Publication:
Trunk motion visual feedback during walking improves dynamic balance in older adults: Assessor blinded randomized controlled trial

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Issued Date

2018

Resource Type

Article

File Type

application/pdf

ISSN

9666362

DOI

10.1016/j.gaitpost.2018.03.044

Other identifier(s)

2-s2.0-85044619188

Rights Holder(s)

Scopus

Bibliographic Citation

Gait and Posture. Vol 62, (2018), p.342-348

Suggested Citation

Anson E., Ma L., Meetam T., Thompson E., Rathore R., Dean V., Jeka J. Trunk motion visual feedback during walking improves dynamic balance in older adults: Assessor blinded randomized controlled trial. Gait and Posture. Vol 62, (2018), p.342-348. doi:10.1016/j.gaitpost.2018.03.044 Retrieved from: https://hdl.handle.net/20.500.14740/5801

Title

Trunk motion visual feedback during walking improves dynamic balance in older adults: Assessor blinded randomized controlled trial

Author(s)

Anson E.
 Ma L.
 Meetam T.
 Thompson E.
 Rathore R.
 Dean V.
 Jeka J.

Abstract

Background: Virtual reality and augmented feedback have become more prevalent as training methods to improve balance. Few reports exist on the benefits of providing trunk motion visual feedback (VFB) during treadmill walking, and most of those reports only describe within session changes. Research question: To determine whether trunk motion VFB treadmill walking would improve over-ground balance for older adults with self-reported balance problems. Methods: 40 adults (75.8 years (SD 6.5)) with self-reported balance difficulties or a history of falling were randomized to a control or experimental group. Everyone walked on a treadmill at a comfortable speed 3×/week for 4 weeks in 2 min bouts separated by a seated rest. The control group was instructed to look at a stationary bulls-eye target while the experimental group also saw a moving cursor superimposed on the stationary bulls-eye that represented VFB of their walking trunk motion. The experimental group was instructed to keep the cursor in the center of the bulls-eye. Somatosensory (monofilaments and joint position testing) and vestibular function (canal specific clinical head impulses) was evaluated prior to intervention. Balance and mobility were tested before and after the intervention using Berg Balance Test, BESTest, mini-BESTest, and Six Minute Walk. Results: There were no significant differences between groups before the intervention. The experimental group significantly improved on the BESTest (p = 0.031) and the mini-BEST (p = 0.019). The control group did not improve significantly on any measure. Individuals with more profound sensory impairments had a larger improvement on dynamic balance subtests of the BESTest. Significance: Older adults with self-reported balance problems improve their dynamic balance after training using trunk motion VFB treadmill walking. Individuals with worse sensory function may benefit more from trunk motion VFB during walking than individuals with intact sensory function. © 2018

Subject(s)

Aged
 Article
 Berg Balance Scale
 Body equilibrium
 Body movement
 Clinical article
 Controlled study
 Female
 Geriatric patient
 Human
 Male
 Priority journal
 Randomized controlled trial
 Six minute walk test
 Somatosensory system
 Trunk
 Vestibular function
 Visual feedback
 Walking
 Walking speed
 Body equilibrium
 Exercise test
 Falling
 Follow up
 Kinesiotherapy
 Outcome assessment
 Physiology
 Prevention and control
 Procedures
 Sensory feedback
 Single blind procedure
 Trunk
 Very elderly
 Walking
 Accidental Falls
 Aged
 Aged, 80 and over
 Exercise Test
 Exercise Therapy
 Feedback, Sensory
 Female
 Follow-Up Studies
 Humans
 Male
 Outcome Assessment (Health Care)
 Postural Balance
 Single-Blind Method
 Torso
 Walking

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URI

https://hdl.handle.net/20.500.14740/5801

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Scopus: Year 1983-2021

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