Abstract
Systematic research proves that long-term scientific balance training is beneficial to improve the balance ability of the elderly and reduce falls. However, due to the lack of professional teaching guidance, boring training process lacking feedback, lack of companions, laziness and other problems, it is difficult for the elderly to obtain scientific and systematic balance training to improve their balance ability. Based on the current pain points in the process of balance training for the elderly, this study designs an interactive balance training based on Tai Chi exercise for the elderly, called “Balance Challenge”, in which the user will receive scientific and systematic guidance instruction to train the stability of static and dynamic posture control under low center of gravity and to improve the balance ability of the elderly. The elderly will be allowed to complete scientific training in a game-based way. A randomized controlled experiment was conducted among 18 elderly people (mean age 63 ± 2.9 years, 10 females) living in the community. The experimental group performed balance training using balance training at a prescribed exercise frequency, while the control group completed a physical exercise routine at the same time. During the 4-week study period, participants are advised to take 20-min unsupervised exercise at home at least three times a week. The outcome measures were gait speed, standing balance, five-time sit-to-stand, timed up and go performance, and neuropsychological function (attention: Letter–digit test and Stroop tests) evaluated at baseline, 2 weeks, and experiment end (4 weeks). 18 participants completed the experiment and reassessment, and the experimental group completed an average of 9.7 20-min sessions with no adverse events reported. Throughout the trial period, participants in the experimental group showed significant improvements in gait speed (25%), standing balance (6%), five-time sit-to-stand (21%) and timed up and go performance (12%) (all P < 0.05). Letter–digit test (13%) and Stroop test (12%) showed no significant improvement. Compared with the control group, the performance of the experimental group in gait speed, standing balance, five-time sit-to-stand, timed up and go performance was significantly improved (all P < 0.05), but the improvement of Letter–digit test (10%) and Stroop test (7%) was not obvious.This study found that Balance Training is scientific and feasible for the elderly, and leads to significant improvement in gait, standing balance, and acting ability, which can reduce the risk of a fall injury. The exercise compliance of the elderly is also better. It is hoped that the somatosensory interactive balance training exergame based on Tai Chi for the elderly can be included in the exercise plan aimed at improving the balance ability of the elderly.
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References
Ageing-and-health. https://www.who.int/zh/news-room/fact-sheets/detail/ageing-and-health. Accessed 4 Oct 2021
Bureau of Disease Prevention and Control. http://www.gov.cn/gzdt/2011-09/06/content_1941745.htm. Accessed 6 Sept 2011
Nawaz, A., Skjret, N., Helbostad, J.L., Vereijken, B., Boulton, E.: Usability and acceptability of balance exergames in older adults: a scoping review. Health Inform. J. 22(4), 911–931 (2016)
Abbas, R.L., Po, H., Al, M., Nayal, I.E., Khatib, A.E.: The effect of adding virtual reality training on traditional exercise program on balance and gait in unilateral traumatic lower limb amputee (2020)
Zhang, J.: Meta-analysis of the influence of Tai Chi on the static balance ability and lower limb proprioception of middle-aged and elderly people. J. Chaohu Univ. 19(06), 66–71 (2017)
Ryan, R., Deci, E.: Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am. Psychol. 55, 68–78 (2000)
Nagano, Y., Ishida, K., Tani, T., Kawasaki, M., Ikeuchi, M.: Short and long-term effects of exergaming for the elderly. Springerplus 5(1), 793–793 (2016). https://doi.org/10.1186/s40064-016-2379-y
Pichierri, G., Murer, K., de Bruin, E.D.: A cognitive-motor intervention using a dance video game to enhance foot placement accuracy and gait under dual task conditions in older adults: a randomized controlled trial. BMC Geriatr. 12, 74 (2012)
Corregidor-Sánchez, A.-I., Segura-Fragoso, A., Criado-Álvarez, J.-J., Rodríguez-Hernández, M., Mohedano-Moriano, A., Polonio-López, B.: Effectiveness of virtual reality systems to improve the activities of daily life in older people. Int. J. Environ. Res. Public Health 17(17), 6283 (2020)
Valenzuela, T., Okubo, Y., Woodbury, A., Lord, S.R., Delbaere, K.: Adherence to technology-based exercise programs in older adults: a systematic review. J. Geriatr. Phys. Ther. 41(1), 49–61 (2018)
Skjæret, N., et al.: Designing for movement quality in exergames: lessons learned from observing senior citizens playing stepping games. Gerontology 61(2), 186–194 (2015)
Garcia, J.A., Schoene, D., Lord, S.R., Delbaere, K., Valenzuela, T., Navarro, K.F.: A bespoke kinect stepping exergame for improving physical and cognitive function in older people: a pilot study. Games Health J. 5(6), 382–388 (2016)
Chen, M., Tang, Q., Xu, S., Leng, P., Pan, Z.: Design and evaluation of an augmented reality-based exergame system to reduce fall risk in the elderly. Int. J. Environ. Res. Public Health 17(19), 7208 (2020)
Weber-Spickschen, T.S., Colcuc, C., Hanke, A., Clausen, J.D., James, P.A., Horstmann, H.: Fun during knee rehabilitation: feasibility and acceptability testing of a new Android-based training device. Open Med. Inform. J. 11, 29–36 (2017)
Konstantinidis, E.I., Billis, A.S., Mouzakidis, C.A., Zilidou, V.I., Antoniou, P.E., Bamidis, P.D.: Design, implementation, and wide pilot deployment of FitForAll: an easy to use exergaming platform improving physical fitness and life quality of senior citizens. IEEE J. Biomed. Health Inform. 20(1), 189–200 (2016)
Velazquez, A., Martínez-García, A.I., Favela, J., Hernandez, A., Ochoa, S.F.: Design of exergames with the collaborative participation of older adults. In: Proceedings of the 2013 IEEE 17th International Conference on Computer Supported Cooperative Work in Design (CSCWD), pp. 521–526 (2013)
Planinc, R., Nake, I., Kampel, M.: Exergame design guidelines for enhancing elderly’s physical and social activities (2013)
Brox, E., Konstantinidis, S.T., Evertsen, G.: User-centered design of serious games for older adults following 3 years of experience with exergames for seniors: a study design. JMIR Serious Games 5(1), e2 (2017)
Velazquez, A., Martínez-García, A.I., Favela, J., Ochoa, S.F.: Adaptive exergames to support active aging. Pervasive Mob. Comput. 34(C), 60–78 (2017)
Kappen, D., Mirza-Babaei, P., Nacke, L.: Gamification of older adults’ physical activity: an eight-week study (2018)
Muñoz, J.E., Gonçalves, A., Rúbio Gouveia, É., Cameirão, M.S., Bermúdez, I.B.S.: Lessons learned from gamifying functional fitness training through human-centered design methods in older adults. Games Health J. 8(6), 387–406 (2019)
Jin, C., Zheng, Y.: Influence of Tai Ji Chuan exercise on static balance ability of middle-aged and elderly people. Bull. Sport Sci. Technol. 29(001), 44–48 (2005)
Sun, W., Mao, D., Pang, F., Wang, L.: Influence of Tai Chi and brisk walking exercise on balance ability of elderly women. China Sport Sci. 48(5), 75–80 (2012)
Chodzko-Zajko, W.J.: ACSM’s exercise for older adults (2013)
Mazzeo, R.S., Tanaka, H.: Exercise prescription for the elderly: current recommendations. Sports Med. 31(11), 809–818 (2001)
Armstrong, L., Balady, G., Berrry, M., Williamswilkins, L.: ACSM’s Guidelines For Exercise Testing and Prescription. Physical Therapy (2006)
Maki, B.E., Holliday, P.J., Fernie, G.R.: Aging and postural control. J. Am. Geriatr. Soc. 38(1), 1–9 (1990)
Dalrymple-Alford, J.C., et al.: The MoCA well-suited screen for cognitive impairment in Parkinson disease. Neurology 75(19), 1717 (2010)
Ambrosino, P., Fuschillo, S., Papa, A., Minno, M., Maniscalco, M.: Exergaming as a supportive tool for home-based rehabilitation in the COVID-19 pandemic era. Games Health J. 9(5), 311–313 (2020)
Guralnik, J.M., et al.: lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J. Gerontol. A Biol. Sci. Med. Sci. 55(4), M221–M231 (2000)
Lord, S.R., Murray, S.M., Kirsten, C., Bridget, M., Anne, T.: Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol. A Biol. Med. 57(8), M539 (2002)
Timed Up and Go Test. Handbook of Disease Burdens and Quality of Life Measures (2010)
Wim, V., Boxtel, M.V., Breukelen, G.V., Jolles, J.: The Letter Digit Substitution Test: normative data for 1,858 healthy participants aged 24–81 from the Maastricht Aging Study (MAAS): influence of age, education, and sex. J. Clin. Exp. Neuropsychol. 28(6), 998–1009 (2006)
Kane, M.J., Engle, R.W.: Working-memory capacity and the control of attention: the contributions of goal neglect, response competition, and task set to Stroop interference. J. Exp. Psychol. Gen. 132(1), 47–70 (2003)
Zysset, S., Müller, K., Lohmann, G., Cramon, D.: Color-word matching stroop task: separating interference and response conflict. Neuroimage 13(1), 29–36 (2001)
Branaghan, R.J., O’Brian, J.S., Hildebrand, E.A., Foster, L.B.: Usability evaluation. In: Branaghan, R.J., O’Brian, J.S., Hildebrand, E.A., Foster, L.B. (eds.) Humanizing Healthcare – Human Factors for Medical Device Design, pp. 69–96. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-64433-8_4
Yu, R.W.L., Yuen, W.H., Peng, L., Chan, A.H.S.: Acceptance level of older Chinese people towards video shooting games. In: Gao, Q., Zhou, J. (eds.) HCII 2020. LNCS, vol. 12208, pp. 707–718. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-50249-2_50
Davis, F.D.: Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 13(3), 319–340 (1989)
Kendzierski, D., Decarlo, K.J.: Physical activity enjoyment scale: two validation studies. J. Sport Exerc. Psychol. 13(1), 50–64 (1991)
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The research is supported by National Social Science Fund (Grant No. 18BRK009).
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Zhang, Y., Han, T., Ding, Y., Zhao, S. (2022). Design of Somatosensory Interactive Balance Training Exergame for the Elderly Based on Tai Chi. In: Gao, Q., Zhou, J. (eds) Human Aspects of IT for the Aged Population. Technology in Everyday Living. HCII 2022. Lecture Notes in Computer Science, vol 13331. Springer, Cham. https://doi.org/10.1007/978-3-031-05654-3_21
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