{"title":"基于家庭的老年人运动平衡和跌倒风险:系统回顾","authors":"A. Alhagbani, Alison Williams","doi":"10.1080/02703181.2020.1867286","DOIUrl":null,"url":null,"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.","PeriodicalId":45387,"journal":{"name":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","volume":null,"pages":null},"PeriodicalIF":0.3000,"publicationDate":"2021-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/02703181.2020.1867286","citationCount":"9","resultStr":"{\"title\":\"Home-Based Exergames for Older Adults Balance and Falls Risk: A Systematic Review\",\"authors\":\"A. Alhagbani, Alison Williams\",\"doi\":\"10.1080/02703181.2020.1867286\",\"DOIUrl\":null,\"url\":null,\"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.\",\"PeriodicalId\":45387,\"journal\":{\"name\":\"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2021-02-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1080/02703181.2020.1867286\",\"citationCount\":\"9\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/02703181.2020.1867286\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"PHYSICAL & OCCUPATIONAL THERAPY IN GERIATRICS","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/02703181.2020.1867286","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"REHABILITATION","Score":null,"Total":0}
Home-Based Exergames for Older Adults Balance and Falls Risk: A Systematic Review
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.
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.
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