise Form
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 10, 2023 (Anticipated)
Primary Completion Date
July 10, 2023 (Anticipated)
Study Completion Date
July 20, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Northeast Normal University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Sarcopenia is an age-related disease characterized by a progressive decrease in skeletal muscle content and loss of muscle function. Tai Chi exercises have been shown to improve skeletal muscle mass in elderly people suffering from sarcopenia. However, offline interventions are a very labor- and financial-intensive approach. Therefore, researchers designed an artificial intelligence-assisted program and Tai Chi exercise format to investigate whether a remote rehabilitation approach could replace face-to-face interventions

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcopenia
Keywords
sarcopenia, human pose

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
225 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
AI telerehabilitation - Tai Chi
Arm Type
Experimental
Arm Description
All sessions were conducted online, with participants practicing along with Tai Chi videos while the AI guided the movements throughout the session. A remote rehabilitation program was installed in patients' homes by study team members. Participants who do not know how to use a computer were assisted by their family members.
Arm Title
general telerehabilitation - Tai Chi
Arm Type
Active Comparator
Arm Description
All sessions were conducted in an online format, with participants practicing along with Tai Chi videos while the professional Tai Chi instructors supervised and guided the movements throughout the session. A computer connected to a high-resolution webcam was used to establish real-time remote visual communication between the rehabilitation unit and the patient's home via Tencent conferencing software (Meeting/Tencent).
Arm Title
traditional rehabilitation - Tai Chi
Arm Type
Active Comparator
Arm Description
All sessions were conducted offline and implemented by professional Tai Chi instructors. The audio from the video used for the other two groups was utilized to assist the practice of participants in traditional rehabilitation - Tai Chi group.
Arm Title
AI telerehabilitation - Yi Jin Jing
Arm Type
Experimental
Arm Description
All sessions were conducted online, with participants practicing along with Yi Jin Jing videos while the AI guided the movements throughout the session. A remote rehabilitation program was installed in patients' homes by study team members. Participants who do not know how to use a computer were assisted by their family members.
Arm Title
general telerehabilitation - Yi Jin Jing
Arm Type
Active Comparator
Arm Description
All sessions were conducted in an online format, with participants practicing along with Yi Jin Jing videos while the professional Yi Jin Jing instructors supervised and guided the movements throughout the session. A computer connected to a high-resolution webcam was used to establish real-time remote visual communication between the rehabilitation unit and the patient's home via Tencent conferencing software (Meeting/Tencent).
Arm Title
traditional rehabilitation - Yi Jin Jing
Arm Type
Active Comparator
Arm Description
All sessions were conducted offline and implemented by professional Yi Jin Jing instructors. The audio from the video used for the other two groups was utilized to assist the practice of participants in traditional rehabilitation - Yi Jin Jing group.
Arm Title
AI telerehabilitation - Ba Duan Jin
Arm Type
Experimental
Arm Description
All sessions were conducted online, with participants practicing along with Ba Duan Jin videos while the AI guided the movements throughout the session. A remote rehabilitation program was installed in patients' homes by study team members. Participants who do not know how to use a computer were assisted by their family members.
Arm Title
general telerehabilitation - Ba Duan Jin
Arm Type
Active Comparator
Arm Description
All sessions were conducted in an online format, with participants practicing along with Ba Duan Jin videos while the professional Ba Duan Jin instructors supervised and guided the movements throughout the session. A computer connected to a high-resolution webcam was used to establish real-time remote visual communication between the rehabilitation unit and the patient's home via Tencent conferencing software (Meeting/Tencent).
Arm Title
traditional rehabilitation - Ba Duan Jin
Arm Type
Active Comparator
Arm Description
All sessions were conducted offline and implemented by professional Ba Duan Jin instructors. The audio from the video used for the other two groups was utilized to assist the practice of participants in traditional rehabilitation - Ba Duan Jin group.
Intervention Type
Behavioral
Intervention Name(s)
AI telerehabilitation - Tai Chi
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Tai Chi practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Tai Chi practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Tai Chi exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
general telerehabilitation - Tai Chi
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Tai Chi practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Tai Chi practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Tai Chi exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
traditional rehabilitation - Tai Chi
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Tai Chi practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Tai Chi practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Tai Chi exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
AI telerehabilitation - Yi Jin Jing
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Yi Jin Jing practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Yi Jin Jing practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Yi Jin Jing exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
general telerehabilitation - Yi Jin Jing
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Yi Jin Jing practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Yi Jin Jing practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Yi Jin Jing exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
traditional rehabilitation - Yi Jin Jing
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Yi Jin Jing practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Yi Jin Jing practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Yi Jin Jing exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
AI telerehabilitation - Ba Duan Jin
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Ba Duan Jin practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Ba Duan Jin practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Ba Duan Jin exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
general telerehabilitation - Ba Duan Jin
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Ba Duan Jin practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Ba Duan Jin practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Ba Duan Jin exercise in each session.
Intervention Type
Behavioral
Intervention Name(s)
traditional rehabilitation - Ba Duan Jin
Intervention Description
All the participants received a three-month intervention which consisted two stage: the first month was the movement learning and consolidation phase, with 45 minutes of Ba Duan Jin practice per session and three times each week; the last two months were the formal practice phase with 45 minutes of Ba Duan Jin practice per session and three times each week. In the first phase, participants learned four new movements in each session and consolidated these exercises in the next session. After all the movements have been learned, use the remaining time in the first stage to consolidate the exercises. In the second phase, participants performed a complete Ba Duan Jin exercise in each session.
Primary Outcome Measure Information:
Title
Using quantitative CT to investigate the change of skeletal muscle area in sarcopenic elderly.
Description
articipants will receive quantitative CT scans before and after the intervention to assess the change from baseline skeletal muscle area at 3 months.
Time Frame
Month 3
Title
Using a Jamar hydraulic hand dynamometer to investigate change of handgrip in sarcopenic elderly.
Description
Participants will receive a handgrip strength test before and after the intervention to assess the change from baseline handgrip strength at 3 months.
Time Frame
Month 3
Title
Using a bioelectrical impedance body composition analyzer with a multifrequency device to investigate the change of relative skeletal muscle mass index in sarcopenic elderly.
Description
Participants will receive a relative skeletal muscle mass index test before and after the intervention to assess the change from baseline relative skeletal muscle index at 3 months.
Time Frame
Month 3
Secondary Outcome Measure Information:
Title
Collect participants' self-evaluation of their life state and physical state.
Description
Participants were asked to write a self-assessment report of no more than 500 words before and after the intervention, including physical status and life status.
Time Frame
Month 3
Title
Collect video of participants throughout the intervention.
Description
The entire intervention process was recorded and video of the entire intervention process was collected from the participants.
Time Frame
Month 3

10. Eligibility

Sex
All
Minimum Age & Unit of Time
60 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: (1) Patients between the ages of 60-75 years; (2) who meet the screening criteria for sarcopenia in Asia established by AWGS 2019; (3) who have a computer at home (4) who can use a computer or was accompanied by family number who can use a computer. Exclusion Criteria: (1) participants taking medications that significantly impact musculoskeletal function (2) participants suffering from respiratory failure or other bodily problems; (3) participants with mental disorders or neurological disorders; (4) patients who participate in other training programs on a regular basis.
Facility Information:
Facility Name
Chinese Center of Exercise Epidemiology
City
Changchun
State/Province
Jilin
ZIP/Postal Code
130024
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Guang Yang, PhD
Phone
+86 13204470884
Email
yangg100@nenu.edu.cn
First Name & Middle Initial & Last Name & Degree
Deyu Meng, Master
Phone
+86 17808086110
Email
mengdy539@nenu.edu.cn

12. IPD Sharing Statement

Learn more about this trial

A Study of the Telerehabiliation Intervention Effect of the Tai Chi Exercise on Elderly With Sarcopenia

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