The effectiveness and cost-effectiveness of strength and balance Exergames to reduce falls risk for people aged 55 years and older in UK assisted living facilities: a multi-centre, cluster randomised controlled trial

BMC Medicine
Emma K StanmoreChris Todd

Abstract

Falls are the leading cause of fatal and non-fatal unintentional injuries in older people. The use of Exergames (active, gamified video-based exercises) is a possible innovative, community-based approach. This study aimed to determine the effectiveness of a tailored OTAGO/FaME-based strength and balance Exergame programme for improving balance, maintaining function and reducing falls risk in older people. A two-arm cluster randomised controlled trial recruiting adults aged 55 years and older living in 18 assisted living (sheltered housing) facilities (clusters) in the UK. Standard care (physiotherapy advice and leaflet) was compared to a tailored 12-week strength and balance Exergame programme, supported by physiotherapists or trained assistants. Complete case analysis (intention-to-treat) was used to compare the Berg Balance Scale (BBS) at baseline and at 12 weeks. Secondary outcomes included fear of falling, mobility, fall risk, pain, mood, fatigue, cognition, healthcare utilisation and health-related quality of life, and self-reported physical activity and falls. Eighteen clusters were randomised (9 to each arm) with 56 participants allocated to the intervention and 50 to the control (78% female, mean age 78 years). Fourteen...Continue Reading

Associated Clinical Trials

References

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Citations

Jun 20, 2020·Games for Health Journal·Brittany F DrazichJaniece L Taylor
Sep 3, 2020·International Journal of Environmental Research and Public Health·Ana-Isabel Corregidor-SánchezBegoña Polonio-López
Aug 28, 2021·Games for Health Journal·André Luiz Felix RodackiNatália Boneti Moreira
Jun 29, 2021··Ilse ReindersLaura van van der Lubbe

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Clinical Trials Mentioned

NCT02634736

Software Mentioned

Exergaming
ProFaNE
Exergame
Exergames
Stata

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