Computerised Games For Balance Training: A Pilot Study On Collegiate Females (P135)

  • Jonathan S Wheat
  • Ben Heller
  • Stephanie Lovick
Conference paper

Abstract

Sporting and everyday tasks often require effective control of posture. Many studies have assessed interventions used to improve balance and postural control and, recently, interventions based on computer games have been reported (e.g. Betkar et al., 2006). Often, the equipment required for such interventions is expensive and inaccessible. In this study, we present the details of a relatively inexpensive posturally-controlled computer games system suitable for home use and the results of an initial four week intervention using the system. Sixteen healthy, collegiate-aged, adult volunteers were assigned to either an exercise or control group. The exercise group completed a four-week, posture-controlled, computer- game-based intervention. The custom-built system comprised a set of modified electronic weighing scales interfaced to a laptop computer. Custom software calculated the centre of pressure (COP) from the vertical force transducers in the weighing scales. Participants completed three 15 minute training sessions per week in which they played various games (e.g. Pong, Breakout) controlled via the COP. The same games were played by the control group during the same number of sessions but controlled via a mouse. Measures of static (force platform) and dynamic (game score) balance were taken both pre- and post-intervention to evaluate the effectiveness of computer games in improving balance and postural control. Participants in the exercise group improved their performance at the computer games (p < 0.05). The exercise group also showed improvements in static balance with, for example, a reduction in anterior-posterior COP variability during two-legged eyes-open stance (p < 0.05). These improvements were not reflected in the control group. Therefore, this initial study suggests that posture-controlled computer games could be effective in improving balance and postural control. The potential benefits of this approach, in the context of the limitations of the study, will be discussed.

Keywords

postural control exercise sway game play intervention 

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References

  1. [BS1]
    Betker, A. L, Szturm, T., Moussavi, Z. K., and Nett, C. Video game-based exercises for balance rehabilitation: A single-subject design. In Archives of Physical Medicine and Rehabilitation, 87(8): 1141–1149, 2006CrossRefGoogle Scholar
  2. [CR1]
    Campbell, A. J., Robertson, M. C, Gardner, M. M., Norton, R. N., Tilyard, M. W., and Buchner, D. M. Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women. In BMJ (Clinical Research Ed.), 315(7115): 1065–1069, 1997Google Scholar
  3. [CR2]
    Campbell, A. J., Robertson, M. C, La Grow, S. J., Kerse, N. M., Sanderson, G. E, Jacobs, R. J., et al. Randomised controlled trial of prevention of falls in people aged > or =75 with severe visual impairment: The VIP trial. In BMJ (Clinical Research Ed.), 331(7520): 817, 2005Google Scholar
  4. [FS1]
    Frandin, K., Sonn, U., Svantesson, U., and Grimby, G. Functional balance tests in 76-yearolds in relation to performance, activities of daily living and platform tests. In Scandinavian Journal of Rehabilitation Medicine, 27(4): 231–241, 1995Google Scholar
  5. [LW1]
    Lord, S. R., Ward, J. A., and Williams, P. Exercise effect on dynamic stability in older women: A randomized controlled trial. In Archives of Physical Medicine and Rehabilitation, 77(3): 232–236, 1996CrossRefGoogle Scholar
  6. [MG1]
    McGuine, T. A., Greene, J. J., Best, T., and Leverson, G. Balance as a predictor of ankle injuries in high school basketball players. Clinical Journal of Sport Medicine. In Journal of the Canadian Academy of Sport Medicine, 10(4): 239–244, 2000CrossRefGoogle Scholar
  7. [MK1]
    McGuine, T. A., and Keene, J. S. The effect of a balance training program on the risk of ankle sprains in high school athletes. In The American Journal of Sports Medicine, 34(7): 1103–1111, 2006CrossRefGoogle Scholar
  8. [PS1]
    Paillex, R., and So, A. Changes in the standing posture of stroke patients during rehabilitation. In Gait and Posture, 21(4): 403–409, 2005CrossRefGoogle Scholar
  9. [PK1]
    Peurala, S. H., Kononen, P., Pitkanen, K., Sivenius, J., and Tarkka, I. M. Postural instability in patients with chronic stroke. In Restorative Neurology and Neuroscience, 25(2): 101–108, 2007Google Scholar
  10. [RC1]
    Robertson, S., Collins, J., Elliott, D., and Starkes, J. The influence of skill and intermittent vision on dynamic balance. In Journal of Motor Behavior, 26(4): 333–339, 1994Google Scholar
  11. [SS1]
    Sihvonen, S. E., Sipila, S., and Era, P. A. Changes in postural balance in frail elderly women during a 4-week visual feedback training: A randomized controlled trial. In Gerontology, 50(2): 87–95, 2004CrossRefGoogle Scholar
  12. [VB1]
    Verhagen, E., van der Beek, A., Twisk, J., Bouter, L, Bahr, R., and van Mechelen, W. The effect of a proprioceptive balance board training program for the prevention of ankle sprains: A prospective controlled trial. In The American Journal of Sports Medicine, 32(6): 1385–1393, 2004CrossRefGoogle Scholar
  13. [WE1]
    van Wegen, E. E., van Emmerik, R. E., and Riccio, G. E. Postural orientation: Age-related changes in variability and time-to-boundary. In Humun Movement Science, 21(1): 61–84, 2002CrossRefGoogle Scholar
  14. [WE2]
    van Wegen, E. E., van Emmerik, R. E., Wagenaar, R. C, and Ellis, T. Stability boundaries and lateral postural control in parkinson’s disease. In Motor Control, 5(3): 254–269, 2001Google Scholar
  15. [W1]
    Winter, D. A. A.B.C) of balance during standing and walking. Waterloo, Ont: Graphics Services, 1995Google Scholar
  16. [WL1]
    Wong, A. M., Lin, Y. C, Chou, S. W., Tang, F. T., and Wong, P. Y. Coordination exercise and postural stability in elderly people: Effect of tai chi chuan. In Archives of Physical Medicine and Rehabilitation, 82(5): 608–612, 2001CrossRefGoogle Scholar

Copyright information

© Springer-Verlag France, Paris 2009

Authors and Affiliations

  • Jonathan S Wheat
  • Ben Heller
  • Stephanie Lovick
    • 1
  1. 1.Sports Engineering Research GroupSheffield Hailam UniversityUK

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