Balance training using virtual reality improves balance and physical performance in older adults at high risk of falls.
Identifieur interne : 000167 ( Main/Curation ); précédent : 000166; suivant : 000168Balance training using virtual reality improves balance and physical performance in older adults at high risk of falls.
Auteurs : Steven Phu [Australie] ; Sara Vogrin [Australie] ; Ahmed Al Saedi [Australie] ; Gustavo Duque [Australie]Source :
- Clinical interventions in aging [ 1178-1998 ] ; 2019.
Descripteurs français
- KwdFr :
- Chutes accidentelles (prévention et contrôle), Exercice physique (MeSH), Femelle (MeSH), Force de la main (MeSH), Humains (MeSH), Mise en condition physique de l'homme (méthodes), Mise en condition physique de l'homme (physiologie), Mâle (MeSH), Performance fonctionnelle physique (MeSH), Peur (MeSH), Réalité de synthèse (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vitesse de marche (MeSH), Équilibre postural (MeSH).
- MESH :
- méthodes : Mise en condition physique de l'homme.
- physiologie : Mise en condition physique de l'homme.
- prévention et contrôle : Chutes accidentelles.
- Exercice physique, Femelle, Force de la main, Humains, Mâle, Performance fonctionnelle physique, Peur, Réalité de synthèse, Sujet âgé, Sujet âgé de 80 ans ou plus, Vitesse de marche, Équilibre postural.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Aged (MeSH), Aged, 80 and over (MeSH), Exercise (MeSH), Fear (MeSH), Female (MeSH), Hand Strength (MeSH), Humans (MeSH), Male (MeSH), Physical Conditioning, Human (methods), Physical Conditioning, Human (physiology), Physical Functional Performance (MeSH), Postural Balance (MeSH), Virtual Reality (MeSH), Walking Speed (MeSH).
- MESH :
- methods : Physical Conditioning, Human.
- physiology : Physical Conditioning, Human.
- prevention & control : Accidental Falls.
- Aged, Aged, 80 and over, Exercise, Fear, Female, Hand Strength, Humans, Male, Physical Functional Performance, Postural Balance, Virtual Reality, Walking Speed.
Abstract
Purpose
Exercise programs designed for falls prevention have been proven effective in reducing falls by approximately 21%. Virtual reality may provide a viable alternative intervention for falls prevention. This study compared the effects of virtual reality training using the Balance Rehabilitation Unit (BRU) versus exercise using a modified Otago Exercise Programme (EX) on improving balance and physical performance in the short-term restorative care setting of the Gait and Balance Gym (Gabagym).
Patients and methods
This was a pre- and post-intervention study of 195 participants (median age 78 years, IQR 73-84; 67% female) who presented with a risk and/or history of falls. Participants were assigned to either EX (n=82) or BRU (n=63). Supervised sessions occurred twice a week for 6 weeks. Participants receiving interventions were compared to a separate group (n=50) with similar characteristics who did not receive any intervention. Balance and physical performance were assessed at initial and final attendance and included the 5 Times Sit to Stand (5STS) test, Timed Up and Go (TUG), gait speed and posturography assessment using the BRU. Fear of falling was assessed using the Falls Efficacy Scale. Handgrip strength and adherence were also monitored.
Results
Post-intervention, EX and BRU groups achieved similar improvements and reported similar adherence rates (71% vs 72%, respectively). Both intervention groups improved in balance and physical performance measures. Both interventions showed significantly better improvement than the non-intervention group in TUG (
Conclusion
This study highlights the potential use of virtual reality as a practical alternative to improve outcomes of balance training for reduction of falls risk in older adults.
DOI: 10.2147/CIA.S220890
PubMed: 31695345
PubMed Central: PMC6717859
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pubmed:31695345Le document en format XML
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Western Health, The University of Melbourne, St. Albans, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, Melbourne Medical School - Western Health, The University of Melbourne, St. Albans, VIC</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:affiliation>Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC</wicri:regionArea></affiliation></author></analytic><series><title level="j">Clinical interventions in aging</title><idno type="eISSN">1178-1998</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Exercise (MeSH)</term><term>Fear (MeSH)</term><term>Female (MeSH)</term><term>Hand Strength (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Physical Conditioning, Human (methods)</term><term>Physical Conditioning, Human (physiology)</term><term>Physical Functional Performance (MeSH)</term><term>Postural Balance (MeSH)</term><term>Virtual Reality (MeSH)</term><term>Walking Speed (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Chutes accidentelles (prévention et contrôle)</term><term>Exercice physique (MeSH)</term><term>Femelle (MeSH)</term><term>Force de la main (MeSH)</term><term>Humains (MeSH)</term><term>Mise en condition physique de l'homme (méthodes)</term><term>Mise en condition physique de l'homme (physiologie)</term><term>Mâle (MeSH)</term><term>Performance fonctionnelle physique (MeSH)</term><term>Peur (MeSH)</term><term>Réalité de synthèse (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vitesse de marche (MeSH)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Physical Conditioning, Human</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Mise en condition physique de l'homme</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Mise en condition physique de l'homme</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Physical Conditioning, Human</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Exercise</term><term>Fear</term><term>Female</term><term>Hand Strength</term><term>Humans</term><term>Male</term><term>Physical Functional Performance</term><term>Postural Balance</term><term>Virtual Reality</term><term>Walking Speed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Exercice physique</term><term>Femelle</term><term>Force de la main</term><term>Humains</term><term>Mâle</term><term>Performance fonctionnelle physique</term><term>Peur</term><term>Réalité de synthèse</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Vitesse de marche</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>Exercise programs designed for falls prevention have been proven effective in reducing falls by approximately 21%. Virtual reality may provide a viable alternative intervention for falls prevention. This study compared the effects of virtual reality training using the Balance Rehabilitation Unit (BRU) versus exercise using a modified Otago Exercise Programme (EX) on improving balance and physical performance in the short-term restorative care setting of the Gait and Balance Gym (Gabagym).</p></div><div type="abstract" xml:lang="en"><p><b>Patients and methods</b></p><p>This was a pre- and post-intervention study of 195 participants (median age 78 years, IQR 73-84; 67% female) who presented with a risk and/or history of falls. Participants were assigned to either EX (n=82) or BRU (n=63). Supervised sessions occurred twice a week for 6 weeks. Participants receiving interventions were compared to a separate group (n=50) with similar characteristics who did not receive any intervention. Balance and physical performance were assessed at initial and final attendance and included the 5 Times Sit to Stand (5STS) test, Timed Up and Go (TUG), gait speed and posturography assessment using the BRU. Fear of falling was assessed using the Falls Efficacy Scale. Handgrip strength and adherence were also monitored.</p></div><div type="abstract" xml:lang="en"><p><b>Results</b></p><p>Post-intervention, EX and BRU groups achieved similar improvements and reported similar adherence rates (71% vs 72%, respectively). Both intervention groups improved in balance and physical performance measures. Both interventions showed significantly better improvement than the non-intervention group in TUG (</p></div><div type="abstract" xml:lang="en"><p><b>Conclusion</b></p><p>This study highlights the potential use of virtual reality as a practical alternative to improve outcomes of balance training for reduction of falls risk in older adults.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31695345</PMID><DateCompleted><Year>2020</Year><Month>01</Month><Day>31</Day></DateCompleted><DateRevised><Year>2020</Year><Month>01</Month><Day>31</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1178-1998</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><PubDate><Year>2019</Year></PubDate></JournalIssue><Title>Clinical interventions in aging</Title><ISOAbbreviation>Clin Interv Aging</ISOAbbreviation></Journal><ArticleTitle>Balance training using virtual reality improves balance and physical performance in older adults at high risk of falls.</ArticleTitle><Pagination><MedlinePgn>1567-1577</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2147/CIA.S220890</ELocationID><Abstract><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">Exercise programs designed for falls prevention have been proven effective in reducing falls by approximately 21%. Virtual reality may provide a viable alternative intervention for falls prevention. This study compared the effects of virtual reality training using the Balance Rehabilitation Unit (BRU) versus exercise using a modified Otago Exercise Programme (EX) on improving balance and physical performance in the short-term restorative care setting of the Gait and Balance Gym (Gabagym).</AbstractText><AbstractText Label="Patients and methods" NlmCategory="UNASSIGNED">This was a pre- and post-intervention study of 195 participants (median age 78 years, IQR 73-84; 67% female) who presented with a risk and/or history of falls. Participants were assigned to either EX (n=82) or BRU (n=63). Supervised sessions occurred twice a week for 6 weeks. Participants receiving interventions were compared to a separate group (n=50) with similar characteristics who did not receive any intervention. Balance and physical performance were assessed at initial and final attendance and included the 5 Times Sit to Stand (5STS) test, Timed Up and Go (TUG), gait speed and posturography assessment using the BRU. Fear of falling was assessed using the Falls Efficacy Scale. Handgrip strength and adherence were also monitored.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Post-intervention, EX and BRU groups achieved similar improvements and reported similar adherence rates (71% vs 72%, respectively). Both intervention groups improved in balance and physical performance measures. Both interventions showed significantly better improvement than the non-intervention group in TUG (<i>p</i><0.001), gait speed (<i>p</i>=0.021), limits of stability in posturography assessment (<i>p</i>=0.008), FES-I score (<i>p</i>=0.013) and handgrip strength (<i>p</i>=0.021). Only the BRU group improved control of static posture in the eyes closed (<i>p</i>=0.002) and foam eyes closed (<i>p</i>=0.006) tasks.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">This study highlights the potential use of virtual reality as a practical alternative to improve outcomes of balance training for reduction of falls risk in older adults.</AbstractText><CopyrightInformation>© 2019 Phu et al.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Phu</LastName><ForeName>Steven</ForeName><Initials>S</Initials><Identifier Source="ORCID">0000-0003-0305-9940</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Melbourne Medical School - Western Health, The University of Melbourne, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vogrin</LastName><ForeName>Sara</ForeName><Initials>S</Initials><Identifier Source="ORCID">0000-0002-1597-9421</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Melbourne Medical School - Western Health, The University of Melbourne, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Al Saedi</LastName><ForeName>Ahmed</ForeName><Initials>A</Initials><Identifier Source="ORCID">0000-0002-2479-5317</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Melbourne Medical School - Western Health, The University of Melbourne, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duque</LastName><ForeName>Gustavo</ForeName><Initials>G</Initials><Identifier Source="ORCID">0000-0001-8126-0637</Identifier><AffiliationInfo><Affiliation>Department of Medicine, Melbourne Medical School - Western Health, The University of Melbourne, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Institute for Musculoskeletal Science (AIMSS), The University of Melbourne and Western Health, St. Albans, VIC, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>08</Month><Day>28</Day></ArticleDate></Article><MedlineJournalInfo><Country>New Zealand</Country><MedlineTA>Clin Interv Aging</MedlineTA><NlmUniqueID>101273480</NlmUniqueID><ISSNLinking>1176-9092</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015444" MajorTopicYN="Y">Exercise</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005239" MajorTopicYN="N">Fear</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018737" MajorTopicYN="N">Hand Strength</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064797" MajorTopicYN="N">Physical Conditioning, Human</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000076604" MajorTopicYN="N">Physical Functional Performance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000076142" MajorTopicYN="Y">Virtual Reality</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000072797" MajorTopicYN="N">Walking Speed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">exercise</Keyword><Keyword MajorTopicYN="N">falls</Keyword><Keyword MajorTopicYN="N">fractures</Keyword><Keyword MajorTopicYN="N">posture</Keyword><Keyword MajorTopicYN="N">virtual reality</Keyword></KeywordList><CoiStatement>The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>06</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>08</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>11</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>11</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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