The effect of virtual reality gaming on dynamic balance in older adults

Rendon, Abel; Lohman, Everett; Thorpe, Donna; Johnson, Eric G.; Medina, E; Bradley, Bruce

doi:10.1093/ageing/afs053

Cited by 263 publications

(306 citation statements)

References 8 publications

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“…The primary aim of the reviewed studies was to evaluate the potential effect of gaming/VR exercise on balance, either alone (9,12,(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46), in combination with other physical abilities such as strength or mobility (11,13,(47)(48)(49)(50)(51), or in combination with falls or fear of falling, cognition, quality of life, or user experience (52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62). Seven studies investigated the effect of gaming/VR exercise on gait parameters (63)(64)(65)(66)(67)(68)(69), and six studies examined the effectiveness with regard to different physical functions and associated fall risk (10,(70)(71)(72)…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Exercise through video games, socalled exergames, is used progressively more to increase physical activity and improve health and physical function in older adults (1,(3)(4)(5), and there is growing interest in using exergames as a potential rehabilitation tool to facilitate specific exercises in different clinical groups (6)(7)(8). Studies suggest that exergaming promotes improvements in mobility (9,10), muscular strength of the lower limbs (11), balance control (2,12,13), and cognition (14) in older adults.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Skjæret

Nawaz

Morat

et al. 2016

International Journal of Medical Informatics

293

202

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Background: There has been a rapid increase in research on the use of virtual reality (VR) and gaming technology as a complementary tool in exercise and rehabilitation in the elderly population. Although a few recent studies have evaluated their efficacy, there is currently no in-depth description and discussion of different game technologies, physical functions targeted, and safety issues related to older adults playing exergames. Objectives: This integrative review provides an overview of the technologies and games used, progression, safety measurements and associated adverse events, adherence to exergaming, outcome measures used, and their effect on physical function. Methods: We undertook systematic searches of SCOPUS and PubMed databases. Key search terms included "game", "exercise", and "aged", and were adapted to each database. To be included, studies had to involve older adults aged 65 years or above, have a pre-post training or intervention design, include ICT-implemented games with weight-bearing exercises, and have outcome measures that included physical activity variables and/or clinical tests of physical function. Results: Sixty studies fulfilled the inclusion criteria. The studies had a broad range of aims and intervention designs and mostly focused on community-dwelling healthy older adults. The majority of the studies used commercially available gaming technologies that targeted a number of different physical functions. Most studies reported that they had used some form of safety measure during intervention. None of the studies reported serious adverse events. However, only 21 studies (35%) reported on whether adverse events occurred. Twenty-four studies reported on adherence, but only seven studies (12%) compared adherence to exergaming with other forms of exercise. Clinical measures of balance were the most frequently used outcome measures. PEDro scores indicated that most studies had several methodological problems, with only 4 studies fulfilling 6 or more criteria out of 10. Several studies found positive effects of exergaming on balance and gait, while none reported negative effects. 2 function in older adults, with few reported adverse events. As there is large variability between studies in terms of intervention protocols and outcome measures, as well as several methodological limitations, recommendations for both practice and further research are provided in order to successfully establish exergames as an exercise and rehabilitation tool for older adults.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Skjæret

Nawaz

Morat

et al. 2016

International Journal of Medical Informatics

293

202

View full text Add to dashboard Cite

show abstract

“…Most of the ten papers, which the participants were healthy elderly people ( [27], [28], [29], [30], [31], [32], [33], [34], [35], [36]), focused on balance and postural control. Eight of them showed improvement in balance after exergame program.…”

Section: Physical Impactsmentioning

confidence: 99%

Impact of Serious Games on Health and Well-being of Elderly: A Systematic Review

Nguyen¹,

Ishmatova²,

Tapanainen³

et al. 2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

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“…Of these, five were methodologically classified as semi-experimental or interventional with pre-and post-training analysis but without the methodological strictness of a randomized clinical trial [13][14][15][16][17] , and the other five as randomized controlled trials [18][19][20][21][22] .…”

Section: Dynamic Balancementioning

confidence: 99%

“…In relation to the types of games used, the studies oscillated from two to eight different games for training; in one of the studies there was no description. In six studies there was a protocol in order to perform the training with Wii Fit 13,14,16,17,21,22 and there was supervision throughout all sessions in four of the studies 17,19,20,22 .…”

Section: Dynamic Balancementioning

confidence: 99%

Benefícios do treinamento de exercícios com o Nintendo(r) Wii na população de idosos saudáveis: revisão de literatura

et al. 2015

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Este estudo tem como tema os exercícios realizados por meio do Nintendo(r) Wii e seus possíveis benefícios para população de idosos saudáveis. Foi realizada revisão bibliográfica por meio das bases de dados indexadas: Medical Literature Analysis and Retrieval System Online, PubMed, Scielo, The Cochrane Library, e Physiotherapy Evidence Database. Entraram no presente estudo 10 artigos, publicados entre os anos de 2010 a 2013, sendo cinco artigos classificados metodologicamente como semi-experimentais ou do tipo intervencional e os outros cinco como ensaio clínico controlado randomizado. Após a análise e integração da literatura, foi possível identificar seis categorias relacionadas aos desfechos investigados, sendo elas o equilíbrio estático, equilíbrio dinâmico, medidas subjetivas de equilíbrio, capacidade funcional, força muscular e motivação e/ou diversão. Os resultados desta pesquisa sugerem que o Nintendo(r) Wii é um valioso instrumento para a prática fisioterapêutica, trazendo potenciais benefícios para a população de idosos. São necessários mais estudos com a proposta de definir um protocolo mais adequado em relação aos jogos escolhidos, supervisão, monitorização e qual a duração e frequência de terapia seria mais vantajosa para esses pacientes, para melhor aplicabilidade clínica.

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The effect of virtual reality gaming on dynamic balance in older adults

Abstract: virtual reality gaming provides clinicians with a useful tool for improving dynamic balance and balance confidence in older adults.

Cited by 263 publications

References 8 publications

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Impact of Serious Games on Health and Well-being of Elderly: A Systematic Review

Benefícios do treinamento de exercícios com o Nintendo(r) Wii na população de idosos saudáveis: revisão de literatura

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