The Effects of Exergaming on Sensory Reweighting and Mediolateral Stability of Women Aged Over 60: Usability Study

Autor: Mariann Sápi, Anna Fehér-Kiss, Krisztina Csernák, Andrea Domján, Sándor Pintér
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JMIR Serious Games, Vol 9, Iss 3, p e27884 (2021)
Druh dokumentu: article
ISSN: 2291-9279
DOI: 10.2196/27884
Popis: BackgroundOlder adults tend to experience difficulties in switching quickly between various reliable sensory inputs, which ultimately may contribute to an increased risk of falls and injuries. Sideward falls are the most frequent cause of hip fractures among older adults. Recently, exergame programs have been confirmed as beneficial tools for enhancing postural control, which can reduce the risk of falls. However, studies to explore more precisely which mechanism of exergaming directly influences older women’s ability to balance are still needed. ObjectiveOur aim was to evaluate, in a single-group pretest/posttest/follow-up usability study, whether Kinect exergame balance training might have a beneficial impact on the sensory reweighting in women aged over 60. MethodsA total of 14 healthy women (mean age 69.57 [SD 4.66] years, mean body mass index 26.21 [SD 2.6] kg/m2) participated in the study. The volunteers trained with the commercially available games of Kinect for Xbox 360 console 3 times (30 minutes/session) a week over a 6-week period (total of 18 visits). Participants’ postural sway in both the anteroposterior (AP) and mediolateral (ML) directions was recorded with NeuroCom Balance Master 6.0. To assess and measure postural sensory reweighting, the Modified Clinical Test of Sensory Interaction in Balance was used, where volunteers were exposed to various changes in visual (eyes open or eyes closed) and surface conditions (firm or foam surface). ResultsIn the ML direction, the Kinect exergame training caused a significant decrease in the sway path on the firm surface with the eyes open (P
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