Effect of Virtual Reality Based treatment in Geriatric Population on Static Balance, Dynamic Balance and Risk of Fall

Abstract

Background: With advancing age, the postural control mechanism becomes less efficient due to ageing. Reduced peripheral sensation, muscle weakness, and increased reaction time are significant contributing factors to postural instability in the elderly. Thus age can affect both static and dynamic balance in elderly which will eventually have impact on fear of fall and risk of fall. Virtual Reality Training (VRT) focuses on exercise intensity and feedback that provides the patient with safe and effective training and rehabilitation. The aim of this study is to evaluate the effects of kinect based virtual reality training on Static balance, Dynamic balance and Risk of Fall. Methodology: Ethical clearance was obtained by the Ramaiah Medical College and Hospitals. Based on the inclusion criteria, patients were screened using Time up and go test (TUG) as a screening tool for balance, 31 participants were recruited. Pre and post assessment of static and dynamic balance was done by Four Stage Balance Test (FSBT) and TUG. Explanation and instruction were given to patient about the game controls and exergames with a demo. Results and Conclusion: 30 min of Exergame training for 8 sessions for two week were administered. Paired t-test was used to test for significant change. Pre-post comparison of TUG and FSBT scores showed that there is significant change. (p= <0.001 and <0.001 respectively which is statistically significant).VRT can be an effective means of training basic motor skills to improve the balance, and use of VR in the area of motor learning can be of great benefit in improving balance.