Use of virtual reality technique for the training of motor control in the elderly

Bruin, Eling D. de; Schoene, Daniel; Pichierri, Giuseppe; Smith, Susan L.

doi:10.1007/s00391-010-0124-7

Cited by 188 publications

(158 citation statements)

References 48 publications

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“…During the last decade, there has been a rapid increase in research on the use of virtual reality (VR) and gaming technology in the elderly population (1,2). 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).…”

Section: Introductionmentioning

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%

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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: Introductionmentioning

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

“…Virtual reality can be used to provide engaging scenarios and improve adherence to therapy. [13][14][15][16][17] Videogames are most practical and effective in rehabilitation when they have been specifically designed for therapy purposes. [18][19][20] Given the importance of gait recovery post-stroke, games should be aimed towards walking recovery.…”

Section: Introductionmentioning

confidence: 99%

Usability and Effects of an Exergame-Based Balance Training Program

Wüest

Borghese

Pirovano

et al. 2014

Games for Health Journal

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Background: Post-stroke recovery benefits from structured, intense, challenging, and repetitive therapy. Exergames have emerged as promising to achieve sustained therapy practice and patient motivation. This study assessed the usability and effects of exergames on balance and gait. Subjects and Methods: Sixteen elderly participants were provided with the study intervention based on five newly developed exergames. The participants were required to attend 36 training sessions; lasting for 20 minutes each. Adherence, attrition and acceptance were assessed together with (1) Berg Balance Scale, (2) 7-m Timed Up and Go, (3) Short Physical Performance Battery, (4) force platform stance tests, and (5) gait analysis. Results: Thirteen participants completed the study (18.8 percent attrition), without missing a single training session (100 percent adherence). Participants showed high acceptance of the intervention. Only minor adaptations in the program were needed based on the users' feedback. No changes in center of pressure area during quiet stance on both stable and unstable surfaces and no changes of walking parameters were detected. Scores for the Berg Balance Scale (P = 0.007; r = 0.51), the 7-m Timed Up and Go (P = 0.002; r = 0.56), and the Short Physical Performance Battery (P = 0.013; r = 0.48) increased significantly with moderate to large effect sizes. Conclusion: Participants evaluated the usability of the virtual reality training intervention positively. Results indicate that the intervention improves gait-and balance-related physical performance measures in untrained elderly. The present results warrant a clinical explorative study investigating the usability and effectiveness of the exergame-based program in stroke patients.

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“…Elderly also face several cognitive challenges, such as slower information processing and learning [3]. Falls are the most common reason for medical intervention amongst the elderly [4], and prevention is important. Physical exercise is both important in prevention and in rehabilitation.…”

Section: A Exergames For Elderly: Challenges and Oportunitiesmentioning

confidence: 99%

Exergames For Elderly: Social exergames to persuade seniors to increase physical activity

Brox

Hernandez

2011

Proceedings of the 5th International ICST Conference on Pervasive Computing Technologies for Healthcare

128

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Abstract-Games with remote controls and motion sensors that require the players to move, so-called exergames, have become very popular. Many of these games are also being played by the senior population. Participating in regular training sessions outside their homes can be challenging for elderly, and it is hard to motivate oneself to exercise regularly alone at home. Regular physical activity is important both for the physical and psychological health and it is an integral part of many rehabilitation therapies. In addition, many elderly suffer from loneliness, making social interaction within exergames very important. In this paper we provide a narrative review of how exergames can help to motivate elderly to exercise more, focusing in possible social interactions in online exergaming and persuasive technologies. Finally, we discuss how social exergaming can be used both to prevent loneliness and encourage physical activity.

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Use of virtual reality technique for the training of motor control in the elderly

Cited by 188 publications

References 48 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

Usability and Effects of an Exergame-Based Balance Training Program

Exergames For Elderly: Social exergames to persuade seniors to increase physical activity

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