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Beneficial Effects of Interactive Physical-Cognitive Game-Based Training on Fall Risk and Cognitive Performance of Older Adults

Author

Listed:
  • Kochaphan Phirom

    (Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Teerawat Kamnardsiri

    (Department of Digital Game, College of Arts, Media, and Technology, Chiang Mai University, Chiang Mai 50200, Thailand)

  • Somporn Sungkarat

    (Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai 50200, Thailand)

Abstract

Physical and cognitive declines are significant risk factors for falls. Promising evidence suggests that combined physical-cognitive training would be an effective fall risk reduction and cognitive improvement intervention. However, a limited number of studies have been conducted and findings have been inconclusive. This study investigated the effects of interactive physical-cognitive game-based training on the fall risk and cognitive performance of older adults. Forty participants were randomly allocated to the intervention (n = 20) and control (n = 20) groups. Participants in the intervention group performed a 1 h session, 3 times a week for 12 weeks of the interactive physical-cognitive game-based training program. Fall risk (Physiological Profile Assessment, PPA; and Timed Up and Go, TUG) and cognitive outcome (Montreal Cognitive Assessment, MoCA) were assessed at pre- and post-intervention. Thirty-nine participants (mean age = 69.81 ± 3.78 years) completed the study (97.5%). At the end of the trial, participants in the intervention group demonstrated significant improvement in the PPA fall risk score ( p = 0.015), postural sway ( p = 0.005), MoCA score ( p = 0.001), and TUG-dual task ( p = 0.045) compared to controls. In conclusion, the interactive physical-cognitive, game-based training was effective in reducing physiological fall risk and improving cognitive function in community-dwelling older adults.

Suggested Citation

  • Kochaphan Phirom & Teerawat Kamnardsiri & Somporn Sungkarat, 2020. "Beneficial Effects of Interactive Physical-Cognitive Game-Based Training on Fall Risk and Cognitive Performance of Older Adults," IJERPH, MDPI, vol. 17(17), pages 1-12, August.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6079-:d:401974
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    References listed on IDEAS

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    1. Renae L. Smith-Ray & Susan L. Hughes & Thomas R. Prohaska & Deborah M. Little & Donald A. Jurivich & Donald Hedeker, 2015. "Impact of Cognitive Training on Balance and Gait in Older Adults," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 70(3), pages 357-366.
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    Cited by:

    1. Puntarik Keawtep & Wanachaporn Wichayanrat & Sirinun Boripuntakul & Siriporn C. Chattipakorn & Somporn Sungkarat, 2022. "Cognitive Benefits of Physical Exercise, Physical–Cognitive Training, and Technology-Based Intervention in Obese Individuals with and without Postmenopausal Condition: A Narrative Review," IJERPH, MDPI, vol. 19(20), pages 1-15, October.
    2. Ae-Ri Jung & Dasom Kim & Eun-A Park, 2021. "Cognitive Intervention Using Information and Communication Technology for Older Adults with Mild Cognitive Impairment: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(21), pages 1-18, November.
    3. Mohammad Jobair Khan & Priya Kannan & Thomson Wai-Lung Wong & Kenneth N. K. Fong & Stanley John Winser, 2022. "A Systematic Review Exploring the Theories Underlying the Improvement of Balance and Reduction in Falls Following Dual-Task Training among Older Adults," IJERPH, MDPI, vol. 19(24), pages 1-33, December.
    4. Bárbara-Mariana Gutiérrez-Pérez & Antonio-Víctor Martín-García & Alicia Murciano-Hueso & Ana-Paula Oliveira Cardoso, 2023. "Use of serious games with older adults: systematic literature review," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-17, December.
    5. Longhai Zhang & Jiawei Guo & Jing Zhang & Ling Zhang & Yanbing Li & Shutong Yang & Wenfei Zhu & Fei Guo, 2023. "Interactive Cognitive Motor Training: A Promising Approach for Sustainable Improvement of Balance in Older Adults," Sustainability, MDPI, vol. 15(18), pages 1-15, September.

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