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V-TIME: a treadmill training program augmented by virtual reality to decrease fall risk in older adults: study design

Anat Mirelman1, Lynn Rochester, Miriam Reelick

  • 1Department of Neurology, Laboratory for Gait Analysis & Neurodynamics, Movement Disorders Unit, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, Tel Aviv 64239, Israel. anatmi@tasmc.health.gov.il

BMC Neurology
|February 8, 2013
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Summary
This summary is machine-generated.

This study investigates a combined treadmill and virtual reality (VR) intervention to reduce fall risk in older adults. The VR-enhanced training aims to improve both motor and cognitive functions, crucial for preventing falls.

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Area of Science:

  • Gerontology
  • Neuroscience
  • Rehabilitation Medicine

Background:

  • Fall risk in older adults is linked to both motor and cognitive deficits.
  • Everyday walking requires executive functions like planning and dual-tasking.
  • Pilot studies suggest multimodal interventions combining physical and cognitive training can reduce fall risk.

Purpose of the Study:

  • To evaluate the effectiveness of treadmill training augmented with virtual reality (VR) in reducing fall risk.
  • To assess the impact of this intervention on mobility and cognitive function in older adults.
  • To determine the added value of integrating motor and cognitive training compared to motor training alone.

Main Methods:

  • A randomized controlled trial involving 300 older adults, including those with mild cognitive impairment and Parkinson's disease.
  • Participants were assigned to either a VR-augmented treadmill training group or an active-control treadmill training group.
  • Training occurred 3 times per week for 6 weeks, with assessments before, after, and at 1 and 6 months post-intervention. Fall incidence was tracked for 6 months.

Main Results:

  • The study aims to demonstrate significant reductions in fall risk.
  • Improvements in gait, balance, community mobility, and cognitive function are expected.
  • The comparison group will elucidate the specific benefits of the VR component.

Conclusions:

  • The combined treadmill and VR intervention is hypothesized to reduce fall risk, enhance mobility, and improve cognitive function in diverse older adult populations.
  • This trial will provide evidence on the efficacy of addressing integrated motor-cognitive interactions for fall prevention.