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CogXergaming to Promote Physical Activity and Cognitive Function in Frail Older Adults

NCT04534686, Not applicable, Completed, University of Illinois Chicago; results first posted 2025-08-28

Trial 11

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

FieldValueSource
TitleCogXergaming to Promote Physical Activity and Cognitive Function in Frail Older AdultsClinicalTrials.gov
NCT numberNCT04534686ClinicalTrials.gov
StatusCompletedClinicalTrials.gov
PhasesNot applicableClinicalTrials.gov
Enrollment49 participants, actualClinicalTrials.gov
Lead sponsorUniversity of Illinois ChicagoClinicalTrials.gov
ConditionsFrail Older AdultsClinicalTrials.gov
InterventionsCogXergaming, Matter of Balance TrainingClinicalTrials.gov
First posted2020-09-01ClinicalTrials.gov
Last updated2025-08-28ClinicalTrials.gov
Results first posted2025-08-28ClinicalTrials.gov

Registered outcomes 28

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescriptionSource
PrimaryChange in 30-second Chair Stand PerformanceBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
This test is conducted to assess leg strength and endurance. Participants are asked to stand in front of a sturdy chair and monitored by the remote research personnel during the test. The participants are instructed to sit in the middle of the chair. Place their hands on the opposite shoulder crossed, at the wrists. Keep their feet flat on the floor and back straight with arms against their chest. Then the following instruction "On "Go," rise to a full standing position, then sit back down again. 6. Repeat this for 30 seconds" is provided to conduct the test and assessed by the research personnel remotely. This test is easy to perform and requires a sturdy chair (available at every home) and will be performed in front of the camera during the zoom meeting for the research personnel to monitor and collect the required data. Higher values indicate better performance
ClinicalTrials.gov
PrimaryChange in Walking PerformanceBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Walking performance will be assessed using the Tinetti Performance Oriented Mobility Assessment. This test contains components of gait and balance assessment and is scored on a scale, typically from 0 to 2, with higher scores indicating better performance. The total score combines the scores from both sections, with a minimum score of 0 and a maximum score of 28. This test will be evaluated remotely over zoom. A safe area visible to the research personnel remotely will be chosen and only then the test will be administered. During this test, the research personnel will ensure that he/she is constantly visible in the screen and measure the time taken to complete the test. Higher scores on the test indicate better performance.
ClinicalTrials.gov
PrimaryChange in Cardiovascular FitnessBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Cardiovascular fitness will be assessed using the 2-min step test, which will be conducted remotely via zoom. The participant is asked to stand up straight next to the wall while a mark is placed on the wall at the level corresponding to midway between the kneecap and top of the hip bone. The subject then marches in place for two minutes, lifting the knees to the height of the mark on the wall. Resting is allowed and holding onto the wall or a stable chair is allowed. Stop after two minutes of stepping. The remote research personnel records the total number of times the right knee reaches the tape level in two minutes. Higher scores on the test indicate better performance
ClinicalTrials.gov
PrimaryChange in Physical ActivityBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Physical activity will be assessed remotely via zoom using the scoring of the Physical Activity Scale for the Elderly (PASE) involves assigning weights to different types of physical activities based on their intensity and frequency. Respondents report their weekly frequency and duration of various activities, which are then multiplied by predetermined weights. The total PASE score is the sum of these weighted values, providing a single numeric value representing the individual's overall physical activity level. Higher scores indicate higher levels of physical activity. The minimum score for PASE is 0 and maximum score is 793.
ClinicalTrials.gov
PrimaryChange in Movement VelocityBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)It is the average speed of center of gravity movement during intentional movement measured in degrees per second under single and dual-task conditions. Higher values indicate better performance.ClinicalTrials.gov
PrimaryChange in End Point ExcursionBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
It is the magnitude of a self-initiated movement (i.e., how far he/she wills to reach a target) without taking a step or losing balance measured in percentage under single and dual-task conditions. Higher values indicate better performance.
ClinicalTrials.gov
PrimaryChange in Directional ControlBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
It is the quality of a self-initiated movement (i.e., amount of movement actually exhibited towards the target to the amount of extraneous movement away from the target) measured in percentage under single and dual-task conditions. Higher values indicate better performance.
ClinicalTrials.gov
PrimaryChange in Maximum ExcursionBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
It is the actual magnitude of a self-initiated movement (i.e., how far did he/she actually reach a target) without taking a step or losing balance measured in percentage under single and dual-task conditions. Higher values indicate better performance.
ClinicalTrials.gov
PrimaryChange in Postural Stability During Reactive Balance Control (Single and Dual-task)Baseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Reactive balance control will be examined via the stance perturbation test under single and dual-task conditions (simultaneous performance of Letter number sequencing task or auditory stroop task). Postural stability can be defined as simultaneous control of center of mass (COM) position and velocity during slip-like or trip like perturbation relative to the rear edge of base of support (rear heel). The position is normalized with the individual's foot length, and velocity by square root of gravitational acceleration and individual's body height. Larger values indicate greater stability.
ClinicalTrials.gov
PrimaryChange of Accuracy in Letter Number SequencingBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
This is an oral trail making test which includes listing alternate letter and number from the cue given in sequence. This test will be performed under single and dual-task conditions. Accuracy (number of correct responses out of the total responses) of letter number sequencing will be calculated. Higher accuracy indicates better performance.
ClinicalTrials.gov
PrimaryChange in 4 Meter Walk TestBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
The total time taken to complete the 4 meters will be noted. Speed will then be determined by using the formula distance (4 meters) covered by time taken to complete the test. Higher speed indicates better performance.
ClinicalTrials.gov
PrimaryChange in Spatial and Temporal Gait ParametersBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Spatial and temporal gait parameters like step length, cadence and stride length will be determined during single and dual-task walking performance via the GaitRite mat. Higher values for step length and stride length, and lower cadence indicates better performance.
ClinicalTrials.gov
PrimaryChange in Accuracy of Auditory StroopBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
This test involves responding to the pitch (high or low) of the words "High" or "Low". This test will be performed under single and dual-task conditions. Accuracy (number of correct responses out of the total responses) of Auditory stroop will be calculated. Higher accuracy indicates better performance. Higher values indicate better performance.
ClinicalTrials.gov
PrimaryChange in Dual-task CostBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Dual-task motor and cognitive cost will be calculated using the formula- \[(Dual-task performance- Single Task performance)/Single task performance\]. This will be calculated for dual-task performance during intentional postural sway, reactive balance control and gait conditions. Lower cost indicates better performance.
ClinicalTrials.gov
PrimaryChange in Interference in the Reaction TimeBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Interference in the reaction time via visual stroop task where the individual is expected to respond to the color in which the word is printed and not read the word. Performance will be identified via time taken to complete the test. Lower time indicates better performance.
ClinicalTrials.gov
PrimaryChange in Language FluencyBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Language fluency via verbal and category task will be administered. Performance will be identified via the total number of appropriate words responded on each of the task. Higher values indicate better performance.
ClinicalTrials.gov
PrimaryChange in Reaction TimeBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
The individual is asked to hit a key on the number keypad when a cue appears on the screen. Performance will be identified with time taken to hit the key after the individual sees the cue in seconds. Lower time indicates better performance.
ClinicalTrials.gov
PrimaryChange in Paired Associated LearningBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Paired associated learning via grid task will be administered. Accuracy (number of correct responses out of the total responses) will be represented in percentage. Higher value indicates better performance.
ClinicalTrials.gov
PrimaryChange in Spatial Working MemoryBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)Spatial working memory via unveil the star task will be administered. Performance will be identified via the total time (in seconds) to complete the task. Lower time indicates better performance.ClinicalTrials.gov
PrimaryChange in Working MemoryBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
List Sorting Memory test to evaluate working memory. This test requires the participant to recall and sequentially list the visually and orally presented stimuli. The accuracy of the participant's response is computer generated. Higher value indicates better performance. The minimum score is 0% and maximum score is 100%
ClinicalTrials.gov

Outcomes 28

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured asSource
PRIMARYChange in 30-second Chair Stand PerformanceBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)13 participants in the Coxergaming and 14 in the Matter of Balance group completed the study and data was analyzed for these participants.number of repetitionsMEANClinicalTrials.gov
PRIMARYChange in Walking PerformanceBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)13 participants in the Coxergaming and 14 in the Matter of Balance group completed the study and data was analyzed for these participants.scores on a scale of 28MEANClinicalTrials.gov
PRIMARYChange in Cardiovascular FitnessBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)number of repetitionsMEANClinicalTrials.gov
PRIMARYChange in Physical ActivityBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)13 participants in the Coxergaming and 14 in the Matter of Balance group completed the study and data was analyzed for these participants.scores on a scale of 793MEANClinicalTrials.gov
PRIMARYChange in Movement VelocityBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in End Point ExcursionBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Directional ControlBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Maximum ExcursionBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Postural Stability During Reactive Balance Control (Single and Dual-task)Baseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange of Accuracy in Letter Number SequencingBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in 4 Meter Walk TestBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Spatial and Temporal Gait ParametersBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Accuracy of Auditory StroopBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Dual-task CostBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Interference in the Reaction TimeBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Language FluencyBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Reaction TimeBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Paired Associated LearningBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Spatial Working MemoryBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)
Due to the emergence of the COVID-19 pandemic, this study was conducted primarily on Zoom, preventing the collection of data for this outcome measure, as the assessment is typically conducted in person.
ClinicalTrials.gov
PRIMARYChange in Working MemoryBaseline (Week 0) and Immediate Post-training (Week 8 for group A and week 10 for group B)13 participants in the Coxergaming and 14 in the Matter of Balance group completed the study and data was analyzed for these participants.percentageMEANClinicalTrials.gov

Results by group 20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnitsSource
Change in 30-second Chair Stand PerformanceCogXergamingBaseline10.28Standard Deviation 1.63number of repetitionsClinicalTrials.gov
Change in 30-second Chair Stand PerformanceMatter of Balance TrainingBaseline12.11Standard Deviation 1.81number of repetitionsClinicalTrials.gov
Change in 30-second Chair Stand PerformanceCogXergamingImmediate Post-training12.36Standard Deviation 1.62number of repetitionsClinicalTrials.gov
Change in 30-second Chair Stand PerformanceMatter of Balance TrainingImmediate Post-training12.30Standard Deviation 1.53number of repetitionsClinicalTrials.gov
Change in Walking PerformanceCogXergamingBaseline25.93Standard Deviation 2.12scores on a scale of 28ClinicalTrials.gov
Change in Walking PerformanceMatter of Balance TrainingBaseline26.95Standard Deviation 1.16scores on a scale of 28ClinicalTrials.gov
Change in Walking PerformanceCogXergamingImmediate Post-training26.92Standard Deviation 0.75scores on a scale of 28ClinicalTrials.gov
Change in Walking PerformanceMatter of Balance TrainingImmediate Post-training26.93Standard Deviation 1.22scores on a scale of 28ClinicalTrials.gov
Change in Cardiovascular FitnessCogXergamingBaseline75.06Standard Deviation 16.51number of repetitionsClinicalTrials.gov
Change in Cardiovascular FitnessMatter of Balance TrainingBaseline78.61Standard Deviation 10.97number of repetitionsClinicalTrials.gov
Change in Cardiovascular FitnessCogXergamingImmediate Post-training85.45Standard Deviation 11.52number of repetitionsClinicalTrials.gov
Change in Cardiovascular FitnessMatter of Balance TrainingImmediate Post-training82.71Standard Deviation 10.27number of repetitionsClinicalTrials.gov
Change in Physical ActivityCogXergamingBaseline72.68Standard Deviation 38.10scores on a scale of 793ClinicalTrials.gov
Change in Physical ActivityMatter of Balance TrainingBaseline77.11Standard Deviation 40.8scores on a scale of 793ClinicalTrials.gov
Change in Physical ActivityCogXergamingImmediate post-training110.03Standard Deviation 23.80scores on a scale of 793ClinicalTrials.gov
Change in Physical ActivityMatter of Balance TrainingImmediate post-training92.49Standard Deviation 29.4scores on a scale of 793ClinicalTrials.gov
Change in Working MemoryCogXergamingBaseline16.11Standard Deviation 3.3percentageClinicalTrials.gov
Change in Working MemoryMatter of Balance TrainingBaseline16.22Standard Deviation 3.3percentageClinicalTrials.gov
Change in Working MemoryCogXergamingImmediate post-training16.85Standard Deviation 3.93percentageClinicalTrials.gov
Change in Working MemoryMatter of Balance TrainingImmediate post-training16.11Standard Deviation 2.93percentageClinicalTrials.gov

Participant flow 14

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits countedSource
Baseline MeasurementSTARTEDCogXergaming22ClinicalTrials.gov
Baseline MeasurementSTARTEDMatter of Balance Training23ClinicalTrials.gov
Baseline MeasurementMid-interventionCogXergaming18ClinicalTrials.gov
Baseline MeasurementMid-interventionMatter of Balance Training18ClinicalTrials.gov
Baseline MeasurementCOMPLETEDCogXergaming15ClinicalTrials.gov
Baseline MeasurementCOMPLETEDMatter of Balance Training16ClinicalTrials.gov
Baseline MeasurementNOT COMPLETEDCogXergaming7ClinicalTrials.gov
Baseline MeasurementNOT COMPLETEDMatter of Balance Training7ClinicalTrials.gov
InterventionSTARTEDCogXergaming15ClinicalTrials.gov
InterventionSTARTEDMatter of Balance Training16ClinicalTrials.gov
InterventionCOMPLETEDCogXergaming13ClinicalTrials.gov
InterventionCOMPLETEDMatter of Balance Training14ClinicalTrials.gov
InterventionNOT COMPLETEDCogXergaming2ClinicalTrials.gov
InterventionNOT COMPLETEDMatter of Balance Training2ClinicalTrials.gov

Adverse events 0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 6

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource
Total, all-cause mortalityCogXergaming022ClinicalTrials.gov
Total, all-cause mortalityMatter of Balance Training023ClinicalTrials.gov
Total, other adverse eventsCogXergaming022ClinicalTrials.gov
Total, other adverse eventsMatter of Balance Training023ClinicalTrials.gov
Total, serious adverse eventsCogXergaming022ClinicalTrials.gov
Total, serious adverse eventsMatter of Balance Training023ClinicalTrials.gov

Papers 1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
39602215DERIVEDPubMed

Grants 0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
CogXergaming vs Matter of Balance Training: deaths from any causeTrial comparisons
CogXergaming vs Matter of Balance Training: serious adverse eventsTrial comparisons

Tests 7

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

TestNamed asSource
Dimensional Change Card SortPrimary outcomeConductCognition
Letter-Number Sequencing TaskPrimary outcomeConductCognition
Pattern and Letter ComparisonPrimary outcomeConductCognition
Picture Order Memory TestPrimary outcomeConductCognition
Stroop Color-Word TestPrimary outcomeConductCognition
Trail Making Test APrimary outcomeConductCognition
Trail Making Test BPrimary outcomeConductCognition

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299 ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)