A Wii bit of fun: A novel platform to deliver effective balance training to older adults

Abstract

Background: Falls and fall-related injuries are symptomatic of an ageing population. Objective: Design, develop and deliver a novel method of balance training, using an interactive game-based system to promote engagement, and the inclusion of older adults both at high and low risk of experiencing a fall. Design: Eighty-two older adults (65+) were recruited from sheltered accommodation and local activity groups. Half of the volunteers were randomly selected and received 5-weeks of balance game training (5 Males, 35 Females; M = 77.18 years ± 6.59), while the remaining control participants recorded levels of physical activity (20 Males, 22 Females; M = 76.62 years ± 7.28). The effect of balance game training was measured on levels of functional balance and balance confidence in individuals with and without quantifiable balance impairments. Results: Balance game training had a significant effect on levels of functional balance and balance confidence (p<0.05). This was further demonstrated in participants that were deemed at high risk of falls. The overall pattern of results suggests the training programme is effective and suitable for individuals at all levels of ability, and may therefore play a role in reducing falls-risk. Conclusion: Commercial hardware can be modified to deliver engaging methods of effective balance assessment and training for the older population.