Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial

Mirelman, Anat; Rochester, Lynn; Maidan, Inbal; Din, Silvia Del; Alcock, Lisa; Nieuwhof, Freek; Rikkert, Marcel G M Olde; Bloem, Bastiaan R.; Pelosin, Elisa; Avanzino, Laura; Abbruzzese, Giovanni; Dockx, Kimberly; Bekkers, Esther; Giladi, Nir; Nieuwboer, Alice; Hausdorff, Jeffrey M.

doi:10.1016/s0140-6736(16)31325-3

Cited by 346 publications

(407 citation statements)

References 43 publications

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“…Lastly, adding cognitive elements to exercise has been shown to lead to both motor-and cognitive improvements in PwP [66,67]. One recent example in this field was the V-time study, which showed that an intervention combining treadmill training with non- immersive virtual reality reduced the risk of falls by nearly 60% more than treadmill training alone [68]. Cognitive elements can be added to exercise by, for example, gaming elements (the result is termed 'exergaming').…”

Section: Exercisementioning

confidence: 99%

Physical therapy and occupational therapy in Parkinson's disease

Radder

Sturkenboom

Nimwegen

et al. 2017

International Journal of Neuroscience

125

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Current medical management is only partially effective in controlling the symptoms of Parkinson's disease. As part of comprehensive multidisciplinary care, physical therapy and occupational therapy aim to support people with Parkinson's disease in dealing with the consequences of their disease in daily activities. In this narrative review, we address the limitations that people with Parkinson's disease may encounter despite optimal medical management, and we clarify both the unique and shared approaches that physical therapists and occupational therapists can apply in treating these limitations.

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Section: Exercisementioning

confidence: 99%

Physical therapy and occupational therapy in Parkinson's disease

Radder

Sturkenboom

Nimwegen

et al. 2017

International Journal of Neuroscience

125

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“…Mirelman, Rochester, and Maidan [11] suggest that, while virtual reality devices used to be more commonly associated with video games, such technology can also be used to reduce the risks of falls in older adults. The virtual reality system in their study simulated the conditions and hazards that lead to older adults' falling, such that the study's participants could practice how to better avoid such hazards and receive feedback on their performance.…”

Section: Health Promotionmentioning

confidence: 99%

“…While this study shows promise for the use of VR with individuals with dementia, it also suggests that in designing VR programs for this population, attention needs to be paid to how the interface can be as engaging as possible while not being confusing, and to taking steps to reduce fear and anxiety that may accompany this experience. More broadly, the success of the inclusion of VR in a diverse group of older adults in [11], which included individuals with Parkinson's and mild cognitive impairment, does demonstrate that it is possible to design programs of this sort that are suitable for a very heterogeneous group of participants.…”

Section: Health Promotionmentioning

confidence: 99%

Supporting Optimal Aging through the Innovative Use of Virtual Reality Technology

Hughes

Warren-Norton

Spadafora

et al. 2017

MTI

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Although virtual reality (VR) technology has been implemented as a tool to address the health issues of older adults, its applicability to social connectedness is underrepresented in the literature, and less is known about its efficacy in this area in contributing to overall wellness and well-being in later life. Expanding the VR possibilities beyond traditional entertainment purposes holds considerable potential for the older adult market. Technological tools have been employed in the elder health care field for many years, and cutting-edge developments such as virtual and augmented reality have begun to be used to facilitate optimal wellness in aging. Such technological advances have the potential to significantly impact one of the most important issues that older people face: social isolation and loneliness. This paper will serve as an introductory exploration of what is currently known about the use of virtual reality technology with an older cohort.

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“…Eligible participants were randomly assigned to an intervention group (TT+VR), or a control group (TT). A detailed description of the intervention and its findings are provided in the V-TIME protocol paper [11] and the RCT publication [10] .…”

Section: Methodsmentioning

confidence: 99%

“…Recently, we demonstrated the effectiveness of treadmill training with VR (TT+VR) and without VR (TT) on reducing fall rates in older adults [10] . In a subanalysis of this large randomized trial, we aimed to investigate the attitudes of healthy fall-prone older people, those with MCI, and PD towards these 2 training modes and whether experience would change initial attitudes.…”

mentioning

confidence: 99%

Fall-Prone Older People's Attitudes towards the Use of Virtual Reality Technology for Fall Prevention

Dockx

Alcock²,

Bekkers³

et al. 2017

Gerontology

Self Cite

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Background: Virtual reality (VR) technology is a relatively new rehabilitation tool that can deliver a combination of cognitive and motor training for fall prevention. The attitudes of older people to such training are currently unclear. Objective: This study aimed to investigate: (1) the attitudes of fall-prone older people towards fall prevention exercise with and without VR; (2) attitudinal changes after intervention with and without VR; and (3) user satisfaction following fall prevention exercise with and without VR. Methods: A total of 281 fall-prone older people were randomly assigned to an experimental group receiving treadmill training augmented by VR (TT+VR, n = 144) or a control group receiving treadmill training alone (TT, n = 137). Two questionnaires were used to measure (1) attitudes towards fall prevention exercise with and without VR (AQ); and (2) user satisfaction (USQ). AQ was evaluated at baseline and after intervention. USQ was measured after intervention only. Results: The AQ revealed that most participants had positive attitudes towards fall prevention exercise at baseline (82.2%) and after intervention (80.6%; p = 0.144). In contrast, only 53.6% were enthusiastic about fall prevention exercise with VR at baseline. These attitudes positively changed after intervention (83.1%; p < 0.001), and 99.2% indicated that they enjoyed TT+VR. Correlation analyses showed that postintervention attitudes were strongly related to user satisfaction (USQ: r = 0.503; p < 0.001). Conclusions: Older people's attitudes towards fall prevention exercise with VR were positively influenced by their experience. From the perspective of the user, VR is an attractive training mode, and thus improving service provision for older people is important.

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Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial

Abstract: European Commission.

Cited by 346 publications

References 43 publications

Physical therapy and occupational therapy in Parkinson's disease

Physical therapy and occupational therapy in Parkinson's disease

Supporting Optimal Aging through the Innovative Use of Virtual Reality Technology

Fall-Prone Older People's Attitudes towards the Use of Virtual Reality Technology for Fall Prevention

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