Evidence map›Paper›PMID 23472104›Full record

Trial reportPloS one2013

A randomized controlled pilot study of home-based step training in older people using videogame technology.

Daniel Schoene, Stephen R Lord, Kim Delbaere, Connie Severino, Thomas A Davies, Stuart T Smith

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02333214 (The Effectiveness of an Exercise Program Using Video Games Associated With Conventional Physiotherapy in Physical Functioning in Frail Elderly Compared to Conventional Physiotherapy), which is not on this map. Cited by 103 papers, 23 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 23 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02333214 naunknown statusnot on this mapstarted 2014, after this paper: background citation

The Effectiveness of an Exercise Program Using Video Games Associated With Conventional Physiotherapy in Physical Functioning in Frail Elderly Compared to Conventional Physiotherapy: Randomized Clinical Trial

TypeinterventionalSponsorUniversidade Cidade de Sao PauloRan2014 to 2018Enrolled82ConditionsFrail ElderlyArmsExergames and conventional physiotherapy, Conventional physiotherapy
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 23 syntheses or guidelines pooled it.

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  16. Effectiveness of Virtual Reality Systems to Improve the Activities of Daily Life in Older People.International journal of environmental research and public health · 2020
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43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Daniel SchoeneFalls and Balance Research Group, Neuroscience Research Australia, Sydney, New South Wales, Australia.
Stephen R Lord
Kim Delbaere
Connie Severino
Thomas A Davies
Stuart T Smith

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStepping impairments are associated with physical and cognitive decline in older adults and increased fall risk. Exercise interventions can reduce fall risk, but adherence is often low. A new exergame involving step training may provide an enjoyable exercise alternative for preventing falls in older people. PURPOSE: To assess the feasibility and safety of unsupervised, home-based step pad training and determine the effectiveness of this intervention on stepping performance and associated fall risk in older people.

designSingle-blinded two-arm randomized controlled trial comparing step pad training with control (no-intervention). SETTING/

participantsThirty-seven older adults residing in independent-living units of a retirement village in Sydney, Australia.

interventionIntervention group (IG) participants were provided with a computerized step pad system connected to their TVs and played a step game as often as they liked (with a recommended dose of 2-3 sessions per week for 15-20 minutes each) for eight weeks. In addition, IG participants were asked to complete a choice stepping reaction time (CSRT) task once each week.

main outcome measuresCSRT, the Physiological Profile Assessment (PPA), neuropsychological and functional mobility measures were assessed at baseline and eight week follow-up.

resultsThirty-two participants completed the study (86.5%). IG participants played a median 2.75 sessions/week and no adverse events were reported. Compared to the control group, the IG significantly improved their CSRT (F31,1 = 18.203, p<.001), PPA composite scores (F31,1 = 12.706, p = 0.001), as well as the postural sway (F31,1 = 4.226, p = 0.049) and contrast sensitivity (F31,1 = 4.415, p = 0.044) PPA sub-component scores. In addition, the IG improved significantly in their dual-task ability as assessed by a timed up and go test/verbal fluency task (F31,1 = 4.226, p = 0.049).

conclusionsStep pad training can be safely undertaken at home to improve physical and cognitive parameters of fall risk in older people without major cognitive and physical impairments.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12611001081909.

Indexed as

Video GamesAccidental FallsAgedAged, 80 and overAustraliaCognition DisordersExercise TherapyGeriatricsHumansPatient CompliancePilot ProjectsPostural BalanceSensitivity and SpecificitySingle-Blind MethodTreatment Outcome

Identifiers

PMID23472104
PMCPMC3589451

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.