A systematic review and meta-analysis of outcome measures to assess postural control in older adults who undertake exergaming

Tahmosybayat, Robin; Baker, Katherine; Godfrey, Alan; Caplan, Nick; Barry, Gill

doi:10.1016/j.maturitas.2017.02.003

Cited by 24 publications

(21 citation statements)

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“…Results of the initial search strategy, evidence level and quality assessment please refer to [16]. Results of the additional search strategy, evidence level and quality assessment can be found in supplementary file 1.…”

Section: Resultsmentioning

confidence: 99%

“…The reporting of this systematic review was performed according to the PRISMA guidelines [25]. Full details of the inclusion and exclusion criteria and the search strategy are provided in an earlier paper reporting interventions effects according to primary, secondary and tertiary PC outcomes in exergaming interventions [16]. Succinctly, randomized control trials (RCTs) and non-randomized control trials (non-RCTs) that assessed and reported PC outcomes were included.…”

Section: Study Selection Criteria Search Strategy and Quality Assessmentioning

confidence: 99%

“…Current methods employed include group-based classes based on fall prevention training programmes such as the Otago exercise program [13] and the Falls Management Exercise programme (FaME) [14], which include key components such as balance, muscle-strengthening, flexibility and endurance [15] and well as Tai Chi and functional floor activities that train coping skills for confidence. The plethora of outcome measures used in exergaming interventions each hold individual limitations in higher functioning older adults, improvement retention has not been assessed longitudinally and the heterogeneity of intervention characteristics make generalising outcomes problematic [16].…”

Section: Introductionmentioning

confidence: 99%

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Movements of older adults during exergaming interventions that are associated with the Systems Framework for Postural Control: A systematic review

et al. 2018

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One in three older adults fall annually, in part due to impairments in the physiological systems that make up the postural control (PC) system. Exercise, particularly balance training, helps to prevent deterioration and even to improve outcomes in the PC system. Exergaming (exercise-gaming) is interactive computer gaming whereby an individual moves the body in response to onscreen cues in a playful format. Exergaming is an alternative method to standard practice for improving PC outcomes, which has been shown to reduce the risk of falling. Exergaming has received research attention, yet the intervention is still in its infancy. There could be benefit in exploring the movements trained with respect to a framework known for identifying underlying deficits in the PC system, the Systems Framework for Postural Control (SFPC). This may help target areas for improvement in balance training using exergames and shed light on the impact for fall prevention. A literature search was therefore conducted across six databases (CINAHL, EMBASE, PubMed, ISI, SPORTdiscus and Science Direct) using a range of search terms and combinations relating to exergaming, balance, exercise, falls and elderly. Quality assessment was conducted using the PEDro Scale and a custom-made quality assessment tool. Movements were rated by two reviewers based on the 9 operational definitions of the SFPC. Eighteen publications were included in the analysis, with a mean PEDro score of 5.6 (1.5). Overall, 4.99 (1.27) of the 9 operational definitions of the SFPC are trained in exergaming interventions. Exergaming does encourage individuals to stand up (3), lean while standing (4), move upper limbs and turn heads (6) and dual-task while standing (9), to some extent move the body forwards, backwards and sideways (1), and coordinate movements (2) but hardly at all to kick, hop, jump or walk (7), or to force a postural reaction from a physical force to the individual (5) and it does not mimic actual changes in sensory context (8). This is the first review, to our knowledge, that synthesises the literature on movements trained in exergaming interventions with respect to an established theoretical framework for PC. This review could provide useful information for designing exergames with PC outcomes in mind, which could help target specific exergames for multi-factorial training to overcome balance deficits. Some elements of PC are too unsafe to be trained using exergames, such as restricting sensory inputs or applying physical perturbations to an individual to elicit postural responses.

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Section: Resultsmentioning

confidence: 99%

Section: Study Selection Criteria Search Strategy and Quality Assessmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Movements of older adults during exergaming interventions that are associated with the Systems Framework for Postural Control: A systematic review

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“…Ce type de programme serait également efficace pour améliorer la mobilité des seniors (Schwenk et al, 2014). Ces entraînements ont principalement ciblé les améliorations du contrôle postural des seniors avec succès (Tahmosybayat, Baker, Godfrey, Caplan, & Barry, 2017). Ils présenteraient donc un intérêt particulièrement important dans la réduction du risque de chute de ces publics sachant que l'entraînement de l'équilibre est reconnu comme le meilleur moyen d'éviter les chutes (Sherrington et al, 2008).…”

Section: Entraînement à Domicile Avec Semi-supervisionunclassified

“…Ils présenteraient donc un intérêt particulièrement important dans la réduction du risque de chute de ces publics sachant que l'entraînement de l'équilibre est reconnu comme le meilleur moyen d'éviter les chutes (Sherrington et al, 2008). Cependant, les résultats sont moins importants qu'avec d'autres techniques d'améliorations de l'équilibre comme des entraînements de fitness en groupe, ou du Tai Chi (Tahmosybayat et al, 2017). Les améliorations d'équilibre observées seraient également plus faibles après les entraînements à domicile que lors d'entraînement en groupe dans les centres d'entraînement (Cyarto, Brown, Marshall, & Trost, 2008).…”

Section: Entraînement à Domicile Avec Semi-supervisionunclassified

Activité physique à domicile pour les seniors : revue de la question et proposition d’une pratique optimisée

Bigot

Langeard

Moussay

et al. 2019

Mov Sport Sci/Sci Mot

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Reçu le 2 mars 2018, Accepté le 23 novembre 2018Résumé --Les altérations physiologiques et fonctionnelles liées au vieillissement peuvent avoir un impact sur l'autonomie des personnes dans les activités de la vie quotidienne. Afin de prévenir et de limiter ces effets délétères, il est recommandé d'avoir une activité physique adaptée régulière. Cependant, l'accès à un entraînement efficace n'est pas toujours possible pour les seniors. Dans une première partie, nous examinons donc l'état des connaissances scientifiques sur les différentes modalités d'entraînement au domicile d'un public âgé. En l'absence de supervision, il apparaît que les bénéfices associés à la pratique sont moindres et que l'adhésion au programme est réduite. Dans le cadre d'entraînements à domicile semi-supervisés, il semble que les bénéfices sur la santé soient encore une fois faibles. Lors d'entraînements à domicile avec supervision à distance, l'adhésion et les effets sur la santé semblent cette fois plus importants. Ainsi, afin de répondre aux problématiques relevées par cette revue, dans la seconde partie de ce travail nous présentons un projet novateur d'accompagnement à distance par un professionnel au moyen d'un système de visioconférence collectif. La mise en place de ce projet est prometteuse puisque les résultats préliminaires montrent des taux d'adhésion, d'observance et un niveau de satisfaction très élevés. Mots clés : vieillissement, activité physique adaptée, visioconférence, domicileAbstract --Physical activity at home for seniors: a review of the issue and proposal for an optimized practice. Physiological and functional alterations caused by aging can lead to a loss of autonomy for daily living activities. In order to prevent these deleterious effects, it is recommended to practice physical activity regularly. Because exercise is not always accessible to older adults, this review reports the state of the art in home-based training research. It appeared that without supervision, physical training effects are lower or even non-existent compared to traditional exercise. It is also associated with high drop-out rates. Semi-supervised home-based training could lead to higher health benefits but these benefits remain lower than supervised exercises. Remote contribution by a professional through a videoconferencing system could be an interesting solution that would lower the price and allow better accessibility to exercise training in the aging population. In the second part of this article, we present an optimized solution answering the problems identified in this review. The implementation of this innovating system is promising because of the high adherence, compliance and a level of satisfaction of the participants.

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Exergaming for dementia and mild cognitive impairment

Voinescu

Papaioannou

Petrini

et al. 2021

Cochrane Database of Systematic Reviews

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A systematic review and meta-analysis of outcome measures to assess postural control in older adults who undertake exergaming

Abstract: Gillian (2017) A systematic review and meta-analysis of outcome measures to assess postural control in older adults who undertake exergaming. Maturitas, Published by: Elsevier

Cited by 24 publications

References 52 publications

Movements of older adults during exergaming interventions that are associated with the Systems Framework for Postural Control: A systematic review

Movements of older adults during exergaming interventions that are associated with the Systems Framework for Postural Control: A systematic review

Activité physique à domicile pour les seniors : revue de la question et proposition d’une pratique optimisée

Exergaming for dementia and mild cognitive impairment

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