Virtual reality system based on Kinect for the elderly in fall prevention

Hsieh, Wei-Min; Chen, C. C.; Wang, S. C.; Tan, Sun Yen; Hwang, Yuh‐Shyan; Chen, S. C.; Lai, Jin-Shin; Chen, Y. L.

doi:10.3233/thc-130769

Cited by 20 publications

(31 citation statements)

References 12 publications

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“…There has also been a lack of research in Poland concerning console games. Our study employed the Xbox 360 Kinect, the same tool as was used in the studies of Hsieh et al, 26 Sin et al, 27 and Lee. 28 The literature also contains publications describing the use of the PlayStation 2, 29 – 31 the 3D Virtual Reality Kayak Program, 32 and the VR-based Balance Rehabilitation Unit.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Kamińska

Miller²,

Rotter

et al. 2018

CIA

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BackgroundVirtual reality (VR) training using modern game consoles is an innovative rehabilitation method for fall-prone elderly people. The aim of this study was to assess the effectiveness of VR training using the “Xbox 360 Kinect” in people over 60 years of age.Materials and methodsThe study involved 23 people, including 19 women and 4 men (mean age 75.74±8.09 years). The following functional tests were employed as research instruments: the 6-minute walking test (6MWT), the Dynamic Gait Index (DGI), the tandem stance test (TST), the tandem walk test (TWT), and the Beck Depression Inventory (BDI). A “spring hand dynamometer” was also used. The participants underwent 30-day VR training using an Xbox 360 Kinect. They trained 3 times a week, with each exercise lasting 30 minutes.ResultsThe 6MWT (P<0.001), the DGI (P=0.008), the TST (P<0.001), the TWT (P=0.002), and the BDI (P<0.001) outcomes were significantly improved. There were differences in the results for the strength of the “pressing muscles” in the right (P=0.106) and left (P=0.043) hands of the participants. Both participants under 80 years of age and those aged 80 years and over had visibly better results on the 6MWT (P<0.001 and P=0.008, respectively), the TST (P<0.001 and P=0.008, respectively), and the BDI (P=0.003 and P=0.012, respectively).ConclusionTraining based on VR increases the possibilities of motor training and can help reduce the risk of falls by improving the static and dynamic balance.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Kamińska

Miller²,

Rotter

et al. 2018

CIA

View full text Add to dashboard Cite

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“…Microsoft® Xbox games (Washington, USA) use Kinect sensors and require motor control because the player only succeeds in the game if the movements are performed appropriately. The use of Kinect games works to improve balance in older adults, even when the games were played with emphasis only on upper limb movements [20]. The Nintendo® Wii (Kyoto, Japan) is the most commonly used exergame platform for balance training in older adults because it includes the Wii Balance Board [21,22].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis

et al. 2020

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Background: Exergaming is a fun, engaging, and interactive form of exercising that may help overcome some of the traditional exercise barriers and help improve adherence on the part of older adults, providing therapeutic applications for balance recovery and functional mobility. The purpose of this systematic review is to summarize the effects of exergames on mobility and balance in older adults. Methods: The PRISMA guidelines for systematic reviews were followed. The following databases were searched from inception to August 2019: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PEDro, CINAHL, and INSPEC. We selected randomized controlled trials that assessed the effects of exergames on balance or mobility of older adults without neurological conditions, in comparison to no intervention or health education. Two review authors independently screened the trials' titles and abstracts and identified trials for inclusion according to the eligibility criteria. An almost perfect agreement between the authors was observed with respect to interrater reliability of trial selection (kappa = 0.84; P < 0.001). We performed descriptive analysis of the quantitative data to summarize the evidence. Meta-analysis was carried out using RevMan. A random effects model was used to compute the pooled prevalence with 95% confidence intervals. Results: After screening 822 records, 12 trials comparing exergames with no intervention were included. A total of 1520 older adults participated in the studies, with a mean age of 76 ± 6 years for the experimental group and 76 ± 5 years for the control group. Quantitative synthesis showed significant improvements in balance and mobility based on the center of pressure sway (SMD = − 0.89; 95%CI = − 1.26 to − 0.51; P = 0.0001; I 2 = 58%), Berg Balance Scale (MD = 2.15; 95%CI = 1.77 to 2.56; P = 0.0001; I 2 = 96%), and on Timed Up and Go test (MD = − 2.48; 95%CI = − 3.83 to − 1.12; P = 0.0003; I 2 = 0). Conclusions: Exergames improved balance and mobility in older adults without neurological disorders and motivate patients to keep performing balance exercises. High quality studies with standardized assessment protocols are necessary to improve the strength of the evidence.

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“…Previous examinations have proved the beneficial effects of using Xbox Kinect on improving the balance ability of older adults. [ 35 – 38 ]…”

Section: Introductionmentioning

confidence: 99%

Effects of Kinect exergames on balance training among community older adults

et al. 2020

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Background: Recent years have witnessed wide applications of exergames to balance training among the older adults. However, research concerning balance training with the use of Kinect for Xbox has remained scarce. While previous studies have shown the positive effects of exergames on improving balance and preventing falling among the older adults, there has been a paucity of empirical evidence supporting the superiority of Kinect exercise to conventional exercise over balance training among the older adults. Therefore, this study aimed to compare the feasibility, safety, and effectiveness of Kinect exercise against conventional exercise over balance training among the community older adults. Method: A total of 20 participants were randomly assigned to the Kinect Exercise Group ( N = 10) or the Conventional Exercise Group ( N = 10) for a 5-week balance training (45 minutes a time, 2 times a week). Assessor blinding was employed to assess the participants’ performance before and after the treatment, including 30-Second Chair Stand Test (30-sec CST), Timed Up and Go (TUG), Functional Reach Test (FRT), and One-Leg Stance Test (OLST) respectively with eyes open and closed. Subjective feeling of the intensity of pain and side effects were recorded throughout the investigation period. Nonparametric statistics was used for data analysis. Results: Within-group comparison between the pre-test and post-test indicated that significant differences existed in all of the 5 tests (30-sec CST, TUG, FRT, OLST with eyes open, and OLST with eyes closed) in the Kinect exercise group. To the Conventional exercise group, however, significant differences were only observed in 30-sec CST, FRT and OLST with eyes open. With regard to between-group comparison, significant differences were only found in FRT. Conclusion: Such results indicated that both treatments were helpful in improving the participants’ balance performance, that Kinect exercise was more effective in terms of overall balance ability, and that Kinect exercise was particularly beneficial to functional reach enhancement in comparison with traditional exercise. Kinect exercise could be a feasible, safe, and effective alternative for dynamic balance training among older adults.

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Virtual reality system based on Kinect for the elderly in fall prevention

Cited by 20 publications

References 12 publications

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

The effectiveness of virtual reality training in reducing the risk of falls among elderly people

Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis

Effects of Kinect exergames on balance training among community older adults

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