Using Virtual Reality–Based Rehabilitation in Sarcopenic Older Adults in Rural Health Care Facilities—A Quasi-Experimental Study

Chen, Guan Bo; Lin, Che-Wei; Huang, Hung Ya; Wu, Yi; Su, Hung Tzu; Sun, Shuangwen; Tuan, Sheng Hui

doi:10.1123/japa.2020-0222

Cited by 11 publications

(20 citation statements)

References 51 publications

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“…The outcomes were different, but the training determined an improvement especially of the upper limb strength, in other words, MS and MQ but not PP. An increase of ASMM was present but was not statistically significant [43]. Further studies are required.…”

Section: Virtual Reality and Laser Therapymentioning

confidence: 73%

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Sarcopenia: Technological Advances in Measurement and Rehabilitation

Lorusso¹,

Esposito²,

Sancarlo³

2022

Frailty and Sarcopenia - Recent Evidence and New Perspectives

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Sarcopenia is an important recently defined disease affecting people aged ≥65 years all over the world. Improving the assessment of loss of muscle mass is becoming mandatory. In this regard, various new technologies have been advanced. Although the gold standard is represented by magnetic resonance imaging (MRI) or magnetic resonance spectroscopy (MRS), computed tomography (CT) or dual-energy X-ray absorptiometry (DXA), followed by biological impedance analysis (BIA) compared with DXA, there are numerous correlations between sarcopenia and health domain of everyday life that must be investigated and addressed, trying to obtain the best possible outcome in the older population. In this review, we focused on all types of new technologies assessing loss of muscle mass, frailty, independence, walking, capacity to get dressed, and loss of balance or sleepiness in older people and that could improve the diagnosis of sarcopenia or the rehabilitation of sarcopenic patients to prevent possible accidents. Different technologies have been proposed to investigate the factors promoting the loss of muscle mass and weakness. Despite the standard EWGSOP 2019 guidelines defining a specific methodology for the diagnosis of sarcopenia, not all domains and devices were included, and new frontiers of prevention have been explored.

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Section: Virtual Reality and Laser Therapymentioning

confidence: 73%

“…In the work by Chen et al [43], the virtual reality-based progressive resistance training was tested on patients residing in a nursing home, over a period of 12 weeks. The outcomes were different, but the training determined an improvement especially of the upper limb strength, in other words, MS and MQ but not PP.…”

Section: Virtual Reality and Laser Therapymentioning

confidence: 99%

Sarcopenia: Technological Advances in Measurement and Rehabilitation

Lorusso¹,

Esposito²,

Sancarlo³

2022

Frailty and Sarcopenia - Recent Evidence and New Perspectives

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Section: Características De Los Estudiosunclassified

“…De los catorce artículos revisados, la mayoría se realizó en Taiwán (16,19,21,22) y China (23)(24)(25) . Cinco estudios fueron ensayos clínicos controlados (16,18,21,22,26) , cuatro emplearon diseños experimentales no controlados (14,19,25,27) y cinco métodos mixtos (15,17,20,23,24) . La mayoría de las intervenciones se realizaron en AM sin enfermedades neurológicas y sin limitaciones motoras (14,15,17,18,20,(23)(24)(25)27) , solo un estudio se implementó en AM con sarcopenia (19) y tres en adultos con deterioro cognitivo leve (21,22,26) .…”

Section: Características De Los Estudiosunclassified

“…Los sistemas de RVI más utilizados fueron las gafas Oculus Rift (15,19,26,27) y HTC vive (16,17,22,25) . El contenido proyectado a los AM se clasifico en dos tipos: 1) no interactivo, que consistió en observar imágenes de la naturaleza, paisajes y diversos lugares del mundo en 360° (14,18,(23)(24)(25) , y 2) contenido interactivo, mediante juegos que promovían el movimiento de extremidades (15-17, 19, 20) y aplicaciones con actividades instrumentales de la vida diaria simuladas (21,22,26,27) (Tabla 2).…”

Section: Características De Los Estudiosunclassified

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Uso de la Realidad Virtual Inmersiva en la salud del adulto mayor, Revisión sistemática

et al. 2022

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Introduction: Due to the increase in the number of older adults, there is an increase in the prevalence of chronic diseases, which, together with the deterioration associated to aging, lead to an early decline in physical and cognitive abilities. Within this problem, scientific evidence shows that the use of technological tools such as immersive virtual reality has positive effects on physical and cognitive health in various population groups. Objective: Collect, review and assess interventions using fully immersive virtual reality systems in older adults.Method: Using the PRISMA checklist guidelines, a systematic search was carried out in the following databases: PubMed, Wiley Online Library, Science Direct and Google Scholar. The FLC 3.0 platform called “Ficheros de Lectura Crítica” (Critical Appraisal Tool) was used to assess the quality of the studies.Results: Fourteen studies were included, which provided evidence of the use, acceptance and tolerance of immersive virtual reality, as well as its effect on physical and cognitive health.Conclusions: The studies analyzed reveal that immersive virtual reality is well accepted and tolerated by older adults, as well as being a promising tool for reversing or delaying physical and cognitive decline. However, the results are not consistent due to the great diversity among virtual reality systems and content used, as well as studies with small samples and uncontrolled designs. Introducción: El aumento del número de adultos mayores trae consigo un incremento de la prevalencia de enfermedades crónicas, que en conjunto con el deterioro asociado al envejecimiento conducen a una disminución temprana de las capacidades físicas y cognitivas. Dentro de esta problemática, la evidencia científica muestra que el uso de herramientas tecnológicas como la realidad virtual inmersiva tiene efectos positivos en la salud física y cognitiva en diversas poblaciones.Objetivo: Recopilar, revisar y analizar las intervenciones que utilizan sistemas de realidad virtual totalmente inmersivos en adultos mayores. Método: Por medio de los lineamientos del checklist PRISMA se realizó una búsqueda sistemática en las bases de datos: PubMed, Wiley Online Library, Science Direct y Google académico. La plataforma Web 3.0: Ficheros de Lectura Crítica se utilizó para analizar la calidad de los estudios.Resultados: Se incluyeron catorce estudios los cuales aportaron evidencia del uso, aceptación y tolerancia de la realidad virtual inmersiva, así como su efecto sobre la salud física y cognitiva.Conclusiones: Los estudios analizados revelan que la realidad virtual inmersiva es bien aceptada y tolerada por los adultos mayores, además de ser una herramienta prometedora para revertir o retrasar el deterioro físico y cognitivo. Sin embargo, los resultados no son consistentes debido a que existe una gran diversidad entre los sistemas de realidad virtual y contenido utilizado, así como estudios con muestras pequeñas y diseños no controlados.

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Sarcopenia interventions in long‐term care facilities targeting sedentary behaviour and physical inactivity: A systematic review

Mo,

Chen,

Zhou

et al. 2024

J cachexia sarcopenia muscle

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BackgroundSedentary behaviour and physical inactivity are independent risk factors for sarcopenia for long‐term care facility residents. Understanding the components, mechanisms and context of interventions that target change in these risk factors can help optimize sarcopenia management approaches. This study aimed to identify, appraise and synthesize the interventions targeting sedentary behaviour and physical inactivity, construct a Theory of Change logic model, inform complex sarcopenia intervention development and identify areas for improvement.MethodsEight electronic databases, including Embase and Web of Science, were searched for eligible interventional studies from inception until February 2024. Narrative synthesis was used. The Theory of Change was applied to develop a logic model presenting the synthesized results. A Cochrane risk of bias assessment tool was used for quality appraisal.ResultsThe study included 21 articles involving 1014 participants, with mean ages ranging from 72.5 to 90.4 years. The proportion of female participants ranged from 8.0% to 100.0%. The applied sarcopenia diagnosis criteria varied, including those of the Asian Working Group for Sarcopenia and the European Working Group on Sarcopenia in Older People. The overall risk of bias in the included studies was moderate. Interventions primarily targeted physical inactivity, with resistance training being the most common intervention type. The reporting of intervention adherence was insufficient (only 11 out of 21 included studies provided adherence reports), and adherence overall and by intervention type was not possible to discern due to inconsistent criteria for high adherence across these studies. Four categories of intervention input were identified: educational resources; exercise equipment and accessories; monitoring and tailoring tools; and motivational strategies. Intervention activities fell into five categories: determining the intervention plan; educating; tailoring; organizing, supervising, assisting and motivating; and monitoring. While sarcopenia‐related indicators were commonly used as desired outcomes, intermediate outcomes (i.e., sedentary time and physical activity level) and other long‐term outcomes (i.e., economic outcomes) were less considered. Contextual factors affecting intervention use included participant characteristics (i.e., medical condition and education level) and intervention provider characteristics (i.e., trustworthiness).ConclusionsThe findings led to the development of a novel logic model detailing essential components for interventions aimed at managing sarcopenia in long‐term care facilities, with a focus on addressing sedentary behaviour and physical inactivity. Future sarcopenia interventions in long‐term care facilities should fully attend to sedentary behaviour, enhance adherence to interventions through improved education, monitoring, tailoring and motivation and establish an agreed standard set of outcome measures.

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Using Virtual Reality–Based Rehabilitation in Sarcopenic Older Adults in Rural Health Care Facilities—A Quasi-Experimental Study

Cited by 11 publications

References 51 publications

Sarcopenia: Technological Advances in Measurement and Rehabilitation

Sarcopenia: Technological Advances in Measurement and Rehabilitation

Uso de la Realidad Virtual Inmersiva en la salud del adulto mayor, Revisión sistemática

Sarcopenia interventions in long‐term care facilities targeting sedentary behaviour and physical inactivity: A systematic review

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