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Feasibility of an Interactive Video-Based Training Program for Learning and Reviewing Walking Aid Skills
Maureen O'Brien1, Krista Best2, Cheryl Barnabe3
1Graduate Science, Cumming School of Medicine, University of Calgary, Calgary, Alberta; Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta; McCaig Institute for Bone and Joint Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
A novel mobile app for teaching safe walking aid use shows feasibility for future trials. The app improved balance confidence and balance in adult users, though mobility and endurance showed no significant changes.
Area of Science:
- Rehabilitation technology
- Geriatric medicine
- Biomechanics
Background:
- Safe walking aid use is crucial for mobility and fall prevention in adults.
- Current training methods may lack engagement and accessibility.
- Mobile applications offer a potential platform for innovative rehabilitation interventions.
Purpose of the Study:
- To assess the feasibility of a trial using a novel interactive video-based mobile application for teaching safe walking aid use.
- To explore the preliminary effects of this application on balance confidence, balance, mobility, and endurance.
Main Methods:
- A single-arm, pre-post feasibility study was conducted in a university research laboratory.
- Thirteen adult walking aid users participated, utilizing the app's fitting and gait training modules.
- Feasibility indicators, including recruitment, retention, and safety, were collected alongside validated outcome measures (ABC, BBS, TUG, 2MWT).
Main Results:
- Feasibility was achieved for 3 out of 6 assessed trial indicators.
- Participants demonstrated statistically significant improvements in balance confidence (Activities-specific Balance Confidence Scale) and balance (Berg Balance Scale).
- No significant changes were observed in mobility (timed Up and Go) or endurance (2-Minute Walk Test).
Conclusions:
- A trial utilizing the novel mobile application appears feasible with modifications, supporting its potential for rehabilitation.
- Preliminary findings indicate positive effects on balance confidence and balance, suggesting clinical relevance.
- Further investigation in a randomized controlled trial is warranted to confirm these effects on clinical outcomes.

