Exergaming for balance training of elderly: state of the art and future developments
Open Access
- 1 January 2013
- journal article
- review article
- Published by Springer Science and Business Media LLC in Journal of NeuroEngineering and Rehabilitation
- Vol. 10 (1), 101
- https://doi.org/10.1186/1743-0003-10-101
Abstract
Fall injuries are responsible for physical dysfunction, significant disability, and loss of independence among elderly. Poor postural control is one of the major risk factors for falling but can be trained in fall prevention programs. These however suffer from low therapy adherence, particularly if prevention is the goal. To provide a fun and motivating training environment for elderly, exercise games, or exergames, have been studied as balance training tools in the past years. The present paper reviews the effects of exergame training programs on postural control of elderly reported so far. Additionally we aim to provide an in-depth discussion of technologies and outcome measures utilized in exergame studies. Thirteen papers were included in the analysis. Most of the reviewed studies reported positive results with respect to improvements in balance ability after a training period, yet few reached significant levels. Outcome measures for quantification of postural control are under continuous dispute and no gold standard is present. Clinical measures used in the studies reviewed are well validated yet only give a global indication of balance ability. Instrumented measures were unable to detect small changes in balance ability as they are mainly based on calculating summary statistics, thereby ignoring the time-varying structure of the signals. Both methods only allow for measuring balance after the exergame intervention program. Current developments in sensor technology allow for accurate registration of movements and rapid analysis of signals. We propose to quantify the time-varying structure of postural control during gameplay using low-cost sensor systems. Continuous monitoring of balance ability leaves the user unaware of the measurements and allows for generating user-specific exergame training programs and feedback, both during one game and in timeframes of weeks or months. This approach is unique and unlocks the as of yet untapped potential of exergames as balance training tools for community dwelling elderly.Keywords
This publication has 86 references indexed in Scilit:
- Interventions for preventing falls in older people living in the communityCochrane Database of Systematic Reviews, 2012
- Mechanisms underlying center of pressure displacements in obese subjects during quiet stanceJournal of NeuroEngineering and Rehabilitation, 2011
- Assessing and training standing balance in older adults: A novel approach using the ‘Nintendo Wii’ Balance BoardGait & Posture, 2011
- Gait stability and variability measures show effects of impaired cognition and dual tasking in frail peopleJournal of NeuroEngineering and Rehabilitation, 2011
- Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injuryJournal of NeuroEngineering and Rehabilitation, 2011
- Effectiveness of Virtual Reality Using Wii Gaming Technology in Stroke RehabilitationStroke, 2010
- A novel Dance Dance Revolution (DDR) system for in-home training of stepping ability: basic parameters of system use by older adultsBritish Journal of Sports Medicine, 2009
- Frailty and the Degradation of Complex Balance Dynamics During a Dual-Task ProtocolThe Journals of Gerontology: Series A, 2009
- Effective Exercise for the Prevention of Falls: A Systematic Review and Meta‐AnalysisJournal of the American Geriatrics Society, 2008
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992