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Exergaming as a Viable Therapeutic Tool to Improve Static and Dynamic Balance among Older Adults and People with Idiopathic Parkinson's Disease: A Systematic Review and Meta-Analysis.

Harris DM, Rantalainen T, Muthalib M, Johnson L, Teo WP - Front Aging Neurosci (2015)

Bottom Line: Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups.The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults.Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599).

View Article: PubMed Central - PubMed

Affiliation: Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University , Burwood, VIC , Australia.

ABSTRACT
The use of virtual reality games (known as "exergaming") as a neurorehabilitation tool is gaining interest. Therefore, we aim to collate evidence for the effects of exergaming on the balance and postural control of older adults and people with idiopathic Parkinson's disease (IPD). Six electronic databases were searched, from inception to April 2015, to identify relevant studies. Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups. I (2) statistics were used to determine levels of heterogeneity. 325 older adults and 56 people with IPD who were assessed across 11 -studies. The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults. Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599). Our findings suggest that exergaming might be an appropriate therapeutic tool for improving balance and postural control in older adults, but more -large-scale trials are needed to determine if the same is true for people with IPD.

No MeSH data available.


Related in: MedlinePlus

Dynamic balance: timed up and go test score for older adults.
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Figure 3: Dynamic balance: timed up and go test score for older adults.

Mentions: Our initial search yielded 303 articles. Following screening of the title and abstract, and removal of duplicates, 11 studies were included in our meta-analysis, and are summarized in Tables 1 and 2. Five studies reported a measurement of static balance (BBS) (Bateni, 2012; Franco et al., 2012; Pompeu et al., 2012; Bieryla and Dold, 2013; Lai et al., 2013) (Figure 2), and five studies reported a measurement of dynamic balance (TUG) (Rendon et al., 2012; Bieryla and Dold, 2013; Lai et al., 2013; Singh et al., 2013; Park et al., 2015) (Figure 3). Seven studies reported a measurement of PC (Yen et al., 2011; Bateni, 2012; Toulotte et al., 2012; Kim et al., 2013; Lai et al., 2013; Singh et al., 2013; Park et al., 2015) (Table 3).


Exergaming as a Viable Therapeutic Tool to Improve Static and Dynamic Balance among Older Adults and People with Idiopathic Parkinson's Disease: A Systematic Review and Meta-Analysis.

Harris DM, Rantalainen T, Muthalib M, Johnson L, Teo WP - Front Aging Neurosci (2015)

Dynamic balance: timed up and go test score for older adults.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4561514&req=5

Figure 3: Dynamic balance: timed up and go test score for older adults.
Mentions: Our initial search yielded 303 articles. Following screening of the title and abstract, and removal of duplicates, 11 studies were included in our meta-analysis, and are summarized in Tables 1 and 2. Five studies reported a measurement of static balance (BBS) (Bateni, 2012; Franco et al., 2012; Pompeu et al., 2012; Bieryla and Dold, 2013; Lai et al., 2013) (Figure 2), and five studies reported a measurement of dynamic balance (TUG) (Rendon et al., 2012; Bieryla and Dold, 2013; Lai et al., 2013; Singh et al., 2013; Park et al., 2015) (Figure 3). Seven studies reported a measurement of PC (Yen et al., 2011; Bateni, 2012; Toulotte et al., 2012; Kim et al., 2013; Lai et al., 2013; Singh et al., 2013; Park et al., 2015) (Table 3).

Bottom Line: Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups.The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults.Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599).

View Article: PubMed Central - PubMed

Affiliation: Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University , Burwood, VIC , Australia.

ABSTRACT
The use of virtual reality games (known as "exergaming") as a neurorehabilitation tool is gaining interest. Therefore, we aim to collate evidence for the effects of exergaming on the balance and postural control of older adults and people with idiopathic Parkinson's disease (IPD). Six electronic databases were searched, from inception to April 2015, to identify relevant studies. Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups. I (2) statistics were used to determine levels of heterogeneity. 325 older adults and 56 people with IPD who were assessed across 11 -studies. The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults. Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599). Our findings suggest that exergaming might be an appropriate therapeutic tool for improving balance and postural control in older adults, but more -large-scale trials are needed to determine if the same is true for people with IPD.

No MeSH data available.


Related in: MedlinePlus