English

Abstract

Introduction Mobility limitations and cognitive impairments which are common with ageing, cause a reduction in the levels of physical and mental activity and are prognostic of future adverse health events, including falls. Consequently, multi-task training paradigms that simultaneously address both mobility and cognition benefit healthy ageing and are important to consider in rehabilitation. In this regard, the application of computer technology provides a number of promising approaches, in particular, virtual reality and therapeutic gaming. These approaches have the potential to improve clinical outcomes by making therapy more motivating, more ecological, and effective, blending of balance, mobility, gaze and cognitive exercises/tasks. Using a computer-based platform, one can also objectively quantify duration and intensity of both exercise and cognitive activity. Performance can also be quantified, trend analysis can be conducted and dose–response relationships established. The aim of this critical review is to discuss the technology-assisted and motivational programme approach to prevent and manage balance, gaze, mobility and cognitive decline with age. Conclusion There is a need to develop and validate low-cost, engaging exercise and cognitive platforms with automated monitoring tools that can extend quality health care and support to the community and ultimately the home.