A randomized controlled pilot study of home-based step training in older people using videogame technology.

<h4>Background</h4>Stepping impairments are associated with physical and cognitive decline in older adults and increased fall risk. Exercise interventions can reduce fall risk, but adherence is often low. A new exergame involving step training may provide an enjoyable exercise alternativ...

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Autores principales:	Daniel Schoene, Stephen R Lord, Kim Delbaere, Connie Severino, Thomas A Davies, Stuart T Smith
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/3a90aece967e4acbbbd2e2a49b1905b3
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spelling	oai:doaj.org-article:3a90aece967e4acbbbd2e2a49b1905b32021-11-18T07:54:55ZA randomized controlled pilot study of home-based step training in older people using videogame technology.1932-620310.1371/journal.pone.0057734https://doaj.org/article/3a90aece967e4acbbbd2e2a49b1905b32013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23472104/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Stepping impairments are associated with physical and cognitive decline in older adults and increased fall risk. Exercise interventions can reduce fall risk, but adherence is often low. A new exergame involving step training may provide an enjoyable exercise alternative for preventing falls in older people.<h4>Purpose</h4>To assess the feasibility and safety of unsupervised, home-based step pad training and determine the effectiveness of this intervention on stepping performance and associated fall risk in older people.<h4>Design</h4>Single-blinded two-arm randomized controlled trial comparing step pad training with control (no-intervention).<h4>Setting/participants</h4>Thirty-seven older adults residing in independent-living units of a retirement village in Sydney, Australia.<h4>Intervention</h4>Intervention group (IG) participants were provided with a computerized step pad system connected to their TVs and played a step game as often as they liked (with a recommended dose of 2-3 sessions per week for 15-20 minutes each) for eight weeks. In addition, IG participants were asked to complete a choice stepping reaction time (CSRT) task once each week.<h4>Main outcome measures</h4>CSRT, the Physiological Profile Assessment (PPA), neuropsychological and functional mobility measures were assessed at baseline and eight week follow-up.<h4>Results</h4>Thirty-two participants completed the study (86.5%). IG participants played a median 2.75 sessions/week and no adverse events were reported. Compared to the control group, the IG significantly improved their CSRT (F31,1 = 18.203, p<.001), PPA composite scores (F31,1 = 12.706, p = 0.001), as well as the postural sway (F31,1 = 4.226, p = 0.049) and contrast sensitivity (F31,1 = 4.415, p = 0.044) PPA sub-component scores. In addition, the IG improved significantly in their dual-task ability as assessed by a timed up and go test/verbal fluency task (F31,1 = 4.226, p = 0.049).<h4>Conclusions</h4>Step pad training can be safely undertaken at home to improve physical and cognitive parameters of fall risk in older people without major cognitive and physical impairments.<h4>Trial registration</h4>Australian New Zealand Clinical Trials Registry ACTRN12611001081909.Daniel SchoeneStephen R LordKim DelbaereConnie SeverinoThomas A DaviesStuart T SmithPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e57734 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Daniel Schoene Stephen R Lord Kim Delbaere Connie Severino Thomas A Davies Stuart T Smith A randomized controlled pilot study of home-based step training in older people using videogame technology.
description	<h4>Background</h4>Stepping impairments are associated with physical and cognitive decline in older adults and increased fall risk. Exercise interventions can reduce fall risk, but adherence is often low. A new exergame involving step training may provide an enjoyable exercise alternative for preventing falls in older people.<h4>Purpose</h4>To assess the feasibility and safety of unsupervised, home-based step pad training and determine the effectiveness of this intervention on stepping performance and associated fall risk in older people.<h4>Design</h4>Single-blinded two-arm randomized controlled trial comparing step pad training with control (no-intervention).<h4>Setting/participants</h4>Thirty-seven older adults residing in independent-living units of a retirement village in Sydney, Australia.<h4>Intervention</h4>Intervention group (IG) participants were provided with a computerized step pad system connected to their TVs and played a step game as often as they liked (with a recommended dose of 2-3 sessions per week for 15-20 minutes each) for eight weeks. In addition, IG participants were asked to complete a choice stepping reaction time (CSRT) task once each week.<h4>Main outcome measures</h4>CSRT, the Physiological Profile Assessment (PPA), neuropsychological and functional mobility measures were assessed at baseline and eight week follow-up.<h4>Results</h4>Thirty-two participants completed the study (86.5%). IG participants played a median 2.75 sessions/week and no adverse events were reported. Compared to the control group, the IG significantly improved their CSRT (F31,1 = 18.203, p<.001), PPA composite scores (F31,1 = 12.706, p = 0.001), as well as the postural sway (F31,1 = 4.226, p = 0.049) and contrast sensitivity (F31,1 = 4.415, p = 0.044) PPA sub-component scores. In addition, the IG improved significantly in their dual-task ability as assessed by a timed up and go test/verbal fluency task (F31,1 = 4.226, p = 0.049).<h4>Conclusions</h4>Step pad training can be safely undertaken at home to improve physical and cognitive parameters of fall risk in older people without major cognitive and physical impairments.<h4>Trial registration</h4>Australian New Zealand Clinical Trials Registry ACTRN12611001081909.
format	article
author	Daniel Schoene Stephen R Lord Kim Delbaere Connie Severino Thomas A Davies Stuart T Smith
author_facet	Daniel Schoene Stephen R Lord Kim Delbaere Connie Severino Thomas A Davies Stuart T Smith
author_sort	Daniel Schoene
title	A randomized controlled pilot study of home-based step training in older people using videogame technology.
title_short	A randomized controlled pilot study of home-based step training in older people using videogame technology.
title_full	A randomized controlled pilot study of home-based step training in older people using videogame technology.
title_fullStr	A randomized controlled pilot study of home-based step training in older people using videogame technology.
title_full_unstemmed	A randomized controlled pilot study of home-based step training in older people using videogame technology.
title_sort	randomized controlled pilot study of home-based step training in older people using videogame technology.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/3a90aece967e4acbbbd2e2a49b1905b3
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A randomized controlled pilot study of home-based step training in older people using videogame technology.

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