Videoconference-Based Adapted Physical Exercise Training Is a Good and Safe Option for Seniors.

Olga Kuldavletova,Gaëlle Quarck,Antoine Langeard,Antoine Gauthier,Lucile Bigot,Florane Pasquier

doi:10.3390/ijerph18189439

Abstract

Videoconference-based adapted physical exercise combines the benefits of supervised exercise training with staying at home, when conventional training is inaccessible. However, exercising with the use of a screen can be considered an optokinetic stimulation, and could therefore induce changes in sensory processing, affecting postural stability. The objectives of this study were to compare the effectiveness of the training delivered Face-to-Face and by Videoconferencing in improving physical capacities of older adults, and to evaluate the possible effects of the Videoconference mode on the processing of sensory information that could affect postural control. Twenty eight older adults underwent the supervised exercise program for sixteen weeks either Face-to-Face or by Videoconference. Muscular strength of knee and ankle flexors and extensors, maximum oxygen uptake, postural stability and horizontal rotational vestibulo-ocular reflex were evaluated before and after the training. Both modes of training similarly increased the VO2 peak and strength of the motor muscles of lower limbs in all participants. The use of the Videoconference did not modify the vestibulo-ocular reflex in subjects or the importance of vision for postural control. Therefore, the Videoconference-based exercise training can be considered a safe and effective way to maintain good functional capacity in seniors.

Highlights

One-third of people aged 65 years old and older fall at least once a year [1,2]
We observed a significant increase in the functional capacities of the participants after the training, based on the VO2 peak evaluations, as well as maximal and isokinetic strength of lower limbs in both groups
To address the hypothesis that both Face-to-Face and Videoconference-based mode can improve functional capacities and balance, we evaluated the maximum oxygen uptake, lower limbs strength, and postural stability in all participants before and after the training period

Summary

Introduction

One-third of people aged 65 years old and older fall at least once a year [1,2]. From the age of 80, this concerns up to 50% [3,4]. The reasons are numerous: advanced age is often accompanied by a decrease in functional capacities characterized by a reduction of strength, agility, flexibility and maximal oxygen uptake, as well as sensory and neurological systems degradation. Reduced cardiac output and decline in skeletal muscle oxidative capacity are implicated in the VO2 max decrease observed in older adults [5]. Decline in muscular mass and in strength, especially in the lower limbs, can impair mobility and postural control of seniors [6]. Age-related alterations concern sensory systems involved in the detection of body displacements, resulting in an impairment of sensory information integration that might cause dizziness [7,8] and increase postural imbalance and the risk of fall [9]

Objectives

Methods

Discussion

Conclusion