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Cognitive DysfunctionNCT07182396

Effects of Video Games and Ball Tossing on Eye Hand Coordination in Elderly With Mild Cognitive Impairment.

A study testing Experimental Group in people with Cognitive Dysfunction and Cognitive Disorder, run by Foundation University Islamabad at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

One of the key challenges faced by individuals with mild cognitive impairment (MCI) is the decline in cognitive and motor abilities, particularly eye-hand coordination (EHC), which is essential for performing daily activities and maintaining independence. Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
What is being tested?
Experimental Group
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
34 participants
Where
1 sitePakistan
Study dates
13 Sep 2024to 10 Jan 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Older population aged from 60years and above
  • Normal/ normal to corrected vision
  • MoCA Score of 18-25 for screening / MCI patients
  • Can do Independent ADLS
  • Beery VMI Score: 80 and above score

Who cannot join

  • History of head trauma, loss of consciousness, stroke, rapid cognitive decline
  • Diagnosis of mental illness/neurocognitive disorders
  • Diagnosed Vestibular disorders
  • Hearing, vision and communication impairments

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Muttayaba Ishtiaq, DPT contact

+92 321-5312943

imuttayaba58@gmail.com

Pakistan1 site, 1 recruiting
  • Foundation University College of Physical Therapy

    Islamabad, 46000

    Furqan Ahmed Siddiqi, Phd, +92515788171 ext. 602, principal.fucp@fui.edu.pk

    Recruiting

Other trials in Pakistan

About this study

One of the key challenges faced by individuals with mild cognitive impairment (MCI) is the decline in cognitive and motor abilities, particularly eye-hand coordination (EHC), which is essential for performing daily activities and maintaining independence. Impaired EHC can severely affect the quality of life in older adults, leading to difficulties in performing routine tasks like dressing, eating, and bathing, and increasing dependency on caregivers.

Signs and symptoms include difficulty with precise movements like buttoning clothes, spilling drinks while pouring, struggling to catch a ball, messy handwriting. This study aims to explore and compare the effectiveness of two interventions-video games and ball tossing exercises-in improving Eye-hand coordination (EHC) in older adults with Mild Cognitive Impairment (MCI).

Read more

Key outcome measures, including the Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) and its supplemental test visual perception test and motor coordination test, will evaluate the effectiveness of the interventions on eye hand coordination.

We will include older adults with 60 and above age with MoCA score of 18-25(MCI patients), who can do independent ADLs and beery vmi score of 80 and above.

The participants would be assessed at the start of intervention through MoCA scale for MCI screening and Beery VMI testing method for Eye Hand Coordination for inclusion score.

Read the detailed description

A reduction in cognitive function that occurs during the transitional period from normal aging to dementia is known as mild cognitive impairment (MCI) As people age, they experience a decline in cognitive function.The overall prevalence of MCI was 15.56% in older aged people.

Older individuals with MCI, they commonly face a decline in both cognitive and motor abilities, which can severely affect their quality of life.

One of the consequence of cognitive decline is impaired hand-eye coordination, a critical skill for daily activities and maintaining independence This impairment arises as MCI affects cognitive functions such as attention, making it difficult for individuals to focus on tasks, often leading to wandering hand and eye movements and hesitation during actions.

Hand-eye coordination, the brain's ability to synchronize visual input with hand movements, plays an essential role in performing activities of daily living (ADLs) and independence of older adults. Impaired hand-eye coordination is associated with the early stages of cognitive decline, indicating that cognitive deterioration has a significant impact on this ability.

Signs and symptoms include difficulty with precise movements like buttoning clothes, spilling drinks while pouring, struggling to catch a ball, messy handwriting, clumsiness when reaching for objects, frequent misjudging distances, and taking longer to complete tasks requiring hand-eye coordination due to slower reaction times etc.

Older adults with MCI are at risk of further cognitive decline which can lead to dementia/Alzheimer's disease in which hand-eye coordination may decline so easy, accessible and engaging intervention for older adults that will improve hand eye coordination will be provided in this study.

This study aims to determine the effect of two such interventions-video games and ball tossing exercises-in enhancing eye-hand coordination in older adults with mild cognitive impairment. This study aims to determine the effect of two such interventions-video games and ball tossing exercises-in enhancing eye-hand coordination in older adults with mild cognitive impairment.

By exploring the effects of these two interventions, this research seeks to contribute valuable insights for health care professionals to engage older population into targeted activities so they can support the cognitive health of older adults, ultimately improving their quality of life and limiting the effects of MCI like impaired eye hand coordination.

one control group will undergo exercise program only and another experimental group will play video games to improve eye hand coordination along with exercise plan A randomized control trial was conducted in 2023 on efficacy of multi-domain cognitive function training on cognitive function, working memory, attention, and coordination in older adults with mild cognitive impairment and mild dementia in which the MCFT intervention showed positive effects in enhancing global cognitive function, and hand eye coordination in older adults with mild cognitive impairment Another study in 2020 was conducted in which Analysis of a Video Game on Cognitive Abilities: A Study to Enhance Psychomotor Skills via Game-Play in which the study's findings indicate that participants aged (16-19) who played the video game showed greater confidence in their eye-hand coordination and visual responses.

They were able to complete the natural building block task more quickly and accurately A randomized control trial was conducted in 2019 in which Effect of interactive cognitive-motor training on eye-hand coordination and cognitive function in older adults was seen results show The visual-motor integration results showed a small to moderate effect size for pre post comparison A study was conducted in 2018 in students of mean age (17-18 years) and the results showed significant improvement of Hand-eye coordination compare to control group after the 4 weeks of exercise program. Experimental group performed specific exercises(bouncing ball taps and tennis ball tapping)weekly twice for four weeks In study of 2019, Results of a study suggest that playing an easily accessible video game in older age can enhance cognitive functioning, especially in areas directly tied to the video gaming activities.

This highlights the importance of identifying interventions that may help improve hand-eye coordination in older adults with MCI, thereby promoting independence and improving their quality of life.

Being tested
Experimental Group, Control Group
Keywords
Eye hand coordination, mild cognitive impairment, video games intervention, MoCA, Beery VMI( Beery Buktenica developmental test)
Medical subject headings
Cognitive Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Experimental GroupProcedure or surgery

    VIDEO GAME-TAPD: Week 1st-6th: Start with kids level and progress upto expert level and Participants will automatically progress to advanced level based on their individual ability and progress in game in progressing weeks.

    (kids level to expert level: according to game levels) Hand eye coordination game:Tap changing illuminating squares. Week1- 3 repetitions(2sets),Week2- 4 repetitions(2 sets),Week3- 5 repetitions(2 sets),Week4- 6 repetitions(2 sets),Week5- 7 repetitions(2 sets),Week6- 8 repetitions(2 sets) Ball tossing intervention:Week 1-2 (Exercise 1 (2 sets, 20/30/40 repetitions) and Exercise 2(2 sets, 20/30/40 repetitions) with ground tap catch Week 3-4 (Exercise 2 (2 sets, 20/30/40 repetitions) with direct catch and Exercise 3 (2 sets, 20/30/40 repetitions) Week 5-6 (Exercise 1 (2 sets, 50 repetitions) , Exercise 2 (2 sets, 50 repetitions) with direct catch and Exercise 3 (2 sets, 50 repetitions) Number of reps adjusted according to session number per week

  • Control GroupProcedure or surgery

    Week 1-2 (Exercise 1 (2 sets, 20/30/40 repetitions) and Exercise 2(2 sets, 20/30/40 repetitions) with ground tap catch Week 3-4 (Exercise 2 (2 sets, 20/30/40 repetitions) with direct catch and Exercise 3 (2 sets, 20/30/40 repetitions) Week 5-6 (Exercise 1 (2 sets, 50 repetitions) , Exercise 2 (2 sets, 50 repetitions) with direct catch and Exercise 3 (2 sets, 50 repetitions) Number of reps adjusted according to session number per week e.g

    • Day 1: 20 reps per week
    • Day 2: 30 reps per week
    • Day 3: 40 reps per week Progression: Participants will progress to advanced level based on their individual ability and progress. Levels of complexity will be adjusted according to patient progress.
Study groups in NCT07182396
Study groupRoleWhat they receive
video games and ball tossing interventionExperimentalTAPD game:Tap the correct targets as they scroll down the screen. Be careful, though, the current target colour will change and the scrolling speed will increase progressively by time. it will have 5 difficulty levels Hand eye coordination game:Tap changing illuminating squares Ball tossing intervention: Exercise 1: Participant will be supposed to dribble/ tap soft bouncing ball on ground with one hand. After one set of exercise, 2 minutes of rest will be given and then again same exercise will be performed. Exercise 2: Participants will be supposed to throw soft ball to the wall and aim for re-bound catch, initially starts from football sized soft ball and progress to small ball to increase difficulty level according to participants. For easy level, participants can start from catching the ball after tapping to ground in the first week depending upon their ability. Exercise 3: Participants will be supposed to tap table tennis ball with table tennis bat in air in vertical direction
Receives: Procedure: Experimental Group
ball tossing interventionActive comparatorExercise 1: Participant will be supposed to dribble/ tap soft bouncing ball on ground with one hand. After one set of exercise, 2 minutes of rest will be given and then again same exercise will be performed. Exercise 2: Participants will be supposed to throw soft ball to the wall and aim for re-bound catch, initially starts from football sized soft ball and progress to small ball to increase difficulty level according to participants. For easy level, participants can start from catching the ball after tapping to ground in the first week depending upon their ability. Exercise 3: Participants will be supposed to tap table tennis ball with table tennis bat in air in vertical direction
Receives: Procedure: Control Group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. VISUAL-MOTOR INTEGRATION

    The Beery-Buktenica Developmental Test of Visual-Motor Integration (Beery VMI) is a gold standard measure designed to identify challenges related to the coordination of visual and motor skills like eye hand coordination in both children and adults aged (2-100) year old.

    Visual Motor Integration takes approximately 10-15 min. Raw scores on the Beery VMI can range from 1 to 27, with a higher score reflecting a better performance.

    Raw scores are converted into standard scores according to age and each part of test has total of 30 scores to mark as there are 30 each shapes/tasks to complete.

    Interpretation:

    Standard Score Range \& Interpretation:

    >129 = Very high 120-129 = High 110-119 = Above average 90-109 = Average 80-89 = Below average 70-79 = Low

    Measured: 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Sep 2025
  2. Study start13 Sep 2024
  3. Primary completion10 Dec 2025 (estimated)
  4. Study completion10 Jan 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
34 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07182396
Sponsor's protocol ID
FUI/CTR/2025/04
Status last verified
Sep 2025
First submitted
12 Sep 2025
Last updated
19 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Experimental Group in people with Cognitive Dysfunction and Cognitive Disorder, run by Foundation University Islamabad at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 19 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Muttayaba Ishtiaq, DPT (+92 321-5312943, imuttayaba58@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

VISUAL-MOTOR INTEGRATION (time frame: 6 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Sep 2025; AzTrials last refreshed its copy on 8 Nov 2026.

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