Fear of falling: efficacy of virtual reality associated with serious games in elderly people

Fanny Levy,1 Pierre Leboucher,2 Gilles Rautureau,2 Odile Komano,2 Bruno Millet,1 Roland Jouvent1 1Department of Adults Psychiatry, 2PRISME-Virtual Reality, ICM-A- IHU, UPMC UMR_S 975, Inserm U 1127, CNRS UMR 7225, GH Pitié-Salpêtrière, Paris, France Objective: Fear...

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Autores principales:	Levy F, Leboucher P, Rautureau G, Komano O, Millet B, Jouvent R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	fear of falling virtual reality exposure therapy serious games Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/b0ff09b0c71e4a0298eaf35d597fcc39
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spelling	oai:doaj.org-article:b0ff09b0c71e4a0298eaf35d597fcc392021-12-02T07:33:09ZFear of falling: efficacy of virtual reality associated with serious games in elderly people1178-2021https://doaj.org/article/b0ff09b0c71e4a0298eaf35d597fcc392016-04-01T00:00:00Zhttps://www.dovepress.com/fear-of-falling-efficacy-of-virtual-reality-associated-with-serious-ga-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Fanny Levy,1 Pierre Leboucher,2 Gilles Rautureau,2 Odile Komano,2 Bruno Millet,1 Roland Jouvent1 1Department of Adults Psychiatry, 2PRISME-Virtual Reality, ICM-A- IHU, UPMC UMR_S 975, Inserm U 1127, CNRS UMR 7225, GH Pitié-Salpêtrière, Paris, France Objective: Fear of falling is defined as an ongoing concern about falling that is not explained by physical examination. Focusing on the psychological dimension of this pathology (phobic reaction to walking), we looked at how virtual reality associated with serious games can be used to treat this pathology.Methods: Participants with fear of falling were randomly assigned to either a treatment group or a waiting list. The therapy consisted of 12 weekly sessions of virtual reality exposure therapy associated with serious games.Results: Sixteen participants were included. The mean age of the treatment group was 72 years and that of the control group was 69 years. Participants’ scores on the fear of falling measure improved after treatment with virtual reality associated with serious games, leading to a significant difference between the two groups.Conclusion: Virtual reality exposure therapy associated with serious games can be used in the treatment of fear of falling. The two techniques are complementary (top-down and bottom-up processes). To our knowledge, this is the first time that a combination of the two has been assessed. There was a specific effect of this therapy on the phobic reaction. Further studies are needed to confirm its efficacy and identify its underlying mechanism. Keywords: fear of falling, virtual reality exposure therapy, serious games, phobia, anxiety disordersLevy FLeboucher PRautureau GKomano OMillet BJouvent RDove Medical Pressarticlefear of fallingvirtual reality exposure therapyserious gamesNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 877-881 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	fear of falling virtual reality exposure therapy serious games Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	fear of falling virtual reality exposure therapy serious games Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Levy F Leboucher P Rautureau G Komano O Millet B Jouvent R Fear of falling: efficacy of virtual reality associated with serious games in elderly people
description	Fanny Levy,1 Pierre Leboucher,2 Gilles Rautureau,2 Odile Komano,2 Bruno Millet,1 Roland Jouvent1 1Department of Adults Psychiatry, 2PRISME-Virtual Reality, ICM-A- IHU, UPMC UMR_S 975, Inserm U 1127, CNRS UMR 7225, GH Pitié-Salpêtrière, Paris, France Objective: Fear of falling is defined as an ongoing concern about falling that is not explained by physical examination. Focusing on the psychological dimension of this pathology (phobic reaction to walking), we looked at how virtual reality associated with serious games can be used to treat this pathology.Methods: Participants with fear of falling were randomly assigned to either a treatment group or a waiting list. The therapy consisted of 12 weekly sessions of virtual reality exposure therapy associated with serious games.Results: Sixteen participants were included. The mean age of the treatment group was 72 years and that of the control group was 69 years. Participants’ scores on the fear of falling measure improved after treatment with virtual reality associated with serious games, leading to a significant difference between the two groups.Conclusion: Virtual reality exposure therapy associated with serious games can be used in the treatment of fear of falling. The two techniques are complementary (top-down and bottom-up processes). To our knowledge, this is the first time that a combination of the two has been assessed. There was a specific effect of this therapy on the phobic reaction. Further studies are needed to confirm its efficacy and identify its underlying mechanism. Keywords: fear of falling, virtual reality exposure therapy, serious games, phobia, anxiety disorders
format	article
author	Levy F Leboucher P Rautureau G Komano O Millet B Jouvent R
author_facet	Levy F Leboucher P Rautureau G Komano O Millet B Jouvent R
author_sort	Levy F
title	Fear of falling: efficacy of virtual reality associated with serious games in elderly people
title_short	Fear of falling: efficacy of virtual reality associated with serious games in elderly people
title_full	Fear of falling: efficacy of virtual reality associated with serious games in elderly people
title_fullStr	Fear of falling: efficacy of virtual reality associated with serious games in elderly people
title_full_unstemmed	Fear of falling: efficacy of virtual reality associated with serious games in elderly people
title_sort	fear of falling: efficacy of virtual reality associated with serious games in elderly people
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/b0ff09b0c71e4a0298eaf35d597fcc39
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_version_	1718399359375114240

Fear of falling: efficacy of virtual reality associated with serious games in elderly people

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