The use of interactive technology an effective training method to improve combined strength and balance in community-dwelling older adults: a systematic review.

Abstract

The number of older adults falling is increasing. Strength and balance training is recommended to reduce falls risk in this population. Low cost interventions, such as interactive technology (IT), are needed. This study reviewed evidence on IT’s effectiveness in increasing both strength and balance in community-dwelling older adults. Seven databases (Cochrane Library, PubMed, Scopus, PEDro, CINHAL Plus, TRIP, NICE evidence) were searched in October-November 2017 (March 2020) using the terms: ‘older adults’, ‘interactive technology’, ‘strength and balance’. 374 papers were initially identified, with four articles selected for quantitative synthesis. These were RCTs, involving 235 participants aged > 65 years, and used exergaming. Leg strength and balance improved in 3/4 studies (p <0.05). Emergent evidence shows that IT, such as exergaming, improves strength and balance in older adults. Such initiatives should be adopted in Public Health/NHS practice as part of a multifaceted approach to reduce falls risk in community-dwelling older adults.