Effects of balance training incorporating with a kinect-based exergame on mediolateral postural sway in older adults with balance impairment: A pilot study

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Kitchana Kaewkaen
Marnida Koetkhumtong
Phatcharawadi Decha
Kunyawee Kumnet
Chayuti Mekurai
Worasak Rueangsirarak
Tsuyoshi Asai

Abstract

Background: Older adults with balance impairment have reduced lateral balance control in dual task situations. Previous study showed that a virtual reality training intervention such as Kinect-based game exercise can improve balance and cognitive function, however, there has no reports focused on the effect of a Kinect-based game exercise on dual task balance performance.


Objectives: To investigate the effect of balance training with additional Kinect-based game exercise intervention on mediolateral postural sway, while performing dual tasks, in older adults with balance impairment.


Materials and methods: Ten older adults with balance impairment, were recruited from community. They were divided into two groups; control group received conventional balance training, experimental group received conventional balance training together with Kinect-based game exercise training. Both groups had 4 sessions of exercise, 45 minutes each, and twice a week for 2 weeks. Mediolateral sway data were collected while performing a verbal place naming task at pre- and post-training using Wii Balance Board with MFU static balance test software, under 4 different conditions including semi-tandem standing with eyes closed and eyes open, and feet together with eyes closed and eyes open. All data were compared between groups and within group using Mann Whitney U test and Wilcoxon signed-rank test by STATA software.


Results: The results showed no significant decrease in mediolateral postural sway and no increase in number of correct answers in all conditions after training both between groups and within group.


Conclusion: Balance training with additional Kinect-based game exercise, for a total of 3 hours, twice a week for 2 weeks has no effect on mediolateral postural sway while performing dual tasks in older adults with balance impairment.


Journal of Associated Medical Sciences 2017; 50(2): 236-244. Doi: 10.14456/jams.2017.23

Article Details

How to Cite
Kaewkaen, K., Koetkhumtong, M., Decha, P., Kumnet, K., Mekurai, C., Rueangsirarak, W., & Asai, T. (2017). Effects of balance training incorporating with a kinect-based exergame on mediolateral postural sway in older adults with balance impairment: A pilot study. Journal of Associated Medical Sciences, 50(2), 236. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/74301
Section
Research Articles

References

1. Viswanathan A, Sudarsky L. Balance and gait problems in the elderly. Handb Clin Neurol 2012; 103: 623-34. doi: 10.1016/B978-0-444-51892-7.00045-0.

2. Aslan UB, Cavlak U, Yagci N, Akdag B. Balance performance, aging and falling: a comparative study based on a Turkish sample. Arch Gerontol Geriatr 2008; 46(3): 283-92. doi: 10.1016/j.archger.2007.05.003

3. Brauer SG, Woollacott M, Shumway-Cook A. The interacting effects of cognitive demand and recovery of postural stability in balance-impaired elderly persons. J Gerontol A Biol Sci Med Sci 2001; 56: M489-96.

4. Prado JM, Stoffregen TA, Duarte M. Postural sway during dual tasks in young and elderly adults. Gerontology 2007; 53: 274-81. doi: 10.1159/000102938

5. Rogers MW, Mille ML. Lateral stability and falls in older people. Exerc Sport Sci Rev 2003; 31: 182-87.

6. Prata MG, Scheicher ME. Correlation between balance and the level of functional independence among elderly people. Sao Paulo Med J 2012; 130: 97-101.

7. Lange BS, Requejo P, Flynn SM, Rizzo AA, Valero-Cuevas FJ, Baker L, et al. The potential of virtual reality and gaming to assist successful aging with disability. Phys Med Rehabil Clin N Am 2010; 21: 339-56. doi: 10.1016/j.pmr.2009.12.007

8. Silsupadol P, Siu KC, Shumway-Cook A, Woollacott MH. Training of balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther 2006; 86: 269-81.

9. Westlake KP, Wu Y, Culham EG. Sensory-specific balance training in older adults: effect on position, movement, and velocity sense at the ankle. Phys Ther 2007; 87: 560-8. doi: 10.2522/ptj.20060263

10. Taubert M, Draganski B, Anwander A, Muller K, Horstmann A, Villringer A, et al. Dynamic properties of human brain structure: learning-related changes in cortical areas and associated fiber connections. J Neurosci 2010; 30: 11670-7. doi: 10.1523/JNEUROSCI.2567-10.2010

11. Lohse K, Shirzad N, Verster A, Hodges N, Van der Loos HF. Video games and rehabilitation: using design principles to enhance engagement in physical therapy. J Neurol Phys Ther 2013; 37: 166-75. doi: 10.1097/NPT.0000000000000017

12. Molina KI, Ricci NA, de Moraes SA, Perracini MR. Virtual reality using games for improving physical functioning in older adults: a systematic review. J Neuroeng Rehabil 2014; 11: 156. doi: 10.1186/1743-0003-11-156

13. Bohil CJ, Alicea B, Biocca FA. Virtual reality in neuroscience research and therapy. Nat Rev Neurosci 2011; 12: 752-62. doi: 10.1038/nrn3122

14. Skjaeret N, Nawaz A, Morat T, Schoene D, Helbostad JL, Vereijken B. Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy. Int J Med Inform 2016; 85: 1-16. doi: 10.1016/j.ijmedinf.2015.10.008

15. Levac D, Espy D, Fox E, Pradhan S, Deutsch JE. “Kinect-ing” with clinicians: a knowledge translation resource to support decision making about video game use in rehabilitation. Phys Ther 2015; 95: 426-40. doi: 10.2522/ptj.20130618

16. Webster D, Celik O. Systematic review of Kinect applications in elderly care and stroke rehabilitation. J Neuroeng Rehabil 2014; 11: 108. doi: 10.1186/1743-0003-11-108

17. Beaulieu-Boire L, Belzile-Lachapelle S, Blanchette A, Desmarais PO, Lamontagne-Montminy L, et al. (2015) Balance rehabilitation using Xbox Kinect® among an elderly population: A pilot study. J Nov Physiother 5: 261. doi:10.4172/2165-7025.1000261

18. Kayama H, Okamoto K, Nishiguchi S, Yamada M, Kuroda T, Aoyama T. Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study. J Med Internet Res 2014; 16: e61. doi: 10.2196/jmir.3108

19. Chang WD, Chang WY, Lee CL, Feng CY. Validity and reliability of Wii fit balance board for the assessment of balance of healthy young adults and the elderly. J Phys Ther Sci 2013; 25: 1251-3. doi: 10.1589/jpts.25.1251

20. Kaewkaen K, Rueangsirasak W, Kaewthamma P, Mekurai C. Reliability of Wii Balance Board with MFU static balance test software in assessing balance in chronic stroke patients. Proceedings of Mae Fah Luang University international conference; 2016 Nov 23-25, Thailand. p49-55.

21. Rakyoo C, Hiransinsoonthorn, Nuang-nieo A, Boonsinsukh R. Comparison of time spent during Timed Up and Go Test with naming or arithmatic calculation in Thai elderly. Thai Journal of Physical Therapy 2010; 35: 109-18.

22. Delbaere K, Close JC, Mikolaizak AS, Sachdev PS, Brodaty H, Lord SR. The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing 2010; 39: 210-6. doi: 10.1093/ageing/afp225

23. Mao Y, Chen P, Li L, Huang D. Virtual reality training improves balance function. Neural Regen Res 2014; 9: 1628-34. doi: 10.4103/1673-5374.141795

24. Plummer P, Eskes G. Measuring treatment effects on dual-task performance: a framework for research and clinical practice. Front Hum Neurosci 2015; 9: 225. doi: 10.3389/fnhum.2015.00225

25. Vernadakis N, Derri V, Tsitskari E, Antoniou P. The effect of Xbox Kinect intervention on balance ability for previously injured young competitive male athletes: a preliminary study. Phys Ther Sport 2014; 15: 148-55. doi: 10.1016/j.ptsp.2013.08.004

26. Kleim JA, Chan S, Pringle E, Schallert K, Procaccio V, Jimenez R, et al. BDNF val66met polymorphism is associated with modified experience-dependent plasticity in human motor cortex. Nat Neurosci 2006; 9: 735-7. doi: 10.1038/nn1699

27. Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. J Speech Lang Hear Res 2008; 51: S225-39. doi: 10.1044/1092-4388(2008/018)

28. Taylor JA, Ivry RB. The role of strategies in motor learning. Ann N Y Acad Sci 2012; 1251: 1-12. doi: 10.1111/j.1749-6632.2011.06430.x

29. Hsieh WM, Chen CC, Wang SC, Chen YL, Hwang YS, Lai JS. Combination of the Kinect with Virtual Reality in Balance Training for the Elderly. Engineering 2013; 5: 171-5.