Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial

Maayken van den Berg; Catherine Sherrington; Maggie Killington; Stuart T Smith; Bert Bongers; Leanne Hassett; Maria Crotty

doi:10.1016/j.jphys.2015.11.005

Back

Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial

Journal article

Open access

Peer reviewed

Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial

Maayken van den Berg, Catherine Sherrington, Maggie Killington, Stuart T Smith, Bert Bongers, Leanne Hassett and Maria Crotty

Journal of Physiotherapy, Vol.62(1), pp.20-28

2016

DOI: https://doi.org/10.1016/j.jphys.2015.11.005

Appears in UniSC Diversity and Inclusion Research Collection

Files and links (2)

pdf

PDF - Published Version (Open Access)338.38 kBDownload View

Published VersionPDF - Published Version (Open Access)CC BY-NC-ND V4.0, Open Access

url

https://doi.org/10.1016/j.jphys.2015.11.005View

Published Version

Abstract

randomised controlled trial

rehabilitation

exercise

technology

feasibility studies

UniSC Diversity Area - Life Stages

Question: Does adding video/computer-based interactive exercises to inpatient geriatric and neurological rehabilitation improve mobility outcomes? Is it feasible and safe? Design: Randomised trial. Participants: Fifty-eight rehabilitation inpatients. Intervention: Physiotherapist-prescribed, tailored, video/computer-based interactive exercises for 1 hour on weekdays, mainly involving stepping and weight-shifting exercises. Outcome measures: The primary outcome was the Short Physical Performance Battery (0 to 3) at 2 weeks. Secondary outcomes were: Maximal Balance Range (mm); Step Test (step count); Rivermead Mobility Index (0 to 15); activity levels; Activity Measure for Post Acute Care Basic Mobility (18 to 72) and Daily Activity (15 to 60); Falls Efficacy Scale (10 to 40), ED5D utility score (0 to 1); Reintegration to Normal Living Index (0 to 100); System Usability Scale (0 to 100) and Physical Activity Enjoyment Scale (0 to 126). Safety was determined from adverse events during intervention. Results: At 2 weeks the between-group difference in the primary outcome (0.1, 95% CI -0.2 to 0.3) was not statistically significant. The intervention group performed significantly better than usual care for Maximal Balance Range (38 mm difference after baseline adjustment, 95% CI 6 to 69). Other secondary outcomes were not statistically significant. Fifty-eight (55%) of the eligible patients agreed to participate, 25/29 (86%) completed the intervention and 10 (39%) attended > 70% of sessions, with a mean of 5.6 sessions (SD 3.3) attended and overall average duration of 4.5 hours (SD 3.1). Average scores were 62 (SD 21) for the System Usability Scale and 62 (SD 8) for the Physical Activity Enjoyment Scale. There were no adverse events. Conclusion: The addition of video/computer-based interactive exercises to usual rehabilitation is a safe and feasible way to increase exercise dose, but is not suitable for all. Adding the exercises to usual rehabilitation resulted in task-specific improvements in balance but not overall mobility. Registration: ACTRN12613000610730.

Details

Title: Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial
Authors: Maayken van den Berg (Author) - Flinders University
Catherine Sherrington (Author) - University of Sydney
Maggie Killington (Author) - Flinders University
Stuart T Smith (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Bert Bongers (Author) - University of Technology Sydney
Leanne Hassett (Author) - University of Sydney
Maria Crotty (Author) - Flinders University
Publication details: Journal of Physiotherapy, Vol.62(1), pp.20-28
Publisher: Elsevier Australia
Date published: 2016
DOI: 10.1016/j.jphys.2015.11.005
ISSN: 1836-9553
Copyright note: Copyright © 2015. Published by Elsevier B.V. on behalf of Australian Physiotherapy Association. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Organisation Unit: University of the Sunshine Coast, Queensland
Language: English
Record Identifier: 99449588102621
Output Type: Journal article

Metrics

111 File views/ downloads

1291 Record Views

47 Times Cited - Web of Science

InCites Highlights

These are selected metrics from InCites Benchmarking & Analytics tool, related to this output

Collaboration types: Domestic collaboration
Web Of Science research areas: Orthopedics; Rehabilitation