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Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly

Inadequate response to balance perturbations lead to posture instability in the elderly. The fall risks are increased by a reduced capacity to control the center of pressure (COP) displacement within the safety limit of the supporting base. This study developed an interactive evaluation and training...

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Autores principales: Sun, Pi-Chang, Kao, Chen-Yang, Kao, Chung-Lan, Wei, Shun-Hwa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10669706/
https://www.ncbi.nlm.nih.gov/pubmed/38002415
http://dx.doi.org/10.3390/bioengineering10111291
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author Sun, Pi-Chang
Kao, Chen-Yang
Kao, Chung-Lan
Wei, Shun-Hwa
author_facet Sun, Pi-Chang
Kao, Chen-Yang
Kao, Chung-Lan
Wei, Shun-Hwa
author_sort Sun, Pi-Chang
collection PubMed
description Inadequate response to balance perturbations lead to posture instability in the elderly. The fall risks are increased by a reduced capacity to control the center of pressure (COP) displacement within the safety limit of the supporting base. This study developed an interactive evaluation and training platform. The system incorporated a computerized program with instantaneous force plate evaluation. Ten young subjects underwent a baseline evaluation and twenty-nine community-dwelling elderly received pre- and post-intervention testing. The ability to reach the stability limit was assessed by measuring the maximum voluntary excursion of the COP in anterior–posterior and medial–lateral directions. Functional mobility tests including Berg Balance Scale, Timed-Up-and-Go and functional reach were used as functional outcomes. The experimental group (n = 15) received a 40 min intervention three times a week for six weeks. The interactive game-based training focused on multi-directional weight shifting by tracing a COPcontrolled target to challenge an individual’s stability limit. The control group (n = 14) maintained daily activities as usual. The young group revealed a superior COP displacement through active ankle control than the elderly, especially in the anterior–posterior direction. The experimental group improved their COP displacement control more in the medial–lateral direction due to the predominant side-to-side gameplay movement. The functional outcome measures were also significantly improved after training. Using the COPcontrolled game-based program, the stability limit was challenged to facilitate dynamic posture control by an incremental increase in self-initiated perturbations. The platform system could assist in transferring the immediate training effects into daily functional mobility in the elderly.
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spelling pubmed-106697062023-11-08 Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly Sun, Pi-Chang Kao, Chen-Yang Kao, Chung-Lan Wei, Shun-Hwa Bioengineering (Basel) Article Inadequate response to balance perturbations lead to posture instability in the elderly. The fall risks are increased by a reduced capacity to control the center of pressure (COP) displacement within the safety limit of the supporting base. This study developed an interactive evaluation and training platform. The system incorporated a computerized program with instantaneous force plate evaluation. Ten young subjects underwent a baseline evaluation and twenty-nine community-dwelling elderly received pre- and post-intervention testing. The ability to reach the stability limit was assessed by measuring the maximum voluntary excursion of the COP in anterior–posterior and medial–lateral directions. Functional mobility tests including Berg Balance Scale, Timed-Up-and-Go and functional reach were used as functional outcomes. The experimental group (n = 15) received a 40 min intervention three times a week for six weeks. The interactive game-based training focused on multi-directional weight shifting by tracing a COPcontrolled target to challenge an individual’s stability limit. The control group (n = 14) maintained daily activities as usual. The young group revealed a superior COP displacement through active ankle control than the elderly, especially in the anterior–posterior direction. The experimental group improved their COP displacement control more in the medial–lateral direction due to the predominant side-to-side gameplay movement. The functional outcome measures were also significantly improved after training. Using the COPcontrolled game-based program, the stability limit was challenged to facilitate dynamic posture control by an incremental increase in self-initiated perturbations. The platform system could assist in transferring the immediate training effects into daily functional mobility in the elderly. MDPI 2023-11-08 /pmc/articles/PMC10669706/ /pubmed/38002415 http://dx.doi.org/10.3390/bioengineering10111291 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sun, Pi-Chang
Kao, Chen-Yang
Kao, Chung-Lan
Wei, Shun-Hwa
Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly
title Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly
title_full Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly
title_fullStr Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly
title_full_unstemmed Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly
title_short Interactive Game-Based Platform System for Assessing and Improving Posture Control in the Elderly
title_sort interactive game-based platform system for assessing and improving posture control in the elderly
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10669706/
https://www.ncbi.nlm.nih.gov/pubmed/38002415
http://dx.doi.org/10.3390/bioengineering10111291
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