Effectiveness of Exergaming Training (Wii) in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls.

Arch Phys Med Rehabil. 2015 Dec;96(12):2096-102. doi: 10.1016/j.apmr.2015.08.427. Epub 2015 Sep 7.

Fu AS, Gao KL, Tung AK, Tsang WW, Kwan MM.

Abstract

OBJECTIVE:

To use Nintendo’s Wii Fit balance board to determine the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls.

DESIGN:

Randomized controlled trial.

SETTING:

Nursing home for older adults.

PARTICIPANTS:

Adults aged 65 years and older (N=60).

INTERVENTIONS:

Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment or conventional exercise.

MAIN OUTCOME MEASURES:

Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses.

RESULTS:

Physiological Profile Assessment scores and incidence of falls improved significantly in both groups after the intervention (all P<.01), but participants in the Wii Fit training group showed a significantly greater improvement in both outcome measures (P=.004 and P<.001, respectively).

CONCLUSIONS:

In institutionalized older adults with a history of falls, Wii Fit balance training was more effective than conventional balance training in reducing the risk and incidence of falls.

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