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1383507
Interactive games/physical exercises for fall prevention in elderly Dr. Liu group
Description
Beginning of group concept map for research
Mind Map by
b.gibson.2014
, updated more than 1 year ago
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Created by
b.gibson.2014
over 9 years ago
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Resource summary
Interactive games/physical exercises for fall prevention in elderly Dr. Liu group
Traditional OT/Exergames
Exergame design
Pros and Cons (B.G. 1, 2, 3)
Needed additions for elderly (B.G. 1, 2, 3)
Exergames
Fall prevention( B.G. 3,4)
Improving balance (B.G. 1,4)
Fear of falls (B.G. 6)
Elderly views
Motivation to participate (B.G. 2,3)
Physical activity (B.G. 1,2,3)
Traditional OT in Fall Prevention
Environmental modifications (B.G. 5, 6)
Lack of research areas (B.G. 5)
Functional exercises (B.G. 5)
Behavioral interventions 5
Medication management (B.G. 5)
OT in Exergames
No research found
Physical Exercise
Balance
Strength training (S.A. 3)
Whole body vibration (S.A. 6)
Some effect as routine exercise (S.A. 6)
Resistance (S.A. 1)
Mini trampoline, aquatic, gymnastics (S.A. 2)
Multi-component fitness (S.A. 3,4,5)
Increase physical fitness (S.A. 5)
Not enough to induce changes in body compensation (S.A. 5)
Flexibility (S.A. 3, 4, 5)
Resistance (S.A. 3, 4, 5)
Muscular endurance (S.A. 5)
Cardiovascular endurance (aerobics) (S.A. 3, 4, 5)
Decreased physical fitness in both genders as age increase (S.A. 4)
Improving balance in the elderly
The Cochrane Collaboration (K.S. 2)
Interventions of unknown effectiveness (K.S. 2)
Interventions likely to be beneficial (K.S. 2)
Withdrawal of psychotropic medication/cardiac pacers/ 15 week Tai Chi group exercise (K.S. 2)
Muscle strengthening and balance retraining (K.S. 2)
Multidisciplinary, multifactorial, health/environmental risk factors, screening/intervention programs (K.S. 2)
Home hazard assessments and modifications (K.S. 2)
Enhanced Balance Training Program (K.S. 4)
Enhance balance training (K.S. 4)
Improved confidence in walking around house and outside (K.S. 4)
Conventional physiotherapy (K.S. 4)
Tai Chi (K.S. 5)
Confidence to improved balance (K.S. 5)
Inconsistent results (K.S. 5)
Variation in exercise; Yang most common (K.S. 5)
Systemic review and meta-analysis (K.S. 1)
Environmental modification programs (K.S. 1)
Education interventions (K.S. 1)
#2 Exercise interventions (K.S. 1)
#1 Multifactorial falls risk assessment/management programs (K.S. 1)
Rehabilitation exercise program
Obstacle course performance and reducing falls/injuries (K.S. 3)
Different measures/outcomes (K.S. 3)
Characteristics of quality fall prevention programs
Strength training
Not vital for fall prevention, however there are other health benefits and there could be long-term benefits. (Sherrington)
Frequency/ Duration
Strength training: As recommended by a physician
Walking, other low/mod intensity cardio: as tolerable
Balance: 2hrs/wk mod/high intensity (Sherrington)
Multi-factorial approach (Choi)
Exercise
Safety checks
Staff education
Environmental modifications
Walking
Not for high fall-risk clients (Sherrington)
Flexibility training/ stretching
Tai Chi improves flexibility (Leung)
Community or home-based
Those livening in long-term facility tend to be too frail to safely participate in exercise (Silva)
Balance training
Tai Chi (Leung, Sherrington)
Improved strength and flexibilty
Slower rate of decline 6 mos post-intervention
Other forms of balance training
2 hr/wk, mod-high intensity (Sherrington)
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