A Randomized Controlled Pilot Study of Home-Based Step Training in Older People Using Videogame Technology

被引:195
作者
Schoene, Daniel [1 ,2 ]
Lord, Stephen R. [1 ,2 ]
Delbaere, Kim [1 ,2 ]
Severino, Connie [1 ]
Davies, Thomas A. [1 ]
Smith, Stuart T. [1 ]
机构
[1] Neurosci Res Australia, Falls & Balance Res Grp, Sydney, NSW, Australia
[2] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia
基金
英国医学研究理事会;
关键词
FALLS PREVENTION INTERVENTIONS; POSTURAL SWAY; REACTION-TIME; FUNCTIONAL MOBILITY; BALANCE CONFIDENCE; PREDICTING FALLS; TAI CHI; WII FIT; EXERCISE; ADULTS;
D O I
10.1371/journal.pone.0057734
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Background: Stepping impairments are associated with physical and cognitive decline in older adults and increased fall risk. Exercise interventions can reduce fall risk, but adherence is often low. A new exergame involving step training may provide an enjoyable exercise alternative for preventing falls in older people. Purpose: To assess the feasibility and safety of unsupervised, home-based step pad training and determine the effectiveness of this intervention on stepping performance and associated fall risk in older people. Design: Single-blinded two-arm randomized controlled trial comparing step pad training with control (no-intervention). Setting/Participants: Thirty-seven older adults residing in independent-living units of a retirement village in Sydney, Australia. Intervention: Intervention group (IG) participants were provided with a computerized step pad system connected to their TVs and played a step game as often as they liked (with a recommended dose of 2-3 sessions per week for 15-20 minutes each) for eight weeks. In addition, IG participants were asked to complete a choice stepping reaction time (CSRT) task once each week. Main Outcome Measures: CSRT, the Physiological Profile Assessment (PPA), neuropsychological and functional mobility measures were assessed at baseline and eight week follow-up. Results: Thirty-two participants completed the study (86.5%). IG participants played a median 2.75 sessions/week and no adverse events were reported. Compared to the control group, the IG significantly improved their CSRT (F-31,F-1 = 18.203, p < .001), PPA composite scores (F-31,F-1 = 12.706, p = 0.001), as well as the postural sway (F-31,F-1 = 4.226, p = 0.049) and contrast sensitivity (F-31,F-1 = 4.415, p = 0.044) PPA sub-component scores. In addition, the IG improved significantly in their dual-task ability as assessed by a timed up and go test/verbal fluency task (F-31,F-1 = 4.226, p = 0.049). Conclusions: Step pad training can be safely undertaken at home to improve physical and cognitive parameters of fall risk in older people without major cognitive and physical impairments.
引用
收藏
页数:8
相关论文
共 50 条
[41]   Effect of home-based isometric training on blood pressure in older adults with high normal BP or stage I hypertension: A randomized controlled trial [J].
Pinto, Diogo ;
Dias, Nuno ;
Garcia, Catarina ;
Teixeira, Manuel ;
Marques, Maria J. ;
Amaral, Teresa ;
Amaral, Leonor ;
Abreu, Ricardo ;
Figueiredo, Daniela ;
Polonia, Jorge ;
Mesquita-Bastos, Jose ;
Viana, Joao L. ;
Pescatello, Linda S. ;
Ribeiro, Fernando ;
Alves, Alberto J. .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2025, 73 (02) :574-582
[42]   Unsupervised home-based resistance training for community-dwelling older adults: A systematic review and meta-analysis of randomized controlled trials [J].
Manas, Asier ;
Gomez-Redondo, Paola ;
Valenzuela, Pedro L. ;
Morales, Javier S. ;
Lucia, Alejandro ;
Ara, Ignacio .
AGEING RESEARCH REVIEWS, 2021, 69
[43]   Multicomponent, home-based resistance training for obese adults with type 2 diabetes: a randomized controlled trial [J].
Plotnikoff, R. C. ;
Eves, N. ;
Jung, M. ;
Sigal, R. J. ;
Padwal, R. ;
Karunamuni, N. .
INTERNATIONAL JOURNAL OF OBESITY, 2010, 34 (12) :1733-1741
[44]   A feasibility study of a home-based lifestyle-integrated physical exercise training and home modification for community-living older people (Part 2): the FIT-at-Home fall prevention program [J].
Mueller, Christian ;
Lautenschlaeger, Sindy ;
Doerge, Christine ;
Voigt-Radloff, Sebastian .
DISABILITY AND REHABILITATION, 2021, 43 (10) :1380-1390
[45]   Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial [J].
Bruce-Brand, Robert A. ;
Walls, Raymond J. ;
Ong, Joshua C. ;
Emerson, Barry S. ;
O'Byrne, John M. ;
Moyna, Niall M. .
BMC MUSCULOSKELETAL DISORDERS, 2012, 13
[46]   Effectiveness of a Home-Based Telehealth Exercise Training Program for Patients With Cardiometabolic Multimorbidity A Randomized Controlled Trial [J].
Chiang, Shang-Lin ;
Shen, Chien-Lung ;
Chen, Liang-Cheng ;
Lo, Yi-Pang ;
Lin, Chueh-Ho ;
Lin, Chia-Huei .
JOURNAL OF CARDIOVASCULAR NURSING, 2020, 35 (05) :491-501
[47]   A Kinect and Inertial Sensor-Based System for the Self-Assessment of Fall Risk: A Home-Based Study in Older People [J].
Ejupi, Andreas ;
Gschwind, Yves J. ;
Valenzuela, Trinidad ;
Lord, Stephen R. ;
Delbaere, Kim .
HUMAN-COMPUTER INTERACTION, 2016, 31 (3-4) :261-293
[48]   Is Home-Based, High-Intensity Interval Training Cycling Feasible and Safe for Patients With Knee Osteoarthritis?: Study Protocol for a Randomized Pilot Study [J].
Keogh, Justin W. L. ;
Grigg, Josephine ;
Vertullo, Christopher J. .
ORTHOPAEDIC JOURNAL OF SPORTS MEDICINE, 2017, 5 (03)
[49]   HOME-BASED BALANCE TRAINING PROGRAMME USING WII FIT WITH BALANCE BOARD FOR PARKINSON'S DISEASE: A PILOT STUDY [J].
Esculier, Jean-Francois ;
Vaudrin, Joanie ;
Beriault, Patrick ;
Gagnon, Karine ;
Tremblay, Louis E. .
JOURNAL OF REHABILITATION MEDICINE, 2012, 44 (02) :144-150
[50]   Supervised, but Not Home-Based, Isometric Training Improves Brachial and Central Blood Pressure in Medicated Hypertensive Patients: A Randomized Controlled Trial [J].
Farah, Breno Q. ;
Rodrigues, Sergio L. C. ;
Silva, Gustavo O. ;
Pedrosa, Rodrigo P. ;
Correia, Manilla A. ;
Barros, Mauro V. G. ;
Deminice, Rafael ;
Marinello, Poliana C. ;
Smart, Neil A. ;
Vianna, Lauro C. ;
Ritti-Dias, Raphael M. .
FRONTIERS IN PHYSIOLOGY, 2018, 9