Twelve weeks of BodyBalance&amp;reg; training improved balance and functional task performance in&amp;nbsp;middle-aged and older adults

Nicholson, Vaughan; McKean, Mark; Burkett, Brendan

doi:10.2147/cia.s71769

Cited by 17 publications

(20 citation statements)

References 47 publications

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“…We also found signi cant reductions over time observed in the CoP excursion in the medio-lateral direction for the TGB group under eyes closed condition similar to those of Nicholson et al [109], who reported signi cant reductions in medio-lateral CoP range in older people following twelve weeks of balance training. ML postural sway is associated more with fall risks in older people compared to AL postural sway [110].…”

Section: Postural Controlsupporting

confidence: 88%

The effects of exergaming on pain, postural control, technology acceptance and flow experience in older people with chronic musculoskeletal pain: a randomised controlled trial

Ditchburn

Schaik

Dixon

et al. 2020

Preprint

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Background: Older people with chronic musculoskeletal pain are at risk of falls. This study aimed to investigate the effects of exergaming on pain and postural control in older people with chronic musculoskeletal pain. Secondary outcomes were technology acceptance, flow experience, perceived physical exertion, expended mental effort and heart rate. Methods: 54 older adults (age: 71 ± 5 years) with chronic musculoskeletal pain were randomised into 2 groups. Group 1 received exergaming training using the Interactive Rehabilitation and Exercise System (IREX®). Group 2 undertook traditional gym-based exercise (TGB). Both groups completed twice weekly 40-minute exercise sessions for six weeks. Perceived pain was measured using a numeric pain rating scale and the Multidimensional Affect and Pain Survey questionnaire. Postural control was measured as sway using a Kistler™ force platform. Technology acceptance was measured with the Unified Theory of Acceptance and Use of Technology questionnaire and flow experience with the Flow State Scale. Physiological measures of perceived physical exertion, expended mental effort and heart rate were recorded during all sessions. Results: The exergaming group demonstrated significant reductions in pain intensity and thermal pain including a near significant approach in physical engagement in comparison to TGB group. Although no intervention effects on postural control were found, the exergaming group showed significant improvements in three sway measures (AP SD, ML SD and AP range) over time whereas significant improvements in ML range were found in the TGB group. Relating to technology acceptance, significant intervention effects on social influence and behavioural intention were found in the TGB group instead, although both groups demonstrated increases of acceptance over time. Regarding flow experience, concentration at task was significantly influenced in the TGB group and significant increases in flow variables over time were observed in both groups. Significant increases over time in perceived physical exertion and expended mental effort were found in both groups. Conclusion: Our findings support the potential of exergaming to alleviate pain and improve balance in older people with chronic musculoskeletal pain. Both forms of exercise are acceptable, intrinsically motivating and show evidence of benefit to older people with chronic musculoskeletal pain. Trial registration: ClinicalTrials.gov Identifier: NCT04029285 (retrospectively registered, July 23, 2019) https://clinicaltrials.gov/ct2/show/study/NCT04029285?term=Alasdair+Macsween&draw=2&rank=2

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Section: Postural Controlsupporting

confidence: 88%

The effects of exergaming on pain, postural control, technology acceptance and flow experience in older people with chronic musculoskeletal pain: a randomised controlled trial

Ditchburn

Schaik

Dixon

et al. 2020

Preprint

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“…The most common single component exercise intervention was balance training, of which six trials incorporated regular balance exercise [19, 21, 22, 29–31] and three performed tai chi [15, 25, 26]. Eight trials utilised resistance exercise tasks, whereby five were water based [18, 23, 27, 32, 33], two used vibration [17, 20], and one trial evaluated stair climbing [34] exercises.…”

Section: Resultsmentioning

confidence: 99%

“…The force platform or measurement equipment sampling frequency ranged from 5 Hz [28] to 1000 Hz [17], but was not reported by nine trials [15, 16, 18, 19, 21, 22, 26, 27, 33]. Seven studies reported the use of a digital filter on the COP signal [20, 23, 30, 31, 34, 36, 37]. …”

Section: Resultsmentioning

confidence: 99%

“…All trials performed measurements in double leg stance, and eight trials performed measurements in single leg [18, 23, 24, 34], narrow [20, 31] and semi-tandem [23, 37]. One trial performed double leg stance on a foam surface [37], and two trials reported measurements collected during dual tasking [17, 35].…”

Section: Resultsmentioning

confidence: 99%

“…Ten trials reported measures of sway area [15, 17, 18, 23, 25, 26, 29, 30, 32, 33], ten trials reported ML sway length [16, 18–21, 28, 31, 32, 36, 37] and nine trials reported AP sway length [16, 18–21, 28, 32, 36, 37]. Total path velocity was reported by five trials [15, 25, 26, 29, 37], and three trials reported AP [22, 23, 37] and ML [22, 23, 37] path velocity, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of Exercise Interventions to Improve Postural Control in Older Adults: A Systematic Review and Meta-Analyses of Centre of Pressure Measurements

2016

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BackgroundPrevious reviews have shown balance in older adults to be improved with exercise. However, it is currently unclear whether postural control, indicated by centre of pressure (COP) measurement, can be improved in older adults and thus whether postural control could be a mechanism to improve balance.ObjectivesThe purpose of this systematic review was to assess the effectiveness of force platform COP variables to identify changes in postural control following exercise interventions in older adults. In addition, a secondary purpose was to determine whether the exercise types (balance, resistance or multi-component exercise interventions) are equally effective to improve postural control.MethodsRandomised controlled trials were identified using searches of databases and reference lists (PROSPERO registration number CRD42014010617). Trials performing exercise interventions, reporting force platform COP measurements, in participants with a mean age of ≥60 years were included. Risk of bias assessments were performed following the Cochrane guidelines. Data were pooled in meta-analyses, and standardised mean differences (SMDs) with 95 % confidence intervals (CIs) were calculated.ResultsTwenty-three trials met the inclusion criteria for the systematic review. Twenty-two trials could be defined as either utilising a balance, resistance or multi-component exercise intervention. These 22 trials were used in the meta-analyses. All trials reported measurements of double leg stance; eight trials reported additional stance conditions. The meta-analyses of double leg stance showed that balance exercise interventions significantly decreased total sway path length/velocity [SMD −1.13, 95 % CI −1.75 to −0.51 (eyes open); SMD −0.79, 95 % CI −1.33 to −0.26 (eyes closed)] and anterior-posterior sway path length/velocity [SMD −1.02, 95 % CI −2.01 to −0.02 (eyes open); SMD −0.82, 95 % CI −1.46 to −0.17 (eyes closed)] in both eyes open and eyes closed conditions. Balance exercise interventions also decreased sway area in eyes closed conditions (SMD −0.57, 95 % CI −1.01 to −0.13) and medio-lateral sway path length/velocity in eyes open conditions (SMD −0.8, 95 % CI −1.48 to −0.12). In contrast, neither resistance nor multi-component exercise interventions affected any of the included COP measurements.ConclusionsPostural control is improved by balance exercise interventions. In contrast, strength or multi-component exercise interventions did not influence postural control measurements in older adults. In addition, a lack of standardisation in collection protocol and COP variables calculated across trials was identified.Electronic supplementary materialThe online version of this article (doi:10.1007/s40279-016-0559-0) contains supplementary material, which is available to authorized users.

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Effects of virtual reality versus conventional balance training on balance of the elderly

Babadi

Daneshmandi

2021

Experimental Gerontology

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Twelve weeks of BodyBalance® training improved balance and functional task performance in middle-aged and older adults

Cited by 17 publications

References 47 publications

The effects of exergaming on pain, postural control, technology acceptance and flow experience in older people with chronic musculoskeletal pain: a randomised controlled trial

The effects of exergaming on pain, postural control, technology acceptance and flow experience in older people with chronic musculoskeletal pain: a randomised controlled trial

Effectiveness of Exercise Interventions to Improve Postural Control in Older Adults: A Systematic Review and Meta-Analyses of Centre of Pressure Measurements

Effects of virtual reality versus conventional balance training on balance of the elderly

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