A Comparison of Wii™ Exergaming and Matter of Balance on Aspects of Balance and Activity Adherence in Older Adults

Abstract

This study was conducted to determine the relative effect of fall prevention community-based education and video gaming-based exercise (exergaming), on measures of functional balance, fall-efficacy, activity adherence, and perceived enjoyment in community-dwelling older adults (N= 36). To quantify functional balance and fall- efficacy, the 8-foot Up-and-Go Test (UG), Multi-Directional Reach Test (MDRT), and Activities-specific Balance Confidence (ABC) Scale were used. Adherence was measured by recording attendance rate figures at each session and a modified Experience Questionnaire was used at posttest to assess enjoyment in exergaming. Repeated-measures MANOVA test indicated no statistically significant effects by treatment group across time mainly due to the small sample size. Trends in both treatment groups indicated slightly improved mean UG and MDRT scores, indicating improved functional balance performance when compared to control group. Post-study data also suggested that both treatment groups also demonstrated high levels of adherence and perceived enjoyment. Results support the effectiveness of the Nintendo Wii™ and the fall prevention education program as a generationally appropriate intervention for promoting enjoyable participation in routine physical activity and fall prevention for community-dwelling older adults.