Augmented reality-assisted training with selected Tai-Chi movements improves balance control and increases lower limb muscle strength in older adults: A prospective randomized trial

Chen, Po-Jung; Penn, I-Wen; Wei, Shun‐Hwa; Chuang, Long-Ren; Sung, Wen-Hsu

doi:10.1016/j.jesf.2020.05.003

Cited by 49 publications

(98 citation statements)

References 37 publications

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“…Twelve studies [ 28 , 29 , 45 , 46 , 48 , 50 - 52 , 54 - 56 , 60 ] involved the recruitment of community-dwelling older people. Yeşilyaprak et al [ 44 ] and Htut et al [ 47 ] recruited older adults living in nursing or elderly homes; other studies did not specify this choice.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve papers [ 28 , 29 , 47 , 48 , 50 , 52 , 54 , 56 , 58 - 61 ] described randomized controlled trials, and the remaining 9 reported intervention studies with experimental and control groups and preintervention and postintervention measures of different physical and mental parameters of the participants ( Table 2 and Multimedia Appendix 1 ).…”

Section: Resultsmentioning

confidence: 99%

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The Effect of Mixed Reality Technologies for Falls Prevention Among Older Adults: Systematic Review and Meta-analysis

Nishchyk¹,

Chen²,

Pripp³

et al. 2021

JMIR Aging

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Background Falling is one of the most common and serious age-related issues, and falls can significantly impair the quality of life of older adults. Approximately one-third of people over 65 experience a fall annually. Previous research has shown that physical exercise could help reduce falls among older adults and improve their health. However, older adults often find it challenging to follow and adhere to physical exercise programs. Interventions using mixed reality (MR) technology could help address these issues. MR combines artificial augmented computer-generated elements with the real world. It has frequently been used for training and rehabilitation purposes. Objective The aim of this systematic literature review and meta-analysis was to investigate the use of the full spectrum of MR technologies for fall prevention intervention and summarize evidence of the effectiveness of this approach. Methods In our qualitative synthesis, we analyzed a number of features of the selected studies, including aim, type of exercise, technology used for intervention, study sample size, participant demographics and history of falls, study design, involvement of health professionals or caregivers, duration and frequency of the intervention, study outcome measures, and results of the study. To systematically assess the results of the selected studies and identify the common effect of MR interventions, a meta-analysis was performed. Results Seven databases were searched, and the initial search yielded 5838 results. With the considered inclusion and exclusion criteria, 21 studies were included in the qualitative synthesis and 12 were included in meta-analysis. The majority of studies demonstrated a positive effect of an MR intervention on fall risk factors among older participants. The meta-analysis demonstrated a statistically significant difference in Berg Balance Scale score between the intervention and control groups (ES: 0.564; 95% CI 0.246-0.882; P<.001) with heterogeneity statistics of I2=54.9% and Q=17.74 (P=.02), and a statistical difference in Timed Up and Go test scores between the intervention and control groups (ES: 0.318; 95% CI 0.025-0.662; P<.001) with heterogeneity statistics of I2=77.6% and Q=44.63 (P<.001). The corresponding funnel plot and the Egger test for small-study effects (P=.76 and P=.11 for Berg Balance Scale and Timed Up and Go, respectively) indicate that a minor publication bias in the studies might be present in the Berg Balance Scale results. Conclusions The literature review and meta-analysis demonstrate that the use of MR interventions can have a positive effect on physical functions in the elderly. MR has the potential to help older users perform physical exercises that could improve their health conditions. However, more research on the effect of MR fall prevention interventions should be conducted with special focus given to MR usability issues.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The Effect of Mixed Reality Technologies for Falls Prevention Among Older Adults: Systematic Review and Meta-analysis

Nishchyk¹,

Chen²,

Pripp³

et al. 2021

JMIR Aging

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“…Efectos que si bien son factibles de lograrse con diferentes modalidades de ejercicios físicos; en el caso del programa Kunte se ha demostrado beneficios similares a los presentados por intervenciones con influencia oriental como el Tai Chi, mejorando el balance corporal y disminuyendo el riesgo de caída (Wang et al, 2020). Por lo que, en consecuencia a lo planteado por Shi et al (2020), el Tai Chí así como esta propuesta denominada Kunte, podría ser recomendada a futuro como una alternativa efectiva y segura para la recuperación física post COVID-19, como lo serían para Shi et al (2020) las intervención con ejercicios de Tai Chi; reforzado según lo expuesto por Chen et al (2020) quienes describen el envejecimiento como un proceso individual que amerita de una prescripción de ejercicios en función al estado de salud y funcionalidad de cada persona, centrado en una medición objetiva y adecuada supervisión para incrementar la complejidad e intensidad de los estímulos de manera gradual. Añadiéndose además, que el programa Kunte, al igual que otras alternativas de influencia oriental, se ha descrito como un programa de ejercicios físicos de bajo costo en cuanto a recursos materiales y humanos (Díaz et al 2017).…”

Section: Discussionunclassified

“…Consideradas un síndrome geriátrico que puede provocar lesiones, discapacidad e incluso la muerte. Son de causalidad multifactorial como: edad avanzada, género femenino, vivir sólo, temor a caerse, comorbilidades, estado mental, alteración del balance corporal, pérdida de fuerza muscular, entre otras (Moles et al, 2020;Jo et al, 2020;Chen et al, 2020). No obstante, para Ye et al (2020) pese a ser un problema de salud complejo, las caídas pueden ser prevenibles en los AM con programas de intervención que involucren actividad física, educación y seguridad del entorno.…”

Section: Introductionunclassified

“…En el caso de los programas de ejercicios para prevenir caídas en AM, según Chen et al (2020), son variados y en general se orientan al control del balance corporal e incremento de la fuerza para miembros inferiores. Como parte de estas intervenciones, el Tai Chi se destaca por ser un sistema de ejercicios tradicionales chinos que integra el trabajo corporal y mental, de intensidad baja a moderada, centrado en movimientos coordinados suaves de bajo impacto; con suficiente evidencia científica para ser recomendados en AM al provocar mejoras en el balance corporal, la fuerza muscular, propiocepción y adaptaciones posturales; además de influir en el aspecto mental reduciendo el estrés, ansiedad, alteraciones del ánimo, depresión y aumentar la autoestima (Chen et al, 2020;Shi et al, 2020;Wang et al, 2020). Con características similares a los movimientos que contiene el Tai Chi, en Chile se elaboró el programa denominado Kunte.…”

Section: Introductionunclassified

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Prevención del riesgo de caída en adultos mayores con programa Kunte durante confinamiento por COVID-19 (Prevention older adults fall risk with Kunte program during COVID-19 confinement)

Cerda

Núñez

Escobar³

et al. 2021

Retos

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Introducción: La falta de actividad física e incremento de conductas sedentarias durante el confinamiento domiciliario de adultos mayores, debido al COVID-19, tendría como consecuencia, con el tiempo, un aumento del riesgo de caída en esta población. Objetivo: Disminuir el riesgo de caída en un grupo de adultos mayores con confinamiento domiciliario aplicando el programa de actividad física Kunte, concerniente en secuencias de movimientos de tipo oriental estructurados de acuerdo a fundamentos teórico-prácticos de la terapia física y metodológico-pedagógicos de la Educación Física. Métodos: Estudio de diseño exploratorio y cuasi experimental; aplicado en 35 adultos mayores (19 mujeres – 16 hombres), pertenecientes a la comuna de Maipú, Santiago, Chile. Durante un periodo de 3 meses, utilizando el Timed Up and Go y Prueba de Tinetti antes y después de la intervención con el programa Kunte. Resultados: Los estadísticos descriptivos determinaron en un antes y después de aplicado el programa Kunte diferencias significativas (p<0,05) y altamente significativas (p<0,005) para la prueba Tinetti y Timed Up and Go Test respectivamente, tanto en hombres como mujeres, en la valoración del riesgo de caída de adultos mayores; disminuyendo significativamente este riesgo en cuanto a su relación con el equilibrio corporal dinámico y la marcha. Conclusión: La aplicación del programa Kunte presentó resultados significativamente positivos al valorar el equilibrio corporal dinámico y la marcha, mediante pruebas funcionales relacionadas con el riesgo de caída en adultos mayores, en este caso con confinamiento domiciliario durante la pandemia por COVID-19. Abstract: Introduction: Lack of physical activity and increased sedentary behaviors during home confinement of older adults, due to COVID-19, would result, over time, in an increased risk of falling in this population. Objective: To reduce the risk of falling in a group of older adults in home confinement by applying the Kunte physical activity program, based on sequences of oriental-type movements structured according to the theoretical-practical foundations of physical therapy and the methodological-pedagogical principles of Physical Education. Methods: Exploratory and quasi-experimental design study; applied in 35 older adults (19 women - 16 men), belonging to the commune of Maipú, Santiago, Chile. During a period of 3 months, using the Timed Up and Go and Tinetti's Test before and after the intervention with the Kunte program. Results: Descriptive statistics determined significant (p<0.05) and highly significant (p<0.005) differences for the Tinetti and Timed Up and Go Test respectively, in both men and women, in the assessment of the risk of falling of older adults; significantly decreasing this risk in terms of its relationship with dynamic body balance and walking. Conclusion: The application of the Kunte program showed significantly positive results when assessing dynamic body balance and gait, through functional tests related to fall risk in older adults, in this case with home confinement during the COVID-19 pandemic.

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Integrating Electromyography Sensors in Tangible Augmented Reality

Fischer

Choi

2022

Communications in Computer and Information Science

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Augmented reality-assisted training with selected Tai-Chi movements improves balance control and increases lower limb muscle strength in older adults: A prospective randomized trial

Cited by 49 publications

References 37 publications

The Effect of Mixed Reality Technologies for Falls Prevention Among Older Adults: Systematic Review and Meta-analysis

The Effect of Mixed Reality Technologies for Falls Prevention Among Older Adults: Systematic Review and Meta-analysis

Prevención del riesgo de caída en adultos mayores con programa Kunte durante confinamiento por COVID-19 (Prevention older adults fall risk with Kunte program during COVID-19 confinement)

Integrating Electromyography Sensors in Tangible Augmented Reality

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