Promoting elderly mobility and fall prevention through virtual reality: a sustainable approach to gait balance training
DOI:
https://doi.org/10.56183/iberoeds.v4iS.669Palavras-chave:
balance; accidental falls; virtual reality; elderly; social inclusion; sustainabilityResumo
Background: Deterioration of physical coordinative capacity, balance and falls cause significant physical repercussions in the older adult population. Objective: to design a program for gait balance training in older adults at risk of falls using Virtual Reality. Methods: descriptive study, with quantitative approach, longitudinal cut, fifteen older adults with an age range from 65 to 84 years belonging to the care unit "Dulce Hogar" of one of the MIES projects participated, all of them executed the program through virtual reality for 16 weeks with a frequency of 1 session per week. Participants were evaluated before and after the intervention using the Tinetti scale and the unipodal (timed) station. Results: for the statistical analysis the SPSS version 29.0 computer system was used, the Student's t-test was used with a statistical significance p<0.05, yielding results of p<0.001 in all parameters tested: balance, gait and risk of falls. The results were expressed in statistical tables with their respective analyses. Conclusions: Virtual Reality applied in a gait balance training program for the elderly is beneficial because it showed a better balance, better gait performance and decreased the risk of falls in the elderly.
Referências
Aijse W. de Vries., Gert Faber., Ilse Jonkers., Jaap H. Van Dieen., & Sabine MP Verschueren. (2018). Virtual reality balance training for elderly: Similar skiing games elicit different challenges in balance training. Gait & Posture, 59, 111-116. https://doi.org/10.1016/j.gaitpost.2017.10.006
Almaraz-Moctezuma, S. del C., Sánchez-Barrera, E., & Vázquez-Chacón, V. (2019). Analysis of the effects on the functional capacity of adults aged 65-75 years using the IREX virtual reality system. Journal of Physiotherapy, 3(10), 14–20. https://doi.org/10.35429/jp.2019.10.3.14.20
Campo-Prieto, P., Cancela-Carral, JM., Machado de Oliveira, I., & Rodríguez-Fuentes, G. (2021). Immersive virtual reality in older people: Case study. Challenges, (39), 14–18. https://doi.org/10.47197/retos.v0i39.78195
Carballo-Rodríguez, A., Gómez-Salgado, J., Casado-Verdejo, I., Ordás, B., & Fernández, D. (2018). Study of prevalence and profile of falls in institutionalized elderly. Gerokomos, 29(3), 110–116. Available in: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2018000300110&lng=es&tlng=es.
Castillo-Daza, C., Peña-Ibagón, J., Cardozo, L., & Martin-Aleman, W. (2022). Effects of virtual reality on body balance in the adult population of the city of Bogotá. Physiotherapy, 44(6), 336-343. https://doi.org/10.1016/j.ft.2021.12.004
Clark, RA., Bryant, AL., Pua, Y., McCrory, P., Bennell, K., and Hunt, M. (2010). Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait and Posture, 31 (3), 307–310. https://doi.org/10.1016/j.gaitpost.2009.11.012
Economic Commission for Latin America and the Caribbean (ECLAC) United Nations. (2022). Aging in Latin America and the Caribbean: inclusion and rights of older people. 181–187. Available in: https://repositorio.cepal.org/bitstream/handle/11362/48567/3/S2201043_es.pdf
Concha-Cisternas Y, M.-NG (2016). Journal of Scholars in Motion. Reem, 3 (1), 31–41. Available in: http://www.reem.cl/descargas/reem_v3n1_a4.pdf
de Vries, A.W., Faber, G., Jonkers, I., Van Dieen, J.H., & Verschueren, S.M.P. (2018). Virtual reality balance training for elderly: Similar skiing games elicit different challenges in balance training. Gait and Posture, 59, 111–116. https://doi.org/10.1016/j.gaitpost.2017.10.006
Freire, W.B. (2014). SABE Health, Wellbeing and Aging Survey. National Institute of Statistics and Censuses, 36W4(1), 1724–1734. Available in: https://www.ecuadorencifras.gob.ec/encuesta-de-salud-bienestar-del-adulto-mayor/
Freire Coello, MA, Abril Mera, TM, Bravo Navarrete, GD, & Iturralde Rodríguez, X. (2022). Gait alteration, instability and falls in the elderly. Health & Medical Sciences, 2(1), 7-16. Available in: https://saludycienciasmedicas.uleam.edu.ec/index.php/salud/article/view/32
Guevara, CR & Lugo, LH (2012). Validity and reliability of the Tinetti Scale for the Colombian population. Colombian Journal of Rheumatology, 19 (4), 218–233. https://doi.org/10.1016/S0121-8123(12)70017-8
Hernández Martínez, J., Rauch Gajardo, MF., Rivas Coñapi, D., Asenio Flores, P., Asenio Paredes, C., & Solis Millaguin, M. (2018). Effects of training with Xbox Kinect on functional mobility in older adults. A brief review. Physical Activity Sciences Magazine, 19 (2), 1–9. https://doi.org/10.29035/rcaf.19.2.2
INEC (National Institute of Statistics and Census). (2010). Results of the 2010 INEC Census of population and housing in Ecuador. Bolívar Province fascicle. Inec, 8. Available in: http://www.ecuadorencifras.gob.ec/wp-content/descargas/Manu-lateral/Resultados-provinciales/bolivar.pdf
Kamińska, M.S., Miller, A., Rotter, I., Szylińska, A., & Grochans, E. (2018). The effectiveness of virtual reality training in reducing the risk of falls among elderly people. Clinical interventions in aging, 13, 2329–2338. https://doi.org/10.2147/CIA.S183502
Kim, S.H., & Cho, S.H. (2022). Benefits of Virtual Reality Program and Motor Imagery Training on Balance and Fall Efficacy in Isolated Older Adults: A Randomized Controlled Trial. Medicine (Lithuania), 58(11). https://doi.org/10.3390/medicina58111545
Ku, J., Kim, Y.J., Cho, S., Lim, T., Lee, H.S., & Kang, Y.J. (2019). Three-dimensional augmented reality system for balance and mobility rehabilitation in the elderly: A randomized controlled trial. Cyberpsychology, Behavior, and Social Networking, 22(2), 132–141. https://doi.org/10.1089/cyber.2018.0261
Labra Gómez, FA, & Mahecha Matsudo, S. (2020). Effect of an “exergames” program on the balance and functional mobility of older people. A pilot study. Risaralda Medical Journal, 26(1). https://doi.org/10.22517/25395203.24081
Liao, YY, Yang, YR, Wu, YR, & Wang, RY (2015). Virtual Reality-Based Wii Fit Training in Improving Muscle Strength, Sensory Integration Ability, and Walking Abilities in Patients with Parkinson's Disease: A Randomized Control Trial. International Journal of Gerontology, 9(4), 190–195. https://doi.org/10.1016/j.ijge.2014.06.007
Mancilla S, Eladio., Valenzuela H, José., & Escobar C, Máximo. (2015). Timed up and go right and left unipodal stance results in Chilean older people with different degrees of disability. Medical Journal of Chile, 143(1), 39-46. https://dx.doi.org/10.4067/S0034-98872015000100005
Martínez-González B., Hernández-Falcón N., Díaz-Camellón DJ., Arencibia-Márquez F., Morejón-Milera A. (2020). Aging and falls. Its social impact. Electronic Medical Journal, 42(4), 2066–2077. Available in: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/3639
Mascret, N., Delbes, L., Voron, A., Temprado, JJ, & Montagne, G. (2020). Acceptance of a virtual reality headset designed for fall prevention in older adults: Questionnaire study. Journal of Medical Internet Research, 22(12). https://doi.org/10.2196/20691
Ministry of Economic and Social Inclusion. (2020). Monthly management report on the care and attention service for older adults and the situational status of its target population. 1–23. Available in: file:///C:/Users/Usuario/Downloads/2020%20INFORME%20PAM%20JULIO.pdf
Ministry of Public Health of Ecuador. (2009). Ministry of Public Health, 1–80. Available in: http://smart-medic.com/wp-content/uploads/2021/07/MANUAL-HISTORIA-CLINICA-MSP.pdf
Molhemi, F., Monjezi, S., Mehravar, M., Shaterzadeh-Yazdi, M.J., Salehi, R., Hesam, S., & Mohammadianinejad, E. (2021). Effects of Virtual Reality vs Conventional Balance Training on Balance and Falls in People With Multiple Sclerosis: A Randomized Controlled Trial. Archives of physical medicine and rehabilitation, 102(2), 290–299. https://doi.org/10.1016/j.apmr.2020.09.395
Montealegre, LM, Castellanos Ruíz, J., Márquez, C., Murillo, S., Torres Escobar, J., & Arbeláez Granada, Z. (2021). Prescription of physical exercise from semi-immersive virtual reality, an alternative in functional rehabilitation processes for the elderly. EIA Magazine, 18(35), 1–10. https://doi.org/10.24050/reia.v18i35.1424
Morejón, M., Hernández, A., Pujol, A., & Falcón, M. (2018). Posture and balance in the elderly. Its interrelationship with science, technology and society. Cuban Journal of Physical Medicine and Rehabilitation, 10 (1), 134–145. Available in: https://www.medigraphic.com/pdfs/revcubmedfisreah/cfr-2018/cfr181l.pdf
Rico-Rosillo, MG, Oliva-Rico, D., & Vega-Robledo, GB (2018). Aging: Some theories, genetic, epigenetic and environmental considerations. Medical Journal of the Mexican Social Security Institute, 56 (3), 287–294. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/30394717
Rose, T., Nam, C.S., & Chen, K.B. (2018). Immersion of virtual reality for rehabilitation - Review. Applied Ergonomics, 69, 153-161. https://doi.org/10.1016/j.apergo.2018.01.009
Sultana, M., Bryant, D., Orange, J.B., Beedie, T., & Montero-Odasso, M. (2020). Effect of Wii Fit©Exercise on Balance of Older Adults with Neurocognitive Disorders: A Meta-Analysis. Journal of Alzheimer's Disease, 75(3), 817–826. https://doi.org/10.3233/JAD-191301
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