Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial.
Efficacy of Wii-Fit on Static and Dynamic Balance in Community Dwelling Older Veterans: A Randomized Controlled Pilot Trial.
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DOI：
10.1155/2017/4653635
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发表时间：
2017
影响因子：
4.7
通讯作者：
Sullivan DH
中科院分区：
文献类型：
--
作者：
Padala KP;Padala PR;Lensing SY;Dennis RA;Bopp MM;Parkes CM;Garrison MK;Dubbert PM;Roberson PK;Sullivan DH
背景/目标。平衡问题是跌倒的公认的可改变的危险因素，这在老年人中很常见。这项研究的目的是确定Wii-Fit互动视频游戏引导的体育锻炼计划的有效性，以改善老年退伍军人的平衡。方法：研究方法。在退伍军人事务医学中心进行前瞻性随机对照平行组试验。30名社区居住区退伍军人，年龄68(±6.7)岁，随机分为运动组和对照组。运动组执行Wii-Fit程序，而对照组执行基于计算机的认知程序，为期8周，每周三天，持续45分钟。在基线、4周和8周时测量主要结果(Berg平衡量表(BBS))和次要结果(对跌倒的恐惧、体力活动享受和生活质量)。结果。在30名随机受试者中，27人完成了研究方案的所有方面。没有与研究相关的不良事件。意向治疗分析显示，在调整基线后的8周，运动组的BBS改善(6.0；95%CI，5.1-6.9)显著高于对照组(0.5；95%CI，−0.3-1.3)(平均组间差异(95%CI)，5.5(4.3-6.7)，p<；0.001)。结论。这项研究证实，Wii-Fit锻炼计划在改善社区老年退伍军人居住的平衡方面是有效的。该试验使用ClinicalTrials.gov标识符NCT02190045注册。
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.