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Related Experiment Video

Updated: May 6, 2026

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Virtual Reality Intervention for Fall Prevention in Older Adults: A Meta-Analysis.

Ita Daryanti Saragih1, Yao-Mei Chen1, Ira Suarilah2

  • 1College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|June 19, 2025
PubMed
Summary

Virtual reality (VR) interventions effectively reduce fear of falling and improve balance and postural control in older adults. This technology offers a valuable tool for fall prevention strategies, enhancing mobility and independence.

Keywords:
fall preventionfear of fallingmeta‐analysisolder adultsvirtual reality

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Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Public Health

Background:

  • Falls in older adults pose significant health risks, including fractures, head trauma, and mortality.
  • Virtual reality (VR) shows promise for fall prevention by enhancing balance and confidence.
  • Existing research requires synthesis on VR's specific impact on fear of falling, balance, and postural control.

Purpose of the Study:

  • To systematically review and meta-analyze the effects of VR interventions on fear of falling, balance, and postural control in older adults.
  • To synthesize evidence from randomized controlled trials (RCTs) on VR for fall prevention outcomes.
  • To evaluate the efficacy of VR in improving key metrics related to fall risk in the elderly population.

Main Methods:

  • Systematic review and meta-analysis of 17 RCTs involving 988 older adults.
  • Comprehensive search of six databases up to January 20, 2025.
  • Random-effects models used to calculate pooled standardized mean differences (SMDs) for outcomes.

Main Results:

  • VR interventions significantly reduced fear of falling (SMD = -0.40; p=0.02).
  • Significant improvements were observed in balance (SMD = 0.45; p=0.02) and postural control (SMD = 0.50; p=0.01).
  • Results based on RCTs published between 2016 and 2025.

Conclusions:

  • VR interventions are effective in mitigating fear of falling among older adults.
  • VR significantly enhances balance and postural control, crucial for fall prevention.
  • VR is a valuable therapeutic tool for maintaining independence and mobility in the elderly.