TY - JOUR PY - 2014// TI - Machines that go "ping" may improve balance but may not improve mobility or reduce risk of falls: a systematic review JO - Journal of rehabilitation medicine A1 - Dennett, Amy M. A1 - Taylor, Nicholas F. SP - 18 EP - 30 VL - 47 IS - 1 N2 - OBJECTIVE: To determine the effectiveness of computer-based electronic devices that provide feedback in improving mobility and balance and reducing falls. Data sources: Randomized controlled trials were searched from the earliest available date to August 2013. Data extraction: Standardized mean differences were used to complete meta-analyses, with statistical heterogeneity being described with the I-squared statistic. The GRADE approach was used to summarize the level of evidence for each completed meta-analysis. Risk of bias for individual trials was assessed with the (Physiotherapy Evidence Database) PEDro scale. Data synthesis: Thirty trials were included. There was high-quality evidence that computerized devices can improve dynamic balance in people with a neurological condition compared with no therapy. 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.

CONCLUSION: 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.

Language: en

LA - en SN - 1650-1977 UR - http://dx.doi.org/10.2340/16501977-1899 ID - ref1 ER -