![]() ![]() Some of these components can be improved by interventions making balance a modifiable risk factor for falls. ![]() Balance is a complex issue with components of static and dynamic stability, sensory integration, and reactive postural control. Although there are numerous intrinsic and extrinsic risk factors for falls, gait and balance problems are the most consistent predictors of future falls. Among older adults hospitalized as a result of a fall, only 50% are alive one year later. For example, falls are the preeminent cause of hip fractures in older adults, which in turn are associated with decreased mobility, quality of life, and premature death. Falls are associated with increased morbidity and mortality. Community dwelling adults, aged 65 years or older, have a 22% yearly incidence of falls. Gait and balance problems increase with age, making older adults vulnerable to falls. ![]() This trial is registered with Identifier NCT02190045. This study establishes that the Wii-Fit exercise program is efficacious in improving balance in community dwelling older Veterans. Intent-to-treat analysis showed a significantly greater improvement in BBS in the exercise group (6.0 95% CI, 5.1–6.9) compared to the control group (0.5 95% CI, −0.3–1.3) at 8 weeks (average intergroup difference (95% CI), 5.5 (4.3–6.7), p < 0.001) after adjusting for baseline. There were no study-related adverse events. Of 30 randomized subjects, 27 completed all aspects of the study protocol. The primary (Berg Balance Scale (BBS)) and secondary outcomes (fear of falling, physical activity enjoyment, and quality of life) were measured at baseline, 4 weeks, and 8 weeks. The exercise group performed Wii-Fit program while the control group performed a computer-based cognitive program for 45 minutes, three days per week for 8-weeks. ![]() Thirty community dwelling Veterans aged 68 (☖.7) years were randomized to either the exercise or control groups. A prospective randomized controlled parallel-group trial was conducted at Veterans Affairs Medical Center. The objective of this study was to establish the efficacy of a Wii-Fit interactive video-game-led physical exercise program to improve balance in older Veterans. Balance problems are well-established modifiable risk factors for falls, which are common in older adults. ![]()
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