Machines that go ”ping” may improve balance but may not improve mobility or reduce risk of falls: A systematic review

Dennett, Amy M; Taylor, Nicholas F.

doi:10.2340/16501977-1899

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…These games use either standard or customised physical apparatus attached to a games console or computer the most common of which used is the Nintendo Wii. One study found that such games are not more effective than traditional exercise programmes [19] they have been found to be equally effective and have the advantage of delivering entertainment as an additional intentional motivation [20]. It is important to ascertain whether serious games have a role to play in promoting falls safety.…”

Section: Introductionmentioning

confidence: 99%

Falls Sensei: a serious 3D exploration game to enable the detection of extrinsic home fall hazards for older adults

Money

Atwal

Boyce

et al. 2019

BMC Med Inform Decis Mak

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Background: Falls are the main cause of death and injury for older adults in the UK. Many of these falls occur within the home as a result of extrinsic falls risk factors such as poor lighting, loose/uneven flooring, and clutter. Falls education plays an important role in self-management education about extrinsic hazards and is typically delivered via information leaflets, falls apps, and educational booklets. Serious games have the potential of delivering an engaging and informative alternative to traditional methods but almost exclusively, these are currently delivered as exergaming applications that focus solely on intrinsic falls risk factors. This study presents 'Falls Sensei' a first-person 3D exploration game that aims to educate older adults about extrinsic falls risk factors within the home environment. After presenting Falls Sensei, game usability and older adults' perceptions and attitudes towards using the game in practice are explored. Methods: This study involved 15 community dwelling older adults. After playing the Falls Sensei game, participants completed a Systems Usability Scale (SUS) questionnaire and post task interview, and follow-up interviews three weeks later. Inductive and deductive thematic template analysis, informed by the Unified Theory of Acceptance and Use of Technology model, was used to analyse the think-aloud, post-task and follow-up interview transcripts. Descriptive statistical analysis and one-sampled t-tests were used to analyse log-file data and SUS responses. Results: Three high-level themes emerged from the analysis of transcriptions: Performance Expectancy; Effort Expectancy; Social Influence. The SUS score was 77.5/100 which indicates 'Good' levels of usability. Interestingly, reported usability of the game increased with participant age. Participants were positive about the usability of the game (p < = 0.05 for 9/10 items). The most memorable fall hazards were those most commonly encountered in the game or those most challenging to participants. Conclusions: The results support the use of serious games as an engaging tool for educating older adults about extrinsic falls risk factors. Awareness of home hazard detection was raised by the game, and some older adults became more aware for the need to adapt their own homes after gameplay. Further research would be needed to draw comparisons with established interventions.

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Section: Introductionmentioning

confidence: 99%

Falls Sensei: a serious 3D exploration game to enable the detection of extrinsic home fall hazards for older adults

Money

Atwal

Boyce

et al. 2019

BMC Med Inform Decis Mak

View full text Add to dashboard Cite

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“…In the pediatric field, De Kloet and colleagues reported that children with acquired brain injury had cognitive and motor benefits following a 12-week tailored rehabilitation program with the Nintendo Wii [ 7 ]. The rationale behind the increased application of digital therapies is to improve patients’ motivation influencing their affective response and engagement [ 8 , 9 ]. Additionally, since subjects can perceive therapeutic exercises as monotonous, an interactive approach has been demonstrated to improve the compliance of patients [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…The rationale behind the increased application of digital therapies is to improve patients’ motivation influencing their affective response and engagement [ 8 , 9 ]. Additionally, since subjects can perceive therapeutic exercises as monotonous, an interactive approach has been demonstrated to improve the compliance of patients [ 9 ]. Moreover, after completing the rehabilitation, virtual reality or gaming interventions showed improved treatment adherence, engagement [ 10 ], and quality of life over conventional treatment of upper limb functions in patients with stroke [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and therapeutic compliance of digital therapy in shoulder rehabilitation: a randomized controlled trial

Rizzato,

Pizzichemi,

Gobbi

et al. 2023

J NeuroEngineering Rehabil

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Background Interactive videogames, virtual reality, and robotics represent a new opportunity for multimodal treatments in many rehabilitation contexts. However, several commercial videogames are designed for leisure and are not oriented toward definite rehabilitation goals. Among the many, Playball® (Playwork, Alon 10, Ness Ziona, Israel) is a therapeutic ball that measures both movement and pressure applied on it while performing rehabilitation games. This study aimed: (i) to evaluate whether the use of this novel digital therapy gaming system was clinically effective during shoulder rehabilitation; (ii) to understand whether this gaming rehabilitation program was effective in improving patients’ engagement (perceived enjoyment and self-efficacy during therapy; attitude and intention to train at home) in comparison to a control non-gaming rehabilitation program. Methods A randomized controlled experimental design was outlined. Twenty-two adults with shoulder pathologies were recruited for a rehabilitation program of ten consecutive sessions. A control (CTRL; N = 11; age: 62.0 ± 10.9 yrs) and an intervention group (PG; N = 11; age: 59.9 ± 10.2 yrs) followed a non-digital and a digital therapy, respectively. The day before (T0) and after (T1) the rehabilitation program, pain, strength, and mobility assessments were performed, together with six questionnaires: PENN shoulder Score, PACES-short, Self-efficacy, Attitudes to train at home, Intention to train at home, and System usability scale (SUS). Results MANOVA analysis showed significant improvements in pain (p < 0.01), strength (p < 0.05), and PENN Shoulder Score (p < 0.001) in both groups. Similarly, patients’ engagement improved, with significant increments in Self-efficacy (p < 0.05) and attitude (p < 0.05) scores in both groups after the rehabilitation. Pearson correlation showed significant correlations of the Δ scores (T1 - T0) between PACES and Self-efficacy (r = 0.623; p = 0.041) and between PACES and Intention to train at home (r = 0.674; p = 0.023) only in the PG. SUS score after the rehabilitation (74.54 ± 15.60) overcame the cut-off value of 68, representative of good usability of a device. Conclusions The investigated digital therapy resulted as effective as an equivalent non-digital therapy in shoulder rehabilitation. The reported positive relationship between the subject’s enjoyment during digital therapy and intention to train at home suggests promising results in possible patient’s exercise engagement at home after the rehabilitation in the medical center. Retrospectively registered NCT 05230056.

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Intervention Characteristics Associated With a Reduction in Fear of Falling Among Community-Dwelling Older People: A Systematic Review and Meta-analysis of Randomized Controlled Trials

et al. 2020

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Background and Objectives Fear of falling (FoF) is associated with decreased physical functioning and an increased fall risk. Interventions generally demonstrate moderate effects and optimized interventions are needed. Intervention characteristics, such as setting or delivery method may vary. We investigated which overarching intervention characteristics are associated with a reduction in FoF in community-dwelling older people. Research Design and Methods A systematic review and meta-analysis of randomized controlled trials (RCTs) in community-dwelling older people without specific diseases was performed. Associations between intervention characteristics and standardized mean differences (SMD) were determined by univariate meta-regression. Sensitivity analyses were performed. Results Data on 62 RCTs were extracted, 50 intervention groups were included in the meta-analysis. Most intervention characteristics and intervention types were not associated with the intervention effect. Supervision by a tai chi instructor (SMD: −1.047, 95% confidence interval [CI]: −1.598; −0.496) and delivery in a community setting (SMD: −0.528, 95% CI: −0.894; −0.161) were—compared to interventions without these characteristics—associated with a greater reduction in FoF. Holistic exercise, such as Pilates or yoga (SMD: −0.823, 95% CI: −1.255; −0.392), was also associated with a greater reduction in FoF. Delivery at home (SMD: 0.384, 95% CI: 0.002; 0.766) or with written materials (SMD: 0.452, 95% CI: 0.088; 0.815) and tailoring were less effective in reducing FoF (SMD: 0.687, 95% CI: 0.364; 1.011). Discussion and Implications Holistic exercise, delivery with written materials, the setting and tailoring potentially represent characteristics to take into account when designing and improving interventions for FoF in community-dwelling older people. PROSPERO international prospective register of systematic reviews, registration ID CRD42018080483.

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Machines that go ”ping” may improve balance but may not improve mobility or reduce risk of falls: A systematic review

Cited by 4 publications

References 39 publications

Falls Sensei: a serious 3D exploration game to enable the detection of extrinsic home fall hazards for older adults

Falls Sensei: a serious 3D exploration game to enable the detection of extrinsic home fall hazards for older adults

Effectiveness and therapeutic compliance of digital therapy in shoulder rehabilitation: a randomized controlled trial

Intervention Characteristics Associated With a Reduction in Fear of Falling Among Community-Dwelling Older People: A Systematic Review and Meta-analysis of Randomized Controlled Trials

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