Virtual Reality Training With Three-Dimensional Video Games Improves Postural Balance and Lower Extremity Strength in Community-Dwelling Older Adults

2017 ◽  
Vol 25 (4) ◽  
pp. 621-627 ◽  
Author(s):  
Yongwoo Lee ◽  
Wonjae Choi ◽  
Kyeongjin Lee ◽  
Changho Song ◽  
Seungwon Lee
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Lower Extremity ◽  
Postural Balance ◽  
Three Dimensional ◽  
Community Dwelling ◽  
Virtual Reality Training ◽  
Lower Extremity Strength ◽  
Community Dwelling Older Adults ◽  
Experimental Group

Avatar-based three-dimensional technology is a new approach to improve physical function in older adults. The aim of this study was to use three-dimensional video gaming technology in virtual reality training to improve postural balance and lower extremity strength in a population of community-dwelling older adults. The experimental group participated in the virtual reality training program for 60 min, twice a week, for 6 weeks. Both experimental and control groups were given three times for falls prevention education at the first, third, and fifth weeks. The experimental group showed significant improvements not only in static and dynamic postural balance but also lower extremity strength (p < .05). Furthermore, the experimental group was improved to overall parameters compared with the control group (p < .05). Therefore, three-dimensional video gaming technology might be beneficial for improving postural balance and lower extremity strength in community-dwelling older adults.

scholarly journals The Effects of a Combination of 3D Virtual Reality and Hands-on Horticultural Activities on Community-dwelling Older Adults’ Mental Health: A Quasi-Experimental Study

2021 ◽  
Author(s):  
Ching-Chih Fan ◽  
Cheuk-Sing Choy ◽  
Chiu-Mieh Huang ◽  
Po-Sheng Chih ◽  
Chia-Chiang Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Virtual Reality ◽  
Self Esteem ◽  
Community Dwelling ◽  
Health Concern ◽  
Hands On ◽  
Quasi Experimental ◽  
Community Dwelling Older Adults ◽  
Experimental Group

Abstract Background: Aging societies are of public health concern worldwide. It is critical to develop strategies that harness technology to enhance older adults’ mental health.Methods: This study aimed to explore the effects of a combination of 3D virtual reality (VR) and hands-on horticultural activities on the mental health of community-dwelling older adults. The study used a quasi-experimental design. A total of 62 community-dwelling older adults were recruited and assigned to the experimental (n=32) and comparison groups (n=30). The members of the experimental group participated in an 8-week intervention program. Participants of both groups completed before-and-after intervention measurements for outcome variables that included perceived self-esteem, depression, isolation, mastery and achievement motives, which were analyzed using the generalized estimating equation (GEE). Results: GEE analyses indicated that the experimental group showed significant post intervention improvements in scores for self-esteem (β=1.66, P= .015), isolation (β=-0.96, P= .008), mastery (β=1.04, P= .042), and achievement motives (β=1.30, P=.034) compared to the control group.Conclusions: This study found beneficial effects of a combination of three-dimensional virtual reality and hands-on horticultural activities on community-dwelling older adults’ mental health. These findings suggest that future implementations of this program on a large scale could improve the mental health of older adults. Trial Registration: The study was posted in the www.clinicaltrials.gov (NCT05087654) on 21/10/2021. It was approved by the Institutional Review Board of En Chu Kong Hospital and performed in accordance with the Declaration of Helsinki.

scholarly journals Effects of Semi-Immersive Virtual Reality-Based Cognitive Training Combined with Locomotor Activity on Cognitive Function and Gait Ability in Community-Dwelling Older Adults

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 814
Author(s):  
Na-Kyoung Hwang ◽  
Jong-Bae Choi ◽  
Dae-Kil Choi ◽  
Jae-Min Park ◽  
Chang-Wan Hong ◽  
...  
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Cognitive Function ◽  
Locomotor Activity ◽  
Cognitive Training ◽  
Community Dwelling ◽  
Control Group ◽  
Immersive Virtual Reality ◽  
Community Dwelling Older Adults ◽  
Experimental Group

This study aimed to investigate the effects of semi-immersive virtual reality-based cognitive training (VRCT) combined with locomotor activity on cognitive function, balance, and gait ability in older adults. Eighteen community-dwelling older adults participated in this study. Subjects who met the selection criteria were assigned to an experimental group (n = 9) and a control group (n = 9). The experimental group received VRCT combined with locomotor activity for 30 min a day, three times a week, for 6 weeks. The control group received tabletop activity-based cognitive training for the same amount of time. Before and after the training, the Korean Mini-Mental State Examination (K-MMSE), Trail Making Test (TMT; A and B), and Digit Span Test (DST; forward and backward) were used to evaluate cognitive function; and the Timed Up and Go (TUG) test and 10-m Walking Test (10MWT) were used to evaluate the improvement in the balance and gait ability parameters. After the intervention, the experimental group showed a significantly greater improvement in the TMT-A (p = 0.045) and DST-backward (p = 0.012) scores compared with the control group. Regarding the gait ability variable, the experimental group showed a significant improvement in the 10MWT test (p = 0.001). This study confirmed that semi-immersive VRCT combined with locomotor activity is useful for improving cognitive function and gait ability in older adults. Therefore, VRCT combined with locomotor activity can be used as a simultaneous intervention for cognitive rehabilitation and functional capacity improvement in older adults.

The Effects of a Combination of 3D Virtual Reality and Hands-on Horticultural Activities on Community-dwelling Older Adults’ Mental Health: A Quasi-Experimental Study (Preprint)

2021 ◽  
Author(s):  
Ching-Chih Fan ◽  
Cheuk-Sing Choy ◽  
Chiu-Mieh Huang ◽  
Po-Sheng Chih ◽  
Chia-Chiang Lee ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Virtual Reality ◽  
Self Esteem ◽  
Community Dwelling ◽  
Health Concern ◽  
Hands On ◽  
Quasi Experimental ◽  
Community Dwelling Older Adults ◽  
Experimental Group

BACKGROUND Aging societies are of public health concern worldwide. It is critical to develop strategies that harness technology to enhance older adults’ mental health. OBJECTIVE This study aimed to explore the effects of a combination of 3D virtual reality (VR) and hands-on horticultural activities on the mental health of community-dwelling older adults. METHODS The study used a quasi-experimental design. A total of 62 community-dwelling older adults were recruited and assigned to the experimental (n=32) and comparison groups (n=30). The members of the experimental group participated in an 8-week intervention program. Participants of both groups completed before-and-after intervention measurements for outcome variables that included perceived self-esteem, depression, isolation, mastery and achievement motives, which were analyzed using the generalized estimating equation (GEE). RESULTS GEE analyses indicated that the experimental group showed significant post intervention improvements in scores for self-esteem (β=1.66, P= .015), isolation (β=-0.96, P= .008), mastery (β=1.04, P= .042), and achievement motives (β=1.30, P=.034) compared to the control group. CONCLUSIONS This study found beneficial effects of a combination of three-dimensional virtual reality and hands-on horticultural activities on community-dwelling older adults’ mental health. These findings suggest that future implementations of this program on a large scale could improve the mental health of older adults. CLINICALTRIAL The study was approved from the Research Ethics Review Committee of En Chu Kong Hospital (Registration number: ECKIRB1090503).

scholarly journals Virtual reality, the COVID-19 pandemic and rehabilitation for community-dwelling older adults

2021 ◽  
Vol 26 (4) ◽  
pp. 196-198
Author(s):  
James Edward Hill ◽  
Joanna Harrison ◽  
Catherine Harris ◽  
Jacqueline Twamley
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Community Dwelling ◽  
Community Dwelling Older Adults

scholarly journals Meaningful Change Estimates for the Late-Life Function and Disability Instrument in Older Adults

2018 ◽  
Vol 74 (4) ◽  
pp. 556-559 ◽  
Author(s):  
Marla K Beauchamp ◽  
Rachel E Ward ◽  
Alan M Jette ◽  
Jonathan F Bean
Keyword(s):  
Older Adults ◽  
Lower Extremity ◽  
Community Dwelling ◽  
Minimal Detectable Change ◽  
Global Rating ◽  
Mobility Limitations ◽  
Meaningful Change ◽  
Patient Reported ◽  
Community Dwelling Older Adults ◽  
Life Function

Abstract Background The Late-Life Function and Disability Instrument (LLFDI) is a well-validated and frequently used patient-reported outcome for older adults. The aim of this study was to estimate the minimal clinically important difference (MCID) of the LLFDI-Function Component (LLFDI-FC) and its subscales among community-dwelling older adults with mobility limitations. Methods We performed a secondary analysis of the Boston Rehabilitative Impairment Study of the Elderly, a longitudinal cohort study of older adults with mobility limitations residing in the community. The MCID for each LLFDI-FC scale over 1 year of follow-up was estimated using both anchor- and distribution-based methods, including mean change scores on a patient-reported global rating of change in function scale, the standard error of measurement (SEM), and the minimal detectable change with 90% confidence (MDC90). Results Data from 320 older adults were used in the analysis (mean age 76 years, 69% female, mean of four chronic conditions). Meaningful change estimates for “small change” based on the global rating of change and SEM were 2, 3, 4, and 4 points for the LLFDI-FC overall function scale and basic lower-extremity, advanced lower-extremity, and upper-extremity subscales, respectively. Estimates for “substantial change” based on the global rating of change and minimal detectable change with 90% confidence were 5, 6, 9, and 10 points for the overall function scale and basic lower-extremity, advanced lower-extremity, and upper-extremity subscales, respectively. Conclusion This study provides the first MCID estimates for the LLFDI-FC, a widely used patient-reported measure of function. These values can be used to interpret the outcomes of longitudinal investigations of functional status in similar populations of community-dwelling older adults.

scholarly journals The Effectiveness of a Dyadic Pain Management Program for Community-Dwelling Older Adults with Chronic Pain: A Pilot Randomized Controlled Trial

2020 ◽  
Vol 17 (14) ◽  
pp. 4966
Author(s):  
Ziyan Li ◽  
Mimi Tse ◽  
Angel Tang
Keyword(s):  
Older Adults ◽  
Chronic Pain ◽  
Controlled Trial ◽  
The Elderly ◽  
Management Program ◽  
Community Dwelling ◽  
Control Group ◽  
Pain Management Program ◽  
Community Dwelling Older Adults ◽  
Experimental Group

Background: Chronic pain is a major health problem among older adults and their informal caregivers, which has negative effects on their physical and psychological status. The dyadic pain management program (DPMP) is provided to community-dwelling older adults and informal caregivers to help the dyads reduce pain symptoms, improve the quality of life, develop good exercise habits, as well as cope and break the vicious circle of pain. Methods: A pilot randomized controlled trial was designed and all the dyads were randomly divided into two groups: the DPMP group and control group. Dyads in the DPMP group participated in an 8-week DPMP (4-week face-to-face program and 4-week home-based program), whereas dyads in the control group received one page of simple pain-related information. Results: In total, 64 dyads participated in this study. For baseline comparisons, no significant differences were found between the two groups. After the interventions, the pain score was significantly reduced from 4.25 to 2.57 in the experimental group, respectively. In the repeated measures ANOVA, the differences in pain score (F = 107.787, p < 0.001, d = 0.777) was statistically significant for the group-by-time interaction. After the interventions, the experimental group participants demonstrated significantly higher pain self-efficacy compared with the control group (F = 80.535, p < 0.001, d = 0.722). Furthermore, the elderly increased exercise time significantly (F = 111.212, p < 0.001, d = 0.782) and reported developing good exercise habits. Conclusions: These results provide preliminary support for the effectiveness of a DPMP for relieving the symptoms of chronic pain among the elderly.

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