- Volume 11 Issue 1
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Effect of virtual reality training using 3-dimensional video gaming technology on spatiotemporal gait parameters in older adults
삼차원 가상현실 운동 프로그램이 노인의 시공간적 보행변수에 미치는 효과
- Received : 2015.11.27
- Accepted : 2015.12.15
- Published : 2016.02.29
PURPOSE: This study was conducted to investigate the effect of the virtual reality training (VRT) using 3-dimensional video gaming technology on spatiotemporal gait parameters in older adults. METHODS: The study participants were divided into two groups: the VRT group and the control group. Those in the VRT group were enrolled in a VRT, which was conducted for 60 min per day, two times a week, during the 6-week research. The Wii-Fit balance board game was used for the VRT intervention. The VRT consisted of 6 different types of games, namely, jogging, swordplay, ski jump, hula hoop, tennis, and step dance. A 3-dimensional TV was used for 3-dimensional display. Participants in both the groups received 3 sessions of fall prevention education, at the first, third, and fifth weeks. Their gait parameters were measured by using OptoGait. RESULTS: After 6 weeks of the VRT, the spatial gait parameters of the participants, that is stride length and step length, were significantly improved compared with those of the control group participants (p<0.05). The temporal gait parameters, such as velocity, cadence, stride time, and step time, also showed improvement after the completion of the VRT training (p<0.05). Both the temporal and spatial gait parameters of the VRT group participants showed improvement after 6 weeks of the program compared with those of the control group participants (p<0.05). CONCLUSION: The VRT using 3-dimensional video gaming technology might be beneficial for improving gait parameters to prevent falls among older adults.
Aged;Virtual Reality Exposure Therapy;Gait
- Alexander NB. Gait disorders in older adults. J Am Geriatr Soc. 1996;44(4):434-51. https://doi.org/10.1111/j.1532-5415.1996.tb06417.x
- Auvinet B, Berrut G, Touzard C et al. Reference data for normal subjects obtained with an accelerometric device. Gait Posture. 2002;16(2):124-34. https://doi.org/10.1016/S0966-6362(01)00203-X
- Axer H, Axer M, Sauer H et al. Falls and gait disorders in geriatric neurology. Clin Neurol Neurosurg. 2010;112(4):265-74. https://doi.org/10.1016/j.clineuro.2009.12.015
- Betker AL, Szturm TMoussavi Z. Development of an interactive motivating tool for rehabilitation movements. Conf Proc IEEE Eng Med Biol Soc. 2005;3:2341-4.
- Bridenbaugh SAKressig RW. Laboratory review: the role of gait analysis in seniors' mobility and fall prevention. Gerontology. 2011;57(3):256-64. https://doi.org/10.1159/000322194
- Callisaya ML, Blizzard L, McGinley JL et al. Risk of falls in older people during fast-walking--the TASCOG study. Gait Posture. 2012;36(3):510-5. https://doi.org/10.1016/j.gaitpost.2012.05.003
- Campbell AJ, Borrie MJSpears GF. Risk factors for falls in a community-based prospective study of people 70 years and older. J Gerontol. 1989;44(4):M112-7. https://doi.org/10.1093/geronj/44.5.M112
- Cesari M, Kritchevsky SB, Penninx BW et al. Prognostic value of usual gait speed in well-functioning older people--results from the Health, Aging and Body Composition Study. J Am Geriatr Soc. 2005;53(10):1675-80. https://doi.org/10.1111/j.1532-5415.2005.53501.x
- Cho GShin H. The effect of virtual reality training on lower extremity muscle activation in elderly. J Korean Soc Phys Med. 2014;9(1):55-62. https://doi.org/10.13066/kspm.2014.9.1.55
- Cho Y-H. Analysis of Gait Velocity, Lower Muscles Activity on Obstacle and Dual Task Gait in Elderly Women. Korean Society of Physical Medicine. 2011;6(4):465-73.
- Choi S-H, Lim J-H, Cho H-Y et al. The effects of trunk stabilization exercise using swiss ball and core stabilization exercise on balance and gait in elderly women. Journal of the Korean Society of Physical Medicine. 2012;7(1):49-58. https://doi.org/10.13066/kspm.2012.7.1.049
- Gachet Paez D, Aparicio F, de Buenaga M et al. Personalized health care system with virtual reality rehabilitation and appropriate information for seniors. Sensors (Basel). 2012;12(5):5502-16. https://doi.org/10.3390/s120505502
- Gehlsen GMWhaley MH. Falls in the elderly: Part II, Balance, strength, and flexibility. Arch Phys Med Rehabil. 1990;71(10):739-41.
- Gillespie LD, Robertson MC, Gillespie WJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012;9:CD007146.
- Hausdorff JM, Rios DAEdelberg HK. Gait variability and fall risk in community-living older adults: a 1-year prospective study. Arch Phys Med Rehabil. 2001;82(8):1050-6. https://doi.org/10.1053/apmr.2001.24893
- Henderson GC, Irving BANair KS. Potential application of essential amino Acid supplementation to treat sarcopenia in elderly people. J Clin Endocrinol Metab. 2009;94(5):1524-6. https://doi.org/10.1210/jc.2009-0458
- Holt KG, Jeng SF, Ratcliffe R et al. Energetic cost and stability during human walking at the preferred stride frequency. Journal of motor behavior. 1995;27(2):164-78. https://doi.org/10.1080/00222895.1995.9941708
- Kannus P, Sievanen H, Palvanen M et al. Prevention of falls and consequent injuries in elderly people. Lancet. 2005;366(9500):1885-93. https://doi.org/10.1016/S0140-6736(05)67604-0
- Kim J-hPark S-j. Effect of Balance Ability and Walking in the Elderly by Taekwon-do Program. Korean Society of Physical Medicine. 2012;7(3):379-85. https://doi.org/10.13066/kspm.2012.7.3.379
- Kim M-C, Ahn C-SKim Y-S. The Effect of Exercise Program for Falls Prevention on Balance and Quality of Life in the Elderly Women. Journal of the Korean Society of Physical Medicine. 2010;5(2):245-54.
- Kuem H. 3D Effect: Presence, Identification and Enjoyment of The Movie 'Avatar'. Korean Journal of Journalism & Communication. 2010;54(4):27-48.
- Lamoth CJ, Alingh RCaljouw SR. Exergaming for elderly: effects of different types of game feedback on performance of a balance task. Stud Health Technol Inform. 2012;181:103-7.
- Lamoth CJ, Caljouw SRPostema K. Active video gaming to improve balance in the elderly. Stud Health Technol Inform. 2011;167:159-64.
- Latham NK, Anderson CS, Lee A et al. A randomized, controlled trial of quadriceps resistance exercise and vitamin D in frail older people: the Frailty Interventions Trial in Elderly Subjects (FITNESS). J Am Geriatr Soc. 2003;51(3):291-9. https://doi.org/10.1046/j.1532-5415.2003.51101.x
- Laver K, Ratcliffe J, George S et al. Is the Nintendo Wii Fit really acceptable to older people? A discrete choice experiment. BMC Geriatr. 2011;11:64. https://doi.org/10.1186/1471-2318-11-64
- Lienhard K, Schneider DMaffiuletti NA. Validity of the Optogait photoelectric system for the assessment of spatiotemporal gait parameters. Med Eng Phys. 2013;35(4):500-4. https://doi.org/10.1016/j.medengphy.2012.06.015
- MacAulay RK, Allaire TD, Brouillette RM et al. Longitudinal assessment of neuropsychological and temporal/spatial gait characteristics of elderly fallers: taking it all in stride. Front Aging Neurosci. 2015;7:34.
- Mackenzie L, Byles JD'Este C. Validation of self-reported fall events in intervention studies. Clin Rehabil. 2006;20(4):331-9. https://doi.org/10.1191/0269215506cr947oa
- Madureira MM, Takayama L, Gallinaro AL et al. Balance training program is highly effective in improving functional status and reducing the risk of falls in elderly women with osteoporosis: a randomized controlled trial. Osteoporos Int. 2007;18(4):419-25. https://doi.org/10.1007/s00198-006-0252-5
- Maki BE. Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc. 1997;45(3):313-20. https://doi.org/10.1111/j.1532-5415.1997.tb00946.x
- Martin-Moreno J, Ruiz-Fernandez D, Soriano-Paya A et al. Monitoring 3D movements for the rehabilitation of joints in physiotherapy. Conf Proc IEEE Eng Med Biol Soc. 2008;2008:4836-9.
- McCallum J. Ageing research directions for Australia. Australas J Ageing. 2011;30 Suppl 2:1-3.
- McGibbon CA, Krebs DEPuniello MS. Mechanical energy analysis identifies compensatory strategies in disabled elders' gait. J Biomech. 2001;34(4):481-90. https://doi.org/10.1016/S0021-9290(00)00220-7
- Muhlberg WSieber C. Sarcopenia and frailty in geriatric patients: implications for training and prevention. Z Gerontol Geriatr. 2004;37(1):2-8. https://doi.org/10.1007/s00391-004-0203-8
- Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age Ageing. 2006;35 Suppl 2:ii37-ii41. https://doi.org/10.1093/ageing/afl084
- Rubenstein LZ, Robbins AS, Schulman BL et al. Falls and instability in the elderly. J Am Geriatr Soc. 1988;36(3):266-78. https://doi.org/10.1111/j.1532-5415.1988.tb01811.x
- Sartini M, Cristina ML, Spagnolo AM et al. The epidemiology of domestic injurious falls in a community dwelling elderly population: an outgrowing economic burden. Eur J Public Health. 2010;20(5):604-6. https://doi.org/10.1093/eurpub/ckp165
- Sherrington C, Whitney JC, Lord SR et al. Effective exercise for the prevention of falls: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56(12):2234-43. https://doi.org/10.1111/j.1532-5415.2008.02014.x
- Thaler-Kall K, Peters A, Thorand B et al. Description of spatio-temporal gait parameters in elderly people and their association with history of falls: results of the population-based cross-sectional KORA-Age study. BMC Geriatr. 2015;15:32. https://doi.org/10.1186/s12877-015-0032-1
- Tinetti MEKumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. https://doi.org/10.1001/jama.2009.2024
- Verghese J, Holtzer R, Lipton RB et al. Quantitative gait markers and incident fall risk in older adults. J Gerontol A Biol Sci Med Sci. 2009;64(8):896-901.
- Verghese J, LeValley A, Hall CB et al. Epidemiology of gait disorders in community-residing older adults. J Am Geriatr Soc. 2006;54(2):255-61. https://doi.org/10.1111/j.1532-5415.2005.00580.x
- Wayne PM, Hausdorff JM, Lough M et al. Tai Chi Training may Reduce Dual Task Gait Variability, a Potential Mediator of Fall Risk, in Healthy Older Adults:Cross-Sectional and Randomized Trial Studies. Front Hum Neurosci. 2015;9:332.
- WHO. WHO global report on falls prevention in older age. World Health Organization (WHO). 2007;
- Williams MA, Soiza RL, Jenkinson AM et al. EXercising with Computers in Later Life (EXCELL) - pilot and feasibility study of the acceptability of the Nintendo(R) WiiFit in community-dwelling fallers. BMC Res Notes. 2010;3:238. https://doi.org/10.1186/1756-0500-3-238