The Reliability and Preliminary Validity of Game-Based Fall Risk Assessment in Community-Dwelling Older Adults

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• 作者：Minoru Yamada RPT ; PhD ; Tomoki Aoyama MD ; PhD ; Masatoshi Nakamura RPT ; Buichi Tanaka RPT ; Koutatsu Nagai RPT ; Noriatsu Tatematsu RPT ; Kazuki Uemura RPT ; Takashi Nakamura MD ; PhD ; Tadao Tsuboyama MD ; PhD ; Noriaki Ichihashi MD ; PhD [Author vitae]
• 刊名：Geriatric Nursing
• 出版年：2011
• 出版时间：May-June 2011
• 年：2011
• 卷：32
• 期：3
• 页码：188-194
• 全文大小：196 K

文摘

The purpose of this study was to examine whether the Nintendo Wii Fit program could be used for fall risk assessment in healthy, community-dwelling older adults. Forty-five community-dwelling older women participated in this study. The “Basic Step” and “Ski Slalom” modules were selected from the Wii Fit game program. The following 5 physical performance tests were performed: the 10-m walk test under single- and dual-task conditions, the Timed Up and Go test under single- and dual-task conditions, and the Functional Reach test. Compared with the faller group, the nonfaller group showed a significant difference in the Basic Step (P < .001) and a nonsignificant difference in the Ski Slalom (P = .453). The discriminating criterion between the 2 groups was a score of 111 points on the Basic Step (P < .001). The Basic Step showed statistically significant, moderate correlations between the dual-task lag of walking (r = −.547) and the dual-task lag of the Timed Up and Go test (r = −.688). These results suggest that game-based fall risk assessment using the Basic Step has a high generality and is useful in community-dwelling older adults.