A usability study of a multicomponent video game-based training for older adults

Adcock, Manuela; Sonder, Floriana; Schättin, Alexandra; Gennaro, Federico; Bruin, Eling D. de

doi:10.1186/s11556-019-0233-2

Cited by 68 publications

(69 citation statements)

References 103 publications

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“…Another requirement was the importance of including real-time feedback [35]. Feedback has also been described by other studies as a basic training principle that helps maximize the benefit of a CCT program [57].…”

Section: Discussionmentioning

confidence: 99%

Methodological Designs Applied in the Development of Computer-Based Training Programs for the Cognitive Rehabilitation in People with Mild Cognitive Impairment (MCI) and Mild Dementia. Systematic Review

Diaz-Baquero

Dröes

Bartolomé

et al. 2021

JCM

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In recent years, different computer-based cognitive training (CT) programs for people with dementia (PwD) have been developed following a psychosocial approach. Aim: This systematic review aims to identify the methodological designs applied in the development of computer-based training (CCT) programs for the rehabilitation of cognitive functioning in people with mild cognitive impairment (MCI) or mild dementia. Methods: A systematic review was conducted using the databases PubMed and PsycINFO. The search period was between 2000–2019. The study selection and data extraction processes were carried out by two independent reviewers. The protocol was registered in International Prospective Register of Systematic Reviews (PROSPERO) under registration number CRD42020159027. Results: Thirteen studies met the inclusion criteria. The most frequently used methodological design in the development of CCT programs for people with MCI or mild dementia was the user-centered design (UCD). This design involves an interactive system characterized by the inclusion of end users from the initial stages of its development, throughout the establishment of functional requirements, and in the evaluation of the program’s usability and user-experience (UX). Conclusion: UCD was the most used methodological design for the development of CCT programs although there was quite some variation in how this design was applied. Recommendations for future studies about the development of CCT programs for people with MCI and mild dementia are given. Central focus should be the inclusion and active participation of end users from the initial stages of development.

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Section: Discussionmentioning

confidence: 99%

Methodological Designs Applied in the Development of Computer-Based Training Programs for the Cognitive Rehabilitation in People with Mild Cognitive Impairment (MCI) and Mild Dementia. Systematic Review

Diaz-Baquero

Dröes

Bartolomé

et al. 2021

JCM

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“…through virtual reality in neurological populations (Felsberg et al, 2019). Further, a handful of researchers are attempting to modify and improve walking performance through gamification (Eggenberger et al, 2016;Schättin et al, 2016;Adcock et al, 2020). This knowledge and paradigm will be particularly helpful for individuals that suffer from an injury or condition that prevent the use of a specific balance mechanism.…”

Section: Discussionmentioning

confidence: 99%

Flexible Recruitment of Balance Mechanisms to Environmental Constraints During Walking

Fettrow

DiBianca

Santos

et al. 2020

Front. virtual real.

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Background: Humans need to actively control their upright posture during walking to avoid loss of balance. We do not have a comprehensive theory for how humans regulate balance during walking, especially in complex environments. The nervous system must process many aspects of the environment to produce an appropriate motor output in order to maintain balance on two legs. We have previously identified three balance mechanisms that young healthy adults use to maintain balance while walking: (1) The ankle roll mechanism, a modulation of ankle inversion/eversion; (2) The foot placement mechanism, a shift of the swing foot placement; and (3) The push-off mechanism, a modulation of the ankle plantarflexion angle during double stance. We know that these mechanisms are interdependent and can be influenced by internal factors such as the phase of the gait cycle and walking cadence. Here we seek to determine whether there are changes in neural control of balance when walking in the presence of environmental constraints. Methods: Subjects walked on a self-paced treadmill while immersed in a virtual environment that provides three different colored pathways. Subjects were instructed not to step in the No-Step Zone, which appeared either on the right or left side of the subject. While walking, subjects received balance perturbations in the form of galvanic vestibular stimulation, providing the sensation of falling sideways, either toward the No-Step zone or toward the Neutral zone on the other side. Results: The results indicate that the use of the balance mechanisms are altered depending on whether the perceived fall is toward the No-Step or the Neutral zone. Participants increased the use of the lateral ankle and foot placement mechanisms for No-Step stimuli resulting in a larger shift of the center of mass (CoM) compared to the Neutral stimuli. Conclusion: This experiment provides further evidence that the balance control system during walking is extremely flexible, recruiting multiple mechanisms at different times in the gait cycle to adapt to environmental constraints.

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“…Although virtual reality is still in its infancy, many researchers have attempted to modify behavior through virtual reality in neurological populations (Felsberg et al, 2019). Further, a handful of researchers are attempting to modify and improve walking performance through gamification (Eggenberger et al, 2016; Schättin et al, 2016; Adcock et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

The Effect of a Virtual No-Step Zone on Balance Control in Walking

Fettrow

DiBianca²,

Santos³

et al. 2020

Preprint

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10Humans need to actively control their upright posture during walking to avoid loss of balance.We do not have a comprehensive theory for how humans regulate balance during walking, especially in complex environments. Balance must be maintained in a variety of contexts including crowded city side-walks, rocky nature trails, walks on the beach, or fast-paced sporting events.The nervous system must process many aspects of the environment to produce an appropriate motor output in order to maintain balance on two legs. We have previously identified three balance mechanisms that young healthy adults use to maintain balance while walking: 1) The ankle roll mechanism, a modulation of ankle inversion/eversion; 2) The foot placement mechanism, a shift of the swing foot placement; and 3) The push-off mechanism, a modulation of the ankle plantarflexion angle during double stance. We know that these mechanisms are interdependent and can be influenced by internal factors such as the phase of the gait cycle and walking cadence. Here we seek to determine whether there are changes in neural control of balance when walking in the presence of environmental constraints. Subjects walked on a selfpaced treadmill while immersed in a virtual environment that provides three different colored pathways. Subjects were instructed not to step in the No-Step Zone, which appeared either on the right or left side of the subject. While walking, subjects received balance perturbations in the form of galvanic vestibular stimulation, providing the sensation of falling sideways, either toward the No-Step zone or toward the Neutral zone on the other side. The results indicate that the use of the balance mechanisms are subtly altered depending on whether the perceived fall * Corresponding Author: Tyler Fettrow (tfettrow@ufl.edu) is toward the No-Step or the Neutral zone. This experiment provides further evidence that the balance control system during walking is extremely flexible, recruiting multiple mechanisms at different times in the gait cycle to adapt to environmental constraints.

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A usability study of a multicomponent video game-based training for older adults

Cited by 68 publications

References 103 publications

Methodological Designs Applied in the Development of Computer-Based Training Programs for the Cognitive Rehabilitation in People with Mild Cognitive Impairment (MCI) and Mild Dementia. Systematic Review

Methodological Designs Applied in the Development of Computer-Based Training Programs for the Cognitive Rehabilitation in People with Mild Cognitive Impairment (MCI) and Mild Dementia. Systematic Review

Flexible Recruitment of Balance Mechanisms to Environmental Constraints During Walking

The Effect of a Virtual No-Step Zone on Balance Control in Walking

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