Article

Jeux vidéo -
Essai contrôlé randomisé
PURPOSE: To assess the feasibility of a physiotherapy intervention using an
interactive gaming program compared with conventional physiotherapy for
hospitalised older people. METHODS: Randomised controlled pilot study in a
geriatric rehabilitation unit within an acute public hospital. Participants were
randomly allocated to physiotherapy using an interactive gaming program
(n = 22) or conventional physiotherapy in a ward-based gym (n = 22). Feasibility was
assessed by comparing the effects of the intervention on clinical outcome
measures (primary outcome: mobility as assessed by the Timed Up and Go test,
secondary outcomes: safety, adherence levels, eligibility and consent rates).
RESULTS: Participants (n = 44) had a mean age of 85 years (SD 4.5) and the
majority (80%) were women. Univariable analyses showed no significant difference
between groups following intervention. However, multivariable analyses suggested
that participants using the interactive gaming program improved more on the Timed
Up and Go test (p = 0.048) than participants receiving conventional
physiotherapy. There were no serious adverse events and high levels of adherence
to therapy were evident in both groups. Only a small proportion of patients
screened were recruited to the study. CONCLUSIONS: In this feasibility study, the
use of a commercially available interactive gaming program by physiotherapists
with older people in a hospital setting was safe and adherence levels were
comparable with conventional therapy. Preliminary results suggest that further
exploration of approaches using games as therapy for older people could include
commonly used measures of balance and function.

Langue : ANGLAIS