Predicting use of a gait-stabilizing device using a Wii Balance Board
Sean M Mullan1, Nicholas J Evans2, Daniel K Sewell3
1Department of Computer Science, University of Iowa, Iowa City, Iowa, United States of America.
Plos One
|October 5, 2023
Summary
A Wii Balance Board (WBB) can predict if older adults need gait-stabilizing devices (GSDs). This inexpensive tool helps identify fall risks, promoting proactive use of fall prevention strategies.
Area of Science:
- Gerontology
- Biomechanics
- Rehabilitation Engineering
Background:
- Gait-stabilizing devices (GSDs) effectively prevent falls in older adults.
- Reluctance to use GSDs until after a fall necessitates predictive methods for early adoption.
- Predictive tools for GSD need are crucial for improving fall prevention strategies.
Purpose of the Study:
- To evaluate the Wii Balance Board (WBB) as a tool for predicting the need for GSDs.
- To determine if WBB data can differentiate between GSD users and non-users.
- To assess the feasibility of using WBB for fall risk assessment in older adults.
Main Methods:
- Prospective recruitment of 70-100 year old participants, including GSD users and non-users.
- Data collection included Modified Vulnerable Elders Survey, grip strength, and eight balance tests on a WBB.
- Generalized functional linear models were used to predict GSD use based on collected data.
Main Results:
- The WBB, incorporating velocity and acceleration data, improved prediction accuracy for GSD use.
- Predictive models utilizing WBB data outperformed those based solely on grip strength and survey variables.
- Analysis included 201 participants (97 GSD users, 109 non-users) after data cleaning.
Conclusions:
- The WBB is a practical, cost-effective, and user-friendly device for recommending GSD use.
- WBB-based assessments can aid in identifying individuals who would benefit from GSDs.
- This approach supports proactive fall prevention by facilitating timely GSD adoption.
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