The Application of Balance Exercise Using Virtual Reality for Rehabilitation

Urabe, Yukio; Fukui, Kazuki; Harada, Keita; Tashiro, Tsubasa; Komiya, Makoto; Maeda, Noriaki

doi:10.3390/healthcare10040680

Cited by 5 publications

(3 citation statements)

References 20 publications

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“…According to a meta-analysis by Sherrington et al [ 22 ] in fall prevention, we can see better relative effects in programs that improve balance, are more intense and do not include a walking program. There is increasing use of virtual reality in rehabilitation [ 23 , 24 , 25 , 26 ]. The question to ask is how the patient should perform the exercises in order for them to be effective.…”

Section: Discussionmentioning

confidence: 99%

Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?

et al. 2023

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The paper aims to investigate the usefulness of training in improving mobility and reducing the risk of falls of patients with osteoarthritis by using a force plate and virtual reality as rehabilitation tools. The study involved 60 women randomly divided into two equal groups: the force plate training group, which underwent virtual balance training with visual motor feedback, and the gym training group, which received conventional balance training only. The functional balance assessment was performed before and after the rehabilitation by computerized posturography in a relaxed upright position with open and closed eyes, with visual motor feedback. In the FPT group in the feedback measurement, the mean radius of sways was 30% smaller after rehabilitation (p < 0.00002); the feedback coordination coefficient was more than 10% bigger after rehabilitation (p < 0.001) and reached 92%, which is excellent for elderly people. Total stagnation and stumbling reported by patients decreased after rehabilitation compared to the first examination. Both tested forms of training can contribute to reducing the risk of falls. However, a more significant improvement was obtained in the force plate training group perhaps because the physical effort on a force plate trains the precise movements needed to reposition the centre of gravity without generating excessive inertia forces responsible for loss of balance and falls. Perhaps the most desirable method of intervention is to train a person’s ability to perform slow but definite body movements.

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Section: Discussionmentioning

confidence: 99%

Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?

et al. 2023

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“…COG trajectory analysis is not only used for testing; adding COG perturbations is also an important means of balancing training. Urabe et al [14] used virtual reality (VR) technology to induce swaying of the COG by allowing subjects to experience body tilting and loss of balance in a virtual space, indicating a significant increase in the subject's ability to withstand external perturbations. Runge [15] found that increasing the platform velocity and greater COG interference during balance training might aid recovery of the balance function to a greater extent.…”

Section: Introductionmentioning

confidence: 99%

Baduanjin is Better Balance Training Compared to Walking: A Cross-Sectional Study Based on Center of Gravity Trajectories

Jiang,

An,

Liu

et al. 2024

Cureus

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Background: It has already been demonstrated by previous studies that Baduanjin training can improve the body's balance. However, its biomechanical mechanism remains unknown. Center of gravity (COG) trajectory analysis is an essential biomechanical test to explore the balance ability of the human body. Previous studies have not used the COG trajectory analysis technique to research Baduanjin training. The study utilizes COG trajectory analysis to analyze the trajectory of COG during Baduanjin training and compare it with that of walking, which is a common exercise for improving balance and aerobic ability, to determine if Baduanjin exercises affect the COG more than walking.Materials and methods: Eight healthy female college students performed the walking and the eight forms of Baduanjin, a total of nine motions. The lower body kinematics were captured by the Vicon Motion Capture and Analysis System, while the kinetic data were acquired by the Kistler 3D Force Platform. The data were imported into Visual 3D to process the trajectory of the COG displacement amplitude, velocity, and acceleration of each motion. The COG horizontal envelope areas were calculated by Origin 9.0 Software (Origin Lab, Northampton, Massachusetts, USA) .Results: Specific motions of Baduanjin provided significantly higher COG displacement amplitude, velocities, and acceleration training than walking. The F2 and F5 motions could provide a larger COG horizontal envelope area than walking. On the x-axis, F2 provided a greater COG displacement amplitude than walking, F1, F2, and F5 provided greater velocities, while all the motions provided greater accelerations. On the y-axis, all the motions except F2 provided greater COG displacement velocities and accelerations than walking. On the z-axis, F1-7 provided a greater COG displacement amplitude than walking, all the motions provided greater velocities, while all the motions except F2 provided greater accelerations. Conclusion:Baduanjin training provides a more intense COG perturbation than walking, which may be a more challenging balance training than walking.

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“…A systematic review has also shown that training in VR using an HMD could be useful for fall prevention and postural control in older people; however, there are concerns that the research in older people is of poor quality due to challenges in ensuring safety and a high risk of bias [9]. Urabe et al used an HMD to demonstrate fluctuations in the center-of-gravity sway during a static standing posture in younger adults [10]. This study was a milestone compared to conventional balance training in terms of safety, which induces center-of-gravity sway during stationary standing without physical movement but was limited to a young cohort.…”

Section: Introductionmentioning

confidence: 99%

Adaptation of Postural Sway in a Standing Position during Tilted Video Viewing Using Virtual Reality: A Comparison between Younger and Older Adults

Tashiro,

Maeda,

Abekura

et al. 2024

Sensors

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This study aimed to investigate the effects of wearing virtual reality (VR) with a head-mounted display (HMD) on body sway in younger and older adults. A standing posture with eyes open without an HMD constituted the control condition. Wearing an HMD and viewing a 30°-tilt image and a 60°-tilt image in a resting standing position were the experimental conditions. Measurements were made using a force plate. All conditions were performed three times each and included the X-axis trajectory length (mm), Y-axis trajectory length (mm), total trajectory length (mm), trajectory length per unit time (mm/s), outer peripheral area (mm2), and rectangular area (mm2). The results showed a significant interaction between generation and condition in Y-axis trajectory length (mm) and total trajectory length (mm), with an increased body center-of-gravity sway during the viewing of tilted VR images in older adults than in younger adults in both sexes. The results of this study show that body sway can be induced by visual stimulation alone with VR without movement, suggesting the possibility of providing safe and simple balance training to older adults.

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The Application of Balance Exercise Using Virtual Reality for Rehabilitation

Cited by 5 publications

References 20 publications

Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?

Is Balance Training Using Biofeedback Effective in the Prophylaxis of Falls in Women over the Age of 65?

Baduanjin is Better Balance Training Compared to Walking: A Cross-Sectional Study Based on Center of Gravity Trajectories

Adaptation of Postural Sway in a Standing Position during Tilted Video Viewing Using Virtual Reality: A Comparison between Younger and Older Adults

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