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Conference Paper: Is virtual reality exercise effective in reducing falls among older adults with a history of falls?

TitleIs virtual reality exercise effective in reducing falls among older adults with a history of falls?
Authors
KeywordsFalls
Balance exercise
Virtual reality
Issue Date2015
PublisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/physt
Citation
The 2015 Congress of the World Confederation for Physical Therapy (WCPT), Singapore. 1-4 May 2015. In Physiotherapy, 2015, v. 101 suppl. 1 How to Cite?
AbstractBACKGROUND: Falls have been identified as one of the major causes of morbidity and mortality in the older adults. Virtual reality (VR) technologies have been used as an assessment and treatment tool in rehabilitation. PURPOSE: This single-blinded randomized controlled clinical trial was to determine the effectiveness of VR exercise in reducing falls risk and incidence among the older adults with a history of falls using Nintendo's Wii Fit® balance board. METHODS: Sixty older subjects aged 65 and above who lived in a nursing home participated this study. They were randomly allocated to balance training with either Wii Fit equipment or conventional exercise. The exercise was organized in one hour session which was held on three days a week for six weeks. Physiological Profile Assessment (PPA) scores and incidence of falls were observed with subsequent intent-to-treat statistical analyses. RESULTS: Independent t-tests showed that there was no statistically significant difference in the average pre-test PPA values and numbers of falls over previous one year between the two groups. Two-way repeated measures of ANOVA did, however, show significant interactions in the PPA z-scores and falls incidence. Within both the Wii Fit and conventional training groups, paired t-tests showed that there were significant differences in their PPA z-scores and falls incidence before and after the respective interventions. However, independent t-tests showed that there were statistically significant differences in the post-test PPA z-scores and number of falls between the two groups. The subjects of the Wii Fit training group showed significantly greater improvement in both outcome measures. CONCLUSIONS: Wii Fit balance training was more effective than conventional balance training in reducing falls risk and incidence among these institutionalized older persons with a history of falls.
DescriptionSession - Older people and falls (PLR5-09): no. RR-PLR5-3572
This journal suppl. entitled: World Confederation for Physical Therapy Congress 2015 Abstracts, Singapore, 1-4 May 2015
Persistent Identifierhttp://hdl.handle.net/10722/212401
ISSN
2015 Impact Factor: 1.814
2015 SCImago Journal Rankings: 0.769

 

DC FieldValueLanguage
dc.contributor.authorTsang, WWN-
dc.contributor.authorFong, SSM-
dc.contributor.authorTung, KK-
dc.contributor.authorFu, ASN-
dc.date.accessioned2015-07-21T02:34:30Z-
dc.date.available2015-07-21T02:34:30Z-
dc.date.issued2015-
dc.identifier.citationThe 2015 Congress of the World Confederation for Physical Therapy (WCPT), Singapore. 1-4 May 2015. In Physiotherapy, 2015, v. 101 suppl. 1-
dc.identifier.issn0031-9406-
dc.identifier.urihttp://hdl.handle.net/10722/212401-
dc.descriptionSession - Older people and falls (PLR5-09): no. RR-PLR5-3572-
dc.descriptionThis journal suppl. entitled: World Confederation for Physical Therapy Congress 2015 Abstracts, Singapore, 1-4 May 2015-
dc.description.abstractBACKGROUND: Falls have been identified as one of the major causes of morbidity and mortality in the older adults. Virtual reality (VR) technologies have been used as an assessment and treatment tool in rehabilitation. PURPOSE: This single-blinded randomized controlled clinical trial was to determine the effectiveness of VR exercise in reducing falls risk and incidence among the older adults with a history of falls using Nintendo's Wii Fit® balance board. METHODS: Sixty older subjects aged 65 and above who lived in a nursing home participated this study. They were randomly allocated to balance training with either Wii Fit equipment or conventional exercise. The exercise was organized in one hour session which was held on three days a week for six weeks. Physiological Profile Assessment (PPA) scores and incidence of falls were observed with subsequent intent-to-treat statistical analyses. RESULTS: Independent t-tests showed that there was no statistically significant difference in the average pre-test PPA values and numbers of falls over previous one year between the two groups. Two-way repeated measures of ANOVA did, however, show significant interactions in the PPA z-scores and falls incidence. Within both the Wii Fit and conventional training groups, paired t-tests showed that there were significant differences in their PPA z-scores and falls incidence before and after the respective interventions. However, independent t-tests showed that there were statistically significant differences in the post-test PPA z-scores and number of falls between the two groups. The subjects of the Wii Fit training group showed significantly greater improvement in both outcome measures. CONCLUSIONS: Wii Fit balance training was more effective than conventional balance training in reducing falls risk and incidence among these institutionalized older persons with a history of falls.-
dc.languageeng-
dc.publisherElsevier Ltd. The Journal's web site is located at http://www.elsevier.com/locate/physt-
dc.relation.ispartofPhysiotherapy-
dc.rightsNOTICE: this is the author’s version of a work that was accepted for publication in [Journal title]. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in PUBLICATION, [VOL#, ISSUE#, (DATE)] DOI#-
dc.subjectFalls-
dc.subjectBalance exercise-
dc.subjectVirtual reality-
dc.titleIs virtual reality exercise effective in reducing falls among older adults with a history of falls?-
dc.typeConference_Paper-
dc.identifier.emailFong, SSM: smfong@hku.hk-
dc.identifier.authorityFong, SSM=rp01759-
dc.identifier.hkuros245488-
dc.identifier.volume101-
dc.identifier.issuesuppl. 1-
dc.publisher.placeUnited Kingdom-

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