E-mail: Epub ahead of print Oct 7, 2014įalls are a major issue affecting older people, with one-third of people aged 65 years and over falling at least once each year (1). Mahoneys Road & Burwood Highway, Burwood East Victoria, 3151, Australia. Guarantor’s address: Amy Dennett, Department of Physiotherapy, Peter James Centre, Cnr. Key words: falls balance mobility virtual-reality meta-analysis. There was low-to-moderate-quality evidence that computerized devices have no significant effect on mobility, falls efficacy and falls risk in community-dwelling older adults, and people with a neurological condition compared with physiotherapy.ĬONCLUSION:There is high-quality evidence that computerized devices that provide feedback may be useful in improving balance in people with neurological conditions compared with no therapy, but there is a lack of evidence supporting more meaningful changes in mobility and falls risk. There was high-quality evidence that computerized devices can improve dynamic balance in people with a neurological condition compared with no therapy. Risk of bias for individual trials was assessed with the (Physiotherapy Evidence Database) PEDro scale.ĭATA SYNTHESIS: Thirty trials were included. ![]() ![]() The GRADE approach was used to summarize the level of evidence for each completed meta-analysis. OBJECTIVE: To determine the effectiveness of computer-based electronic devices that provide feedback in improving mobility and balance and reducing falls.ĭATA SOURCES:Randomized controlled trials were searched from the earliest available date to August 2013.ĭATA EXTRACTION: Standardized mean differences were used to complete meta-analyses, with statistical heterogeneity being described with the I-squared statistic.
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