Balance training monitoring and individual response during unstable vs. stable balance Exergaming in elderly adults: Findings from a randomized controlled trial

Bakker, Julia; Donath, Lars; Rein, Robert

doi:10.1016/j.exger.2020.111037

Cited by 9 publications

(4 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If multiple treatment arms are present, we will where possible combine related arms to reduce the risk of bias caused by multiple comparisons to one control group. 54 Specifically, related treatment arms may be combined if they are qualitatively similar with no significant differences in outcomes between groups (eg, volitional step training with vs without an unstable platform 55 ) to enable a single pairwise comparison (eg, volitional step training in general) with usual care. The primary outcomes of interest are rates of falls (including injurious or recurrent falls), fractures, hospitalisations, mortality or quality of life.…”

Section: Methodsmentioning

confidence: 99%

Effectiveness of telerehabilitation and home-based falls prevention programs for community-dwelling older adults: a systematic review and meta-analysis protocol

et al. 2023

View full text Add to dashboard Cite

IntroductionFalls among older adults are associated with adverse sequelae including fractures, chronic pain and disability, which can lead to loss of independence and increased risks of nursing home admissions. The COVID-19 pandemic has significantly increased the uptake of telehealth, but the effectiveness of virtual, home-based fall prevention programmes is not clearly known. We aim to synthesise the trials on telerehabilitation and home-based falls prevention programmes to determine their effectiveness in reducing falls and adverse outcomes, as well as to describe the safety risks associated with telerehabilitation.Methods and analysisThis protocol was developed using the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Database searches from inception to August 2022 will be conducted without language restrictions of MEDLINE, EMBASE, Ovid HealthSTAR, CINAHL, SPORTDiscus, Physiotherapy EvidenceDatabase (PEDro) and the Cochrane Library. Grey literature including major geriatrics conference proceedings will be reviewed. Using Covidence software, two independent reviewers will in duplicate determine the eligibility of randomised controlled trials (RCTs). Eligible RCTs will compare telerehabilitation and home-based fall prevention programmes to usual care among community-dwelling older adults and will report at least one efficacy outcome: falls, fractures, hospitalisations, mortality or quality of life; or at least one safety outcome: pain, myalgias, dyspnoea, syncope or fatigue. Secondary outcomes include functional performance in activities of daily living, balance and endurance. Risk of bias will be assessed using the Cochrane Collaboration tool. DerSimonian-Laird random effects models will be used for the meta-analysis. Heterogeneity will be assessed using the I2statistic and Cochran’s Q statistic. We will assess publication bias using the Egger’s test. Prespecified subgroup analyses and univariate meta-regression will be used.Ethics and disseminationEthics approval is not required. The results will be disseminated through peer-reviewed publications and conference presentations.PROSPERO registration numberCRD42022356759.

show abstract

Section: Methodsmentioning

confidence: 99%

Effectiveness of telerehabilitation and home-based falls prevention programs for community-dwelling older adults: a systematic review and meta-analysis protocol

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Visual inspection of several individual learning curves was long used but can at best provide only the first coarse indications for individual learning behavior without meeting the basic forensic requirements of uniqueness and persistence. In addition, longitudinal studies are primarily based on discrete results such as jump height [ 326 ], balance scores [ 327 ], or hitting performances [ 328 ]. Biomechanically based longitudinal studies on movement data are frequently either limited to time-discrete movement characteristics [ 212 ] or to describing average time-courses with a standard deviation [ 329 , 330 ].…”

Section: Perspectivementioning

confidence: 99%

Always Pay Attention to Which Model of Motor Learning You Are Using

Schöllhorn

Rizzi

Slapšinskaitė-Dackevičienė

et al. 2022

IJERPH

View full text Add to dashboard Cite

This critical review considers the epistemological and historical background of the theoretical construct of motor learning for a more differentiated understanding. More than simply reflecting critically on the models that are used to solve problems—whether they are applied in therapy, physical education, or training practice—this review seeks to respond constructively to the recent discussion caused by the replication crisis in life sciences. To this end, an in-depth review of contemporary motor learning approaches is provided, with a pragmatism-oriented clarification of the researcher’s intentions on fundamentals (what?), subjects (for whom?), time intervals (when?), and purpose (for what?). The complexity in which the processes of movement acquisition, learning, and refinement take place removes their predictable and linear character and therefore, from an applied point of view, invites a great deal of caution when trying to make generalization claims. Particularly when we attempt to understand and study these phenomena in unpredictable and dynamic contexts, it is recommended that scientists and practitioners seek to better understand the central role that the individual and their situatedness plays in the system. In this way, we will be closer to making a meaningful and authentic contribution to the advancement of knowledge, and not merely for the sake of renaming inventions.

show abstract

“…Unlike young adults, older adults tend to adhere more strongly to visual input to control posture 1,2 , notably because they need to minimize sensory ambiguity by down-weighting the more affected non-visual inputs 3 . In this context, a balance-based exergaming system under visual guidance has been developed to improve stance control for the elderly 4,5 . The exergaming system is a motiontracking device that allows older adults to perform balance exercise by on-line tracking of the body center-of-gravity in a mandatory trajectory under visual guidance 6,7 .…”

Section: Introductionmentioning

confidence: 99%

Quick balance skill improvement after short-term training with error amplification feedback for older adults

et al. 2023

View full text Add to dashboard Cite

This study investigated behavioral and cortical mechanisms for short-term postural training with error amplification (EA) feedback in the elderly. Thirty-six elderly subjects (65.7 ± 2.2 years) were grouped (control and EA, n = 18) for training in stabilometer balance under visual guidance. During the training session (8 training rounds of 60 s in Day 2), the EA group received visual feedback that magnified errors to twice the real size, whereas the control group received visual feedback that displayed real errors. Scalp EEG and kinematic data of the stabilometer plate and ankle joint were recorded in the pre-test (Day 1) and post-test (Day 3). The EA group (−46.5 ± 4.7%) exhibited greater post-training error reduction than that of the control group (−27.1 ± 4.0%)(p = 0.020), together with a greater decline in kinematic coupling between the stabilometer plate and ankle joint (EA: −26.6 ± 4.8%, control: 2.3 ± 8.6%, p = 0.023). In contrast to the control group, the EA group manifested greater reductions in mean phase-lag index (PLI) connectivity in the theta (4–7 Hz)(p = 0.011) and alpha (8–12 Hz) (p = 0.027) bands. Only the EA group showed post-training declines in the mean PLI in the theta and alpha bands. Minimal spanning tree analysis revealed that EA-based training led to increases in the diameter (p = 0.002) and average eccentricity (p = 0.004) of the theta band for enhanced performance monitoring and reduction in the leaf fraction (p = 0.030) of the alpha band for postural response with enhanced automaticity. In conclusion, short-term EA training optimizes balance skill, favoring multi-segment coordination for the elderly, which is linked to more sophisticated error monitoring with less attentive control over the stabilometer stance.

show abstract

Balance training monitoring and individual response during unstable vs. stable balance Exergaming in elderly adults: Findings from a randomized controlled trial

Cited by 9 publications

References 35 publications

Effectiveness of telerehabilitation and home-based falls prevention programs for community-dwelling older adults: a systematic review and meta-analysis protocol

Effectiveness of telerehabilitation and home-based falls prevention programs for community-dwelling older adults: a systematic review and meta-analysis protocol

Always Pay Attention to Which Model of Motor Learning You Are Using

Quick balance skill improvement after short-term training with error amplification feedback for older adults

Contact Info

Product

Resources

About