Reminiscence Technology Balance and Mobility
Reminiscence Technology Balance and Mobility
This study evaluates the feasibility of a larger randomized controlled trial to examine the
 effect of reminiscence aided physical activity on the balance and mobility of older adults
 living in long term care. The study uses the jDome BikeAround system, which is a stationary
 bicycle with a projector screen that runs google earth, as the user bicycles, the map
 progresses giving the appearance that the user is bicycling through the environment chosen.
 Half of the participants will use the system during the first 6 week campaign, there will
 then be a 6 week washout period. Following the washout period, there will be a second 6 week
 campaign when the other half of the participants will use the jDome BikeAround system.
Physical activity has been shown to have numerous benefits for physical well-being and
 function. Stationary cycling is one example of physical activity that can provide
 opportunities for residents who are inactive, living in long term care and are at high risk
 for falls.

 The use of jDome BikeAround provides older adults in long term care an opportunity to engage
 in a motivating reminiscence activity that is coupled with physical activity. Participants
 will be divided into two groups, one group will take part in jDome BikeAround sessions 3x per
 week for 6 weeks in addition to The Glebe Centre's Fall Prevention program, while the second
 group will just participant in Fall Prevention program. There will be a 6 week wash out, then
 the second cohort will participant in the jDome Bike Around sessions 3x a week in addition to
 the Fall Prevention program while the first cohort will just participate in the Fall
 Prevention Program.

 Participants will have their balance, mobility, leg strength, endurance tested as well as a
 tracking of fall risks at the beginning and end of each of the jDome BikeAround sessions (4
 measurement points). Feasibility will be determined by the ability to enroll an adequate
 number of participants, protocol completion by participants, and the number of adverse
 events.
Inclusion Criteria:

 -  Scott fall risk of 2-17 (this is the current range used by the Glebe Centre, there
 have been 0 falls during transportation to the equipment and during each session of
 the BikeAround system)

 -  Sufficient visual abilities to observe images on the domed screen

 -  Able to comprehend and communicate in English.

 -  Adequate attentional capacity to remain focused on the pedalling task.

 -  Minimum height requirement of 5'2" or 157cm in order to successfully fit the
 BikeAround system's stationary bike.

 Exclusion Criteria:

 -  Physical limitations (as determined by the Glebe Centre healthcare/physiotherapy team)
 that prevent use of the jDome bike.

 -  Cognitive impairment (as determined by the Glebe Centre healthcare/physiotherapy team)
 Inability to sustain attention Inability to follow one-step commands.

 -  Known behavioural abnormalities (e.g. overly aggressive behavior) that in the opinion
 of the clinical care team might impede any meaningful participation in the project

 -  Those who are in the opinion of attending physician or clinical team too unwell to
 participate in the project

 -  Fully unable to complete outcome measures indicated (Section 7, Outcomes)