Efficacy of virtual reality-based balance training versus the Biodex balance system training on the body balance of adults

Manal S Ibrahim, Ayman G Mattar, Salam M Elhafez, Manal S Ibrahim, Ayman G Mattar, Salam M Elhafez

Abstract

[Purpose] This study investigated efficacy of virtual reality (VR)-based balance training on enhancing balance and postural reactions of adults as a low-cost new modality compared to the established Biodex Balance System (BBS). [Subjects] Thirty normal adults of both genders were divided randomly into two equal-sized experimental groups of 15: BBS balance training and VR balance training. [Methods] The training programmes were conducted in 12 sessions, three 15-min sessions per week. The Nintendo(®) Wii Fit Plus (NWFP) and its balance board were used to train of the VR group. Each participant answered a questionnaire concerning usability, enjoyment, balance improvement, and fatigue at the end of the training programs. [Results] The study found a significant increase the measure of mean overall balance (OLB) in both groups. No significant difference was found between the groups, but a significant decrease in the mean balance-test time was found for both groups, with no significant difference between the two training methods. The VR programme was rated highly enjoyable by 81.8% of the group. [Conclusion] The Wii Fit Plus system with the balance board as a new VR balance-training technique, can be considered an effective and enjoyable tool for the training of adults' body balance.

Keywords: Adults; Biodex balance training; Virtual reality.

References

    1. Guskiewicz KM, Perrin DH: Research and clinical publications of assessing balance. JSR, 1996, 5: 45–63.
    1. Nashner L: Computerized dynamic posturography. In: Handbook of Balance Function and Testing, Jacobson G, Newman C and Kartush J (Eds). St. Louis: Mosby Year Book, 1993, pp 261–279.
    1. Kliem A, Wiemeyer J: Comparison of a traditional and a video game based balance training program. Int J Comp Sci Sport, 2010, 9: 80–91.
    1. Sieck GC: Physiology of aging. J Appl Physiol 1985, 2003, 95: 1333–1334.
    1. Abdel Rahman S: Efficacy of virtual reality-based therapy on balance in children with Down syndrome. WAS, 2010, 10: 254–261.
    1. Webster M: An Encyclopedia Britannica Company. . © 2015. Merriam-Webster, Incorporated.
    1. Wikipedia: . Wikimedia Foundation, Inc. 2015.
    1. Weiss PL, Jessel AS: Virtual reality applications to work. Work, 1998, 11: 277–293.
    1. Nash EB, Edwards GW, Thompson JA, et al. : A review of presence and performance in virtual environment. Int J Hum Comput Interact, 2000, 12: 1–41.
    1. Arnold BL, Schmitz RJ: Examination of balance measures produced by the biodex stability system. J Athl Train, 1998, 33: 323–327.
    1. Gil-Gómez JA, Lloréns R, Alcañiz M, et al. : Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury. J Neuroeng Rehabil, 2011, 8: 30.
    1. Meldrum D, Glennon A, Herdman S, et al. : Virtual reality rehabilitation of balance: assessment of the usability of the Nintendo Wii(®) Fit Plus. Disabil Rehabil Assist Technol, 2012, 7: 205–210.
    1. Szturm T, Betker AL, Moussavi Z, et al. : Effects of an interactive computer game exercise regimen on balance impairment in frail community-dwelling older adults: a randomized controlled trial. Phys Ther, 2011, 91: 1449–1462.
    1. Nitz JC, Kuys S, Isles R, et al. : Is the Wii Fit a new-generation tool for improving balance, health and well-being? A pilot study. Climacteric, 2010, 13: 487–491.
    1. Rendon AA, Lohman EB, Thorpe D, et al. : The effect of virtual reality gaming on dynamic balance in older adults. Age Ageing, 2012, 41: 549–552.
    1. Williams B, Doherty NL, Bender A, et al. : The effect of nintendo wii on balance: a pilot study supporting the use of the wii in occupational therapy for the well elderly. Occup Ther Health Care, 2011, 25: 131–139.
    1. Bainbridge E, Bevans S, Keeley B, et al. : The effects of the Nintendo Wii Fit on community-dwelling older adults with Perceived Balance Deficits: A Pilot Study. Phys Occup Ther Geriatr, 2011, 29: 126–135.
    1. Muir BC, Rietdyk S, Haddad JM, et al. : The effects of balance training on obstacle crossing in older adults. 2011.
    1. Gusi N, Carmelo Adsuar J, Corzo H, et al. : Balance training reduces fear of falling and improves dynamic balance and isometric strength in institutionalised older people: a randomised trial. J Physiother, 2012, 58: 97–104.
    1. Pugh S, Heitman RJ, Kovaleski JE, et al. : Effects of augmented visual feedback and stability level on standing balance performance using the Biodex Balance System. The Sport J, 2011, 14.
    1. Desalvo R: The influence of a Wii Fit Plus exercise protocol on lower extremity and balance in an adult population. 2011. A thesis presented to the graduate faculty of the University of Akron.
    1. Song GB, Park EC: Effect of virtual reality games on stroke patients’ balance, gait, depression, and interpersonal relationships. J Phys Ther Sci, 2015, 27: 2057–2060.
    1. Cho K, Yu J, Jung J: Effects of virtual reality-based rehabilitation on upper extremity function and visual perception in stroke patients: a randomized control trial. J Phys Ther Sci, 2012, 24: 1205–1208.
    1. Jung J, Yu J, Kang H: Effects of virtual reality treadmill training on balance and balance self-efficacy in stroke patients with a history of falling. J Phys Ther Sci, 2012, 24: 1133–1136.
    1. Yoo HN, Chung E, Lee BH: The effects of augmented reality based atogo exercises on balance, Gait and falls efficacy of elderly women. J Phys Ther Sci, 2013, 25: 797–801.

Source: PubMed

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