Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial
Background/Objectives. Balance problems are well-established modifiable risk factors for falls, which are common in older adults. The objective of this study was to establish the efficacy of a Wii-Fit interactive video-game-led physical exercise program to improve balance in older Veterans. Methods....
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.1155/2017/4653635 |
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| author | Kalpana P. Padala Prasad R. Padala Shelly Y. Lensing Richard A. Dennis Melinda M. Bopp Christopher M. Parkes Mark K. Garrison Patricia M. Dubbert Paula K. Roberson Dennis H. Sullivan |
| author_facet | Kalpana P. Padala Prasad R. Padala Shelly Y. Lensing Richard A. Dennis Melinda M. Bopp Christopher M. Parkes Mark K. Garrison Patricia M. Dubbert Paula K. Roberson Dennis H. Sullivan |
| author_sort | Kalpana P. Padala |
| collection | DOAJ |
| description | Background/Objectives. Balance problems are well-established modifiable risk factors for falls, which are common in older adults. The objective of this study was to establish the efficacy of a Wii-Fit interactive video-game-led physical exercise program to improve balance in older Veterans. Methods. A prospective randomized controlled parallel-group trial was conducted at Veterans Affairs Medical Center. Thirty community dwelling Veterans aged 68 (±6.7) years were randomized to either the exercise or control groups. The exercise group performed Wii-Fit program while the control group performed a computer-based cognitive program for 45 minutes, three days per week for 8-weeks. The primary (Berg Balance Scale (BBS)) and secondary outcomes (fear of falling, physical activity enjoyment, and quality of life) were measured at baseline, 4 weeks, and 8 weeks. Results. Of 30 randomized subjects, 27 completed all aspects of the study protocol. There were no study-related adverse events. Intent-to-treat analysis showed a significantly greater improvement in BBS in the exercise group (6.0; 95% CI, 5.1–6.9) compared to the control group (0.5; 95% CI, −0.3–1.3) at 8 weeks (average intergroup difference (95% CI), 5.5 (4.3–6.7), p < 0.001) after adjusting for baseline. Conclusion. This study establishes that the Wii-Fit exercise program is efficacious in improving balance in community dwelling older Veterans. This trial is registered with ClinicalTrials.gov Identifier NCT02190045. |
| format | Article |
| id | doaj-art-b14d7eb0a44e4d91b35450ba92496449 |
| institution | Kabale University |
| issn | 2090-2204 2090-2212 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-b14d7eb0a44e4d91b35450ba924964492025-02-03T00:59:53ZengWileyJournal of Aging Research2090-22042090-22122017-01-01201710.1155/2017/46536354653635Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot TrialKalpana P. Padala0Prasad R. Padala1Shelly Y. Lensing2Richard A. Dennis3Melinda M. Bopp4Christopher M. Parkes5Mark K. Garrison6Patricia M. Dubbert7Paula K. Roberson8Dennis H. Sullivan9Geriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USAGeriatric Research Education and Clinical Center, Central Arkansas Veterans Healthcare System, Little Rock, AR, USABackground/Objectives. Balance problems are well-established modifiable risk factors for falls, which are common in older adults. The objective of this study was to establish the efficacy of a Wii-Fit interactive video-game-led physical exercise program to improve balance in older Veterans. Methods. A prospective randomized controlled parallel-group trial was conducted at Veterans Affairs Medical Center. Thirty community dwelling Veterans aged 68 (±6.7) years were randomized to either the exercise or control groups. The exercise group performed Wii-Fit program while the control group performed a computer-based cognitive program for 45 minutes, three days per week for 8-weeks. The primary (Berg Balance Scale (BBS)) and secondary outcomes (fear of falling, physical activity enjoyment, and quality of life) were measured at baseline, 4 weeks, and 8 weeks. Results. Of 30 randomized subjects, 27 completed all aspects of the study protocol. There were no study-related adverse events. Intent-to-treat analysis showed a significantly greater improvement in BBS in the exercise group (6.0; 95% CI, 5.1–6.9) compared to the control group (0.5; 95% CI, −0.3–1.3) at 8 weeks (average intergroup difference (95% CI), 5.5 (4.3–6.7), p < 0.001) after adjusting for baseline. Conclusion. This study establishes that the Wii-Fit exercise program is efficacious in improving balance in community dwelling older Veterans. This trial is registered with ClinicalTrials.gov Identifier NCT02190045.http://dx.doi.org/10.1155/2017/4653635 |
| spellingShingle | Kalpana P. Padala Prasad R. Padala Shelly Y. Lensing Richard A. Dennis Melinda M. Bopp Christopher M. Parkes Mark K. Garrison Patricia M. Dubbert Paula K. Roberson Dennis H. Sullivan Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial Journal of Aging Research |
| title | Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial |
| title_full | Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial |
| title_fullStr | Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial |
| title_full_unstemmed | Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial |
| title_short | Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial |
| title_sort | efficacy of wii fit on static and dynamic balance in community dwelling older veterans a randomized controlled pilot trial |
| url | http://dx.doi.org/10.1155/2017/4653635 |
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