Home-Based Exergames for Older Adults Balance and Falls Risk: A Systematic Review

IF 0.3 Q4 REHABILITATION PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS Pub Date : 2021-02-08 DOI:10.1080/02703181.2020.1867286

A. Alhagbani, Alison Williams

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引用次数: 9

Abstract

Abstract Aims To evaluate whether unsupervised home-based exergames can improve balance and reduce falls risk among older people, with the reported adverse events being considered as a secondary objective. Methods A systematic search of CINAHL, Medline Ovid, EMBASE Ovid, Ovid Emcare, AMED Ovid, PEDro, Cochrane and JBI was carried out. Each study was critically appraised using the JBI checklists. Results Of the 7 studies, a statistically significant improvement in balance outcomes was demonstrated in 5 studies. Of the 7 studies, 3 studies examined falls risk using the Physiological Profile Assessment (PPA), all of which showed a statistically significant reduction. Five studies revealed no adverse events, while 1 study reported neck and hip strain. Conclusion Current evidence indicates that unsupervised home-based exergames reduced falls risk. Balance improved within-group, but evidence remains inconclusive when compared to no intervention or exercises. Muscle strain was reported as a result of exergaming in an unsupervised environment.

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基于家庭的老年人运动平衡和跌倒风险:系统回顾

【摘要】目的评估无监督的家庭运动是否可以改善老年人的平衡能力并降低跌倒风险，报告的不良事件被认为是次要目标。方法系统检索CINAHL、Medline Ovid、EMBASE Ovid、Ovid Emcare、AMED Ovid、PEDro、Cochrane和JBI。每个研究都使用JBI检查表进行严格评估。结果在这7项研究中，有5项研究显示了平衡结果的统计学显著改善。在这7项研究中，有3项研究使用生理特征评估(PPA)来检查跌倒风险，所有这些研究都显示出统计学上显著的降低。五项研究未发现不良事件，而一项研究报告了颈部和髋关节劳损。结论:目前的证据表明，无人监督的家庭运动降低了跌倒的风险。平衡性在组内得到改善，但与不进行干预或锻炼相比，证据仍不确定。据报道，肌肉拉伤是在无人监督的环境中锻炼的结果。

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来源期刊

PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS REHABILITATION-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： This comprehensive journal is recognized for its useful balance of research and clinical practice articles. For more than twenty five years Physical & Occupational Therapy in Geriatrics has functioned as a forum for allied health professionals as well as others with a focus on rehabilitation of the geriatric client to share information, clinical experience, research, and therapeutic practice. Each issue focuses on current practice and emerging issues in the care of the older client, including rehabilitation and long-term care in institutional and community settings, and innovative programming; the entire range of problems experienced by the elderly; and the current skills needed for working with older clients.