PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Comparison of Balance Ability according to the Immersion Level of Virtual Reality-based Training for the Balance Enhancement of the Elderly

노인의 균형증진을 위한 가상현실 기반 훈련의 몰입도에 따른 균형능력 비교

  • Kim, Yeoung-Sung (Department of Rehabilitation Medicine, Busan St. Mary's hospital) ;
  • Park, Min-Chull (Department of Physical Therapy, Catholic University of Pusan)
  • 김영성 (부산성모병원 재활의학과) ;
  • 박민철 (부산가톨릭대학교 물리치료과)
  • Received : 2018.05.23
  • Accepted : 2018.07.18
  • Published : 2018.08.31
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Abstract

Purpose: This study aimed to compare balance ability according to the immersion level of virtual reality-based training for the balance enhancement of the elderly. Methods: This study included 48 elderly people aged 65 years and older (male 16, female 32). According to the immersion level of applied virtual reality training, 16, 17, and 15 persons were randomly assigned to full immersion, semi-immersion, and control groups. The subjects who were assigned to the full immersion group and semi-immersion group received virtual reality training for 6 weeks at 20 min at a time, 3 times per week. The control group received no intervention. Balance ability was evaluated by measuring the stability limit and the tandem walking test before and after the intervention. Results: Results showed significant differences among the three groups in the limit of stability of all directions and the tandem walking test after the intervention. The results of the limit of stability showed a significantly higher value in the full-immersion group than in the control group, and the results of the tandem walking test showed a significantly lower value in the full-immersion and semi-immersion groups than in the control group. Conclusion: The results indicate that the head-mounted display equipment for applying full-immersion virtual training is the most effective in enhancing the balance ability of the elderly.

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References

  1. Alexander BH, Rivara FP, Wolf ME. The cost and frequency of hospitalization for fall-related injuries in older adults. American Journal of Public Health. 1992;82(7):1020-1023. https://doi.org/10.2105/AJPH.82.7.1020
  2. Anson E, Ma L, Meetam T, et al. Trunk motion visual feedback during walking improves dynamic balance in older adults: Assessor blinded randomized controlled trial. Gait Posture. 2018;62:342-348. https://doi.org/10.1016/j.gaitpost.2018.03.044
  3. Balsalobre-Fernandez C, Cordon A, Unquiles N, et al. Movement velocity in the chair squat is associated with measures of functional capacity and cognition in elderly people at low risk of fall. PeerJ. 2018;6:e4712. https://doi.org/10.7717/peerj.4712
  4. Bridenbaugh SA, Kressig RW. Laboratory review: the role of gait analysis in seniors mobility and fall prevention. Aviation, space, and environ mental medicine. Gerontology. 2011;57(3):256-264. https://doi.org/10.1159/000322194
  5. Cho GH, Hwangbo G, Shin HS. The effects of virtual reality-based balance training on balance of the elderly. Journal of Physical Therapy Science. 2014;26(4):615-617. https://doi.org/10.1589/jpts.26.615
  6. Duque G, Boersma D, Loza-Diaz G et al. Effects of balance training using a virtual-reality system in older fallers. Clinical Interventions in Aging. 2016;8:257-263.
  7. Egger J, Gall M, Wallner J, et al. HTC Vive MeVisLab integration via OpenVR for medical applications. PLoS One. 2017;12(3):e0173972. https://doi.org/10.1371/journal.pone.0173972
  8. Goble DJ, Coxon JP, Wenderoth N, et al. Proprioceptive sensibility in the elderly: degeneration, functional consequences and plastic-adaptive processes. Neuroscience & Biobehavioral Reviews. 2009;33(3):271-278. https://doi.org/10.1016/j.neubiorev.2008.08.012
  9. Hyun J, Hwangbo K, Lee CW. The effects of pilates mat exercise on the balance ability of elderly females. Journal of Physical Therapy Science. 2014;26(2):291-293. https://doi.org/10.1589/jpts.26.291
  10. Kim SS, Min WK, Kim JH, et al. The effects of VR-based Wii Fit yoga on physical function in middle-aged female LBP patients. Journal of Physical Therapy Science. 2014;26(4):549-552. https://doi.org/10.1589/jpts.26.549
  11. Liao YY, Yang YR, Cheng SJ, et al. Virtual reality-based training to improve obstacle-crossing performance and dynamic balance in patients with Parkinson's disease. Neurorehabilitation and Neural Repair. 2015;29(7):658-667. https://doi.org/10.1177/1545968314562111
  12. Maki BE, Holliday PJ, Topper AK. A prospective study of postural balance and risk of falling in an ambulatory and independent elderly population. The Journals of Gerontology. 1994;49(2):72-84.
  13. Mortazavi H, Tabatabaeichehr M, Golestani A, et al. The effect of Tai Chi exercise on the risk and fear of falling in older adults: a randomized clinical trial. Materia Socio-Medica. 2018;30(1):38-42. https://doi.org/10.5455/msm.2018.30.38-42
  14. Park SW. Prototype of operation room environment in $CAVE^{TM}$-like system. Ewha womans University. Dissertation of Master's Degree. 2003.
  15. Rendon AA, Lohman EB, Thorpe D, et al. The effect of virtual reality gaming on dynamic balance in older adults. Age Ageing. 2012;41(4):549-552. https://doi.org/10.1093/ageing/afs053
  16. Rinne MB, Pasanen ME, Miilunpalo SI, et al. Test-retest reproducibility and interrater reliability of a motor skill test battery for adults. International Journal of Sports Medicine. 2001;22(3):192-200. https://doi.org/10.1055/s-2001-16384
  17. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Medical Clinics of North America. 2006;90(5):807-824. https://doi.org/10.1016/j.mcna.2006.05.013
  18. Saposnik G, Cohen LG, Mamdani M, et al. Efficacy and safety of non-immersive virtual reality exercising in stroke rehabilitation (EVREST): a randomised, multicentre, single-blind, controlled trial. The Lancet Neurology. 2016;15(10):1019-1027. https://doi.org/10.1016/S1474-4422(16)30121-1
  19. So YH. Relationship with educational effects and medium characteristics in virtual reality learning based on immersion gear VR. CDAK Society of Communication Design. 2016;54:226-238.
  20. Song GB, Park EC. The effects of balance training on balance pad and sand on balance and gait ability in stroke patients. Journal of The Korean Society of Physical Medicine. 2016;11(1):45-52. https://doi.org/10.13066/kspm.2016.11.1.45
  21. Stel VS, Smit JH, Pluijm SM, et al. Balance and mobility performance as treatable risk factors for recurrent falling in older persons. Journal of Clinical Epidemiology. 2003;56(7):659-668. https://doi.org/10.1016/S0895-4356(03)00082-9
  22. Stijntjes M, de Craen AJ, van der Grond J, et al. Cerebral microbleeds and lacunar iInfarcts are associated with walking speed independent of cognitive performance in middle-aged to older adults. Gerontology. 2016;62(5):500-507. https://doi.org/10.1159/000444583
  23. Ungar A, Rafannelli M, Iacomelli I, et al. Fall prevention in the elderly. Clinical Cases in mineral and bone metabolism. 2013;10(2):91-95.
  24. Witmer BG, Singer MJ. Measuring presence in virtual environments: a presence questionnaire. Browse Journals & Magazines. 1988;7(3):225-240.
  25. Woollacott MH, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization and muscular coordination. International Journal of Aging & Human Development. 1986;23(2):97-114. https://doi.org/10.2190/VXN3-N3RT-54JB-X16X