title: Effectiveness of Exergaming Training in Reducing Risk and Incidence of Falls in Frail Older Adults With a History of Falls.
abstract: OBJECTIVE
  To use Nintendo's Wii Fit balance board to determine the effectiveness of exergaming training in reducing risk and incidence of falls in older adults with a history of falls.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Nursing home for older adults.
  
  
  METHODS
  Adults aged 65 years and older (N=60).
  
  
  METHODS
  Participants who lived in a nursing home had 6 weeks of balance training with either Wii Fit equipment or conventional exercise.
  
  
  METHODS
  Physiological Profile Assessment scores and incidence of falls were observed with subsequent intention-to-treat statistical analyses.
  
  
  RESULTS
  Physiological Profile Assessment scores and incidence of falls improved significantly in both groups after the intervention (all P<.01), but participants in the Wii Fit training group showed a significantly greater improvement in both outcome measures (P=.004 and P<.001, respectively).
  
  
  CONCLUSIONS
  In institutionalized older adults with a history of falls, Wii Fit balance training was more effective than conventional balance training in reducing the risk and incidence of falls.
authors.affiliation: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
authors.forename: Amy S
authors.initials: AS
authors.lastname: Fu
authors.affiliation: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Gao
authors.affiliation: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
authors.forename: Arthur K
authors.initials: AK
authors.lastname: Tung
authors.affiliation: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China. Electronic address: William.Tsang@polyu.edu.hk.
authors.forename: William W
authors.initials: WW
authors.lastname: Tsang
authors.affiliation: Rural Clinical School, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
authors.forename: Marcella M
authors.initials: MM
authors.lastname: Kwan
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D016330:Frail Elderly; D006707:Homes for the Aged; D006801:Humans; D015994:Incidence; D008297:Male; D009735:Nursing Homes; D004856:Postural Balance; D040242:Risk Reduction Behavior; D018910:Video Games
keywords: Accidental falls; Aged; Postural balance; Rehabilitation; Virtual reality exposure therapy