![]() The GRADE approach was used to summarize the level of evidence for each completed meta-analysis. Risk of bias for individual trials was assessed with the (Physiotherapy Evidence Database) PEDro scale.ĭATA SYNTHESIS: Thirty trials were included. ![]() There was high-quality evidence that computerized devices can improve dynamic balance in people with a neurological condition compared with no therapy. There was low-to-moderate-quality evidence that computerized devices have no significant effect on mobility, falls efficacy and falls risk in community-dwelling older adults, and people with a neurological condition compared with physiotherapy.ĬONCLUSION:There is high-quality evidence that computerized devices that provide feedback may be useful in improving balance in people with neurological conditions compared with no therapy, but there is a lack of evidence supporting more meaningful changes in mobility and falls risk. Key words: falls balance mobility virtual-reality meta-analysis. Guarantor’s address: Amy Dennett, Department of Physiotherapy, Peter James Centre, Cnr. Mahoneys Road & Burwood Highway, Burwood East Victoria, 3151, Australia. E-mail: Epub ahead of print Oct 7, 2014įalls are a major issue affecting older people, with one-third of people aged 65 years and over falling at least once each year (1). This has significant implications for the individual in terms of injury, reduced mobility and independence at home and in the community. The impact of falls also has a significant cost for health services, with the annual cost of falls-related injury in Australia expected to rise almost 3-fold to AUD 1.4 billion by 2051 (2). Poor balance is an important risk factor for falls (3–5). ![]() ![]() Exercise programmes are often prescribed to improve balance, with the aim of reducing falls. Indeed, it has been shown that up to 42% of falls in older people living in the community can be prevented by well-designed exercise programmes that provide a moderate-to-high challenge to balance, that are undertaken for at least 2 hours per week (6, 7). These exercise programmes may be undertaken within a home or clinical setting (7, 8). The use of technology through interactive gaming and virtual-reality is becoming increasingly popular with clinicians to create stimulating and challenging environments to improve balance and mobility within therapy sessions. ![]()
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