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Testing an Innovative Gait Training Program in Immersive Virtual Reality for Healthy Older Adults: Protocol for a
Nicolas Mascret1, Lisa Delbes1, Cédric Goulon1
1Aix-Marseille Univ, CNRS, ISM, Marseille, France.
JMIR Research Protocols
|May 21, 2025
Summary
Virtual reality (VR) gait training may improve adaptability in older adults more than Nordic walking, potentially reducing fall risk. This study compares VR effectiveness for enhancing gait adjustments and preventing falls in seniors.
Area of Science:
- Gerontology
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- Impaired gait adaptability is a primary cause of falls in older adults, often due to poor adjustments in complex environments.
- Systematic gait training programs can mitigate fall risk by improving adaptability.
- Virtual reality (VR) technology offers a promising platform for gait training due to its implementation potential.
Purpose of the Study:
- To compare the effectiveness of a VR-based gait training program against conventional Nordic walking (NW) for enhancing gait adaptability.
- To assess the potential of VR gait training in reducing fall risk among older adults.
- To hypothesize that VR training will yield superior improvements in gait adaptability compared to NW.
Main Methods:
- A randomized controlled trial involving 40 healthy community-dwelling older adults (65-80 years).
- Participants allocated to either a 6-week VR gait training program or a Nordic walking program.
- Assessment of primary outcomes including gait adaptability and VR device acceptance via pretests, posttests, retention tests, and a 12-month follow-up.
Main Results:
- Data collection is scheduled from September 2025 to December 2025.
- Initial results are anticipated by December 2025.
- The study will provide data on the comparative effectiveness of VR versus NW for gait training.
Conclusions:
- The study aims to highlight the relative efficacy of VR gait training compared to conventional methods for improving gait adaptability in older adults.
- Findings may support the use of VR interventions for fall prevention strategies in the elderly population.
- The research could demonstrate VR's potential to enhance motor behavior and reduce fall incidence.

