This study is designed as a randomized controlled trial. A total of 40 healthy older adults residing in private and public nursing homes and rehabilitation centers in Mersin will be enrolled. Participants will be randomly assigned to either the intervention group (Group 1) or the control group (Group 2). The intervention group will receive rehabilitative interactive game-based exercise training, while the control group will receive functional balance exercise training. Both groups will participate in exercise sessions three times per week, with each session lasting 40 minutes, over a period of 8 weeks. Participants will undergo pre- and post-intervention assessments, including: i) clinical tests and measurements for cognitive, functional, and balance evaluation; ii) surface electromyography (sEMG) measurements recorded during the Functional Reach Test (FRT); and iii) biomechanical measurements obtained via integrated inertial measurement unit (IMU) sensors (accelerometer and gyroscope) and the Becure game board. Electrophysiological and biomechanical data will be analyzed using statistical comparisons, correlation analyses, and regression models. Variables derived from time, frequency, and time-frequency domain analyses will be examined to identify potential sEMG and biomechanical biomarkers.
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Standardized Mini-Mental State Examination (SMMSE).
Timeframe: Baseline (Pre-intervention assessment, Week 0)
Surface EMG Frequency-Domain Parameters During Functional Reach Test
Timeframe: baseline and 8 weeks later
Timed Up and Go Test (TUG)
Timeframe: Baseline (Week 0) and Post-intervention (8 Week )
Electrophysiological Measurements Using Surface EMG
Timeframe: Baseline (Week 0) and Post-intervention (Week 8)
Center of Pressure (CoP) Displacement
Timeframe: Baseline (Week 0) and Post-intervention (Week 8)
Postural Sway Parameters
Timeframe: Baseline (Week 0) and Post-intervention (Week 8)
Lower Extremity Load Symmetry
Timeframe: Baseline (Week 0) and Post-intervention (Week 8)