Effects of Interactive Videogames on Postural Control and Risk of Fall Outcomes in Frail and Pre-frail Older Adults: A Systematic Review and Meta-Analysis

Alhasan, Hammad; Alshehri, Mansour Abdullah; Wheeler, Patrick C.; Fong, Dyt

doi:10.1089/g4h.2020.0009

Cited by 12 publications

(18 citation statements)

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“…UK Chief Medical Officers' physical activity guidelines recommend that older adults should engage in exercises that challenge postural control, which include resistance and balance training [15]. Additionally, evidence supports the use of multicomponent exercise to improve gait, postural control, and strength [16][17][18][19][20]. Multicomponent or combined exercise consists of aerobic, resistance, flexibility, and balance exercises [8].…”

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confidence: 99%

Application of Interactive Video Games as Rehabilitation Tools to Improve Postural Control and Risk of Falls in Prefrail Older Adults

2021

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The purpose of this study was to examine whether interactive video game (IVG) training is an effective way to improve postural control outcomes and decrease the risk of falls. A convenience sample of 12 prefrail older adults were recruited and divided into two groups: intervention group performed IVG training for 40 minutes, twice per week, for a total of 16 sessions. The control group received no intervention and continued their usual activity. Outcome measures were centre of pressure (COP), mean velocity, sway area, and sway path. Secondary outcomes were Berg Balance Scale, Timed Up and Go (TUG), Falls Efficacy Scale International (FES-I), and Activities-Specific Balance Confidence (ABC). Assessment was conducted with preintervention (week zero) and postintervention (week eight). The intervention group showed significant improvement in mean velocity, sway area, Berg Balance Scale, and TUG (p<0.01) compared to the control group. However, no significant improvement was observed for sway path (p=0.35), FES-I (p=0.383), and ABC (p=0.283). This study showed that IVG training led to significant improvements in postural control but not for risk of falls.

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confidence: 99%

Application of Interactive Video Games as Rehabilitation Tools to Improve Postural Control and Risk of Falls in Prefrail Older Adults

2021

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“…As recommended by WHO, various prevention strategies such as education and training of physical and cognitive aspects in normal aging for the elderly to reduce falls. Previous studies have been reported that resistance training, postural balance training, endurance training, coordination training, and dual-task or multi-task exercises on postural balance and reduction of falls on older adults [6][7][8]. Alhasan et al [6] studied to systematically review trials that examine whether interactive video games (Nintendo® WiiTM, NintendoCo., Japan) training is effective in improving postural control and managing falls in frail and pre-frail older adults.…”

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confidence: 99%

“…Previous studies have been reported that resistance training, postural balance training, endurance training, coordination training, and dual-task or multi-task exercises on postural balance and reduction of falls on older adults [6][7][8]. Alhasan et al [6] studied to systematically review trials that examine whether interactive video games (Nintendo® WiiTM, NintendoCo., Japan) training is effective in improving postural control and managing falls in frail and pre-frail older adults. They reported that the interactive video games are apromising modality that has a positive effect on postural control but not on the outcome of falls [6].…”

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confidence: 99%

“…Alhasan et al [6] studied to systematically review trials that examine whether interactive video games (Nintendo® WiiTM, NintendoCo., Japan) training is effective in improving postural control and managing falls in frail and pre-frail older adults. They reported that the interactive video games are apromising modality that has a positive effect on postural control but not on the outcome of falls [6]. Zhang et alstudied a protocol for systematic review to evaluate the most beneficial exercise for reducing the falls incidence [7].…”

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confidence: 99%

“…The systematic reviews were prepared for the purpose of investigating the effects of exercise interventions on reduction of falls' incidence and improvement of functional capacity in the elderly [6][7][8]. Most of these studies focused only on the specific therapeutic approaches or population with diagnosed gait and/or balance disorders, and the question of which therapeutic approach is most appropriate to improve postural balance and risk of fall for the elderly has not been answered.…”

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Relationship between Postural Balance Training and Fall Risks for Elderly: a Systematic Review of Randomized Controlled Trials

Kim

2021

Phys Ther Rehabil Sci

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Falls is one of main causes leading to persistent physical disabilities in elderly [1]. Worldwide, falling are the second leading cause of death from unintended injuries. Each year an estimated 37.2 million individuals come to hospital due to falls and approximated 684,000 people die from falls in the world. Older adults with aged 60 years or over experience the highest number of fatal falling. To reduce risk of falls as well as falling incidence, most of prevention strategies personally require education of falling, physical training such as strengthening of lower extremities, flexibility and postural control, and creating a safe, while policy-making should emphasize the establishment of effective policies [2].The physical and cognitive changes in people with 65 years or above are associated with their normal aging, age-related diseases, lifestyles, and the interactions among them [3,4]. Since the changes in the elderly becomes more severe with age, therapeutic exercises are required for the occurrence of secondary

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Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults

Colón-Emeric,

McDermott,

Lee

et al. 2024

JAMA

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ImportanceFalls are reported by more than 14 million US adults aged 65 years or older annually and can result in substantial morbidity, mortality, and health care expenditures.ObservationsFalls result from age-related physiologic changes compounded by multiple intrinsic and extrinsic risk factors. Major modifiable risk factors among community-dwelling older adults include gait and balance disorders, orthostatic hypotension, sensory impairment, medications, and environmental hazards. Guidelines recommend that individuals who report a fall in the prior year, have concerns about falling, or have gait speed less than 0.8 to 1 m/s should receive fall prevention interventions. In a meta-analysis of 59 randomized clinical trials (RCTs) in average-risk to high-risk populations, exercise interventions to reduce falls were associated with 655 falls per 1000 patient-years in intervention groups vs 850 falls per 1000 patient-years in nonexercise control groups (rate ratio [RR] for falls, 0.77; 95% CI, 0.71-0.83; risk ratio for number of people who fall, 0.85; 95% CI, 0.81-0.89; risk difference, 7.2%; 95% CI, 5.2%-9.1%), with most trials assessing balance and functional exercises. In a meta-analysis of 43 RCTs of interventions that systematically assessed and addressed multiple risk factors among individuals at high risk, multifactorial interventions were associated with 1784 falls per 1000 patient-years in intervention groups vs 2317 falls per 1000 patient-years in control groups (RR, 0.77; 95% CI, 0.67-0.87) without a significant difference in the number of individuals who fell. Other interventions associated with decreased falls in meta-analysis of RCTs and quasi-randomized trials include surgery to remove cataracts (8 studies with 1834 patients; risk ratio [RR], 0.68; 95% CI, 0.48-0.96), multicomponent podiatry interventions (3 studies with 1358 patients; RR, 0.77; 95% CI, 0.61-0.99), and environmental modifications for individuals at high risk (12 studies with 5293 patients; RR, 0.74; 95% CI, 0.61-0.91). Meta-analysis of RCTs of programs to stop medications associated with falls have not found a significant reduction, although deprescribing is a component of many successful multifactorial interventions.Conclusions and RelevanceMore than 25% of older adults fall each year, and falls are the leading cause of injury-related death in persons aged 65 years or older. Functional exercises to improve leg strength and balance are recommended for fall prevention in average-risk to high-risk populations. Multifactorial risk reduction based on a systematic clinical assessment for modifiable risk factors may reduce fall rates among those at high risk.

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Effects of Interactive Videogames on Postural Control and Risk of Fall Outcomes in Frail and Pre-frail Older Adults: A Systematic Review and Meta-Analysis

Cited by 12 publications

References 55 publications

Application of Interactive Video Games as Rehabilitation Tools to Improve Postural Control and Risk of Falls in Prefrail Older Adults

Application of Interactive Video Games as Rehabilitation Tools to Improve Postural Control and Risk of Falls in Prefrail Older Adults

Relationship between Postural Balance Training and Fall Risks for Elderly: a Systematic Review of Randomized Controlled Trials

Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults

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