Virtual reality and professional supervision: effects on joint mobility and balance in elderly males
DOI:
https://doi.org/10.47197/retos.v70.114437Keywords:
Virtual Reality, Joint Mobility, Balance, Older AdultsAbstract
Introduction: Virtual reality (VR) is a technology that allows users to interact in digital environments, simulating real-life situations that generate new experiences and provide full immersion in the activity. Meanwhile, professional supervision refers to the guidance of specialists in executing and individually adapting interventions. The combined implementation of both approaches may yield substantial benefits in the functional domain.
Objective: To assess the effects of virtual reality combined with professional supervision on joint mobility and muscular balance in older male adults, compared to a similar but traditional intervention with professional supervision.
Methods: A quasi-experimental study was conducted with a sufficient sample of older adults (n=64; 63–65 years old; male). The experimental group (n=32) underwent an eight-week intervention involving virtual reality (VR) with professional supervision, structured into three intervention phases. This was compared to a control group (n=32) that received a similar but traditional intervention with professional supervision.
Results: All studied indicators were significantly higher in the experimental group (p < 0.05), including mobility, balance, and stability, which were associated with a reduced risk of falls. Additionally, significant improvements were observed in Blood Pressure (↓4.7%), Heart Rate (↓4.7%), and Oxygen Saturation (↑1.8%). Participant satisfaction levels were also higher in the experimental group (4.7 vs. 3.8).
Conclusions: The findings suggest that virtual reality combined with professional supervision can enhance mobility and balance in older male adults. However, further research is necessary to optimize its application and maximize its long-term benefits. Write in the third person and past tense, except for the concluding sentence. Be clear and descriptive, and do not exceed 250 words. Avoid abbreviations, references to the main text, footnotes, or bibliographical citations.
References
Baeza, A. C., García-Molina, V. A., & Fernández, M. D. (2009). Fernández, M. D. (2009). Involución de la condición física por el envejecimiento. Apunts. Medicina de l'Esport, 44 (162), 98-103. https://doi.org/10.1016/S1886-6581(09)70115-X
Berg, K. (1992). Measuring balance in the elderly: Development and validation of an instrument. Canadian Journal of Public Health= Revue Canadienne de Sante Publique, 83(Suppl 2), S7-11. Retrieved 28 de Enero de 2025, from https://europepmc.org/article/med/1468055
Brachman, A., Marszałek, W., Kamieniarz, A., Michalska, J., Pawłowski, M., Akbaş, A., & Juras, G. (2021). The effects of exergaming training on balance in healthy elderly women—a pilot study. International Journal of Environmental Research and Public Health, 18(4), 1412. https://doi.org/10.3390/ijerph18041412
Byra, J., y Czernicki, K. (2020). The effectiveness of virtual reality rehabilitation in patients with knee and hip osteoarthritis. Journal of clinical medicine, 9(8), 2639. https://doi.org/10.3390/jcm9082639
Cadore, E. L., Rodríguez-Mañas, L., Sinclair, A., & Izquierdo, M. (2013). Effects of different exercise interventions on risk of falls, gait ability, and balance in physically frail older adults: a systematic review. Rejuvenation research, 16(2), 105-114. https://doi.org/10.1089/rej.2012.1397
Carlos Dávila-Morán, R., Salazar Montenegro, J. M., Miguel Chávez-Diaz, J., y Peralta Loayza, E. F. (2024). Usos de la realidad virtual en la rehabilitación física: una revisión sistemática. Retos, 61, 1060–1070. https://doi.org/10.47197/retos.v61.110044
Castaño, C. M., Penagos, P., & Jaramillo, B. (2023). Efectividad de la tecnología robótica y la realidad virtual para la rehabilitación de la función motora en la parálisis cerebral. Revisión sistemática. Rehabilitación, 57(3), 100752. https://doi.org/10.1016/j.rh.2022.07.001
Corregidor-Sánchez, A. I., Segura-Fragoso, A., Criado-Álvarez, J. J., Rodríguez-Hernández, M., Mohedano-Moriano, A., & Polonio-López, B. (2020). Effectiveness of virtual reality systems to improve the activities of daily life in older people. International Journal of Environmental Research and Public Health, 17(17), 6283. https://doi.org/10.3390/ijerph17176283
Corregidor-Sánchez, A. I., Segura-Fragoso, A., Rodríguez-Hernández, M., Jiménez-Rojas, C., Polonio-López, B., & Criado-Álvarez, J. J. (2021). Effectiveness of virtual reality technology on functional mobility of older adults: systematic review and meta-analysis. Age and ageing, 50(2), 370-379. https://doi.org/10.1093/ageing/afaa197
Courel-Ibáñez, J., Pallarés, J. G., García-Conesa, S., Buendía-Romero, Á., Martínez-Cava, A., & Izquierdo, M. (2021). Supervised exercise (Vivifrail) protects institutionalized older adults against severe functional decline after 14 weeks of COVID confinement. Journal of the American Medical Directors Association, 22(1), 217-219. https://doi.org/10.1016/j.jamda.2020.11.007
Dávila-Morán, R. C. (2024). La rehabilitación física y sus avances con realidad virtual: una revisión sistemática (Physical rehabilitation and its advances with virtual reality: a systematic review). Retos, 60, 467-476. https://doi.org/10.47197/retos.v60.109195
Dermody, G., Whitehead, L., Wilson, G., & Glass, C. (2020). The role of virtual reality in improving health outcomes for community-dwelling older adults: systematic review. Journal of medical internet research, 22(6), e17331. https://doi.org/doi:10.2196/17331
Duncan, P. W., Weiner, D. K., Chandler, J., & Studenski, S. (1990). Functional reach: a new clinical measure of balance. Journal of gerontology, 45(6), M192-M197. https://doi.org/10.1093/geronj/45.6.M192
Ehioghae, M., Montoya, A., Keshav, R., Vippa, T. K., Manuk-Hakobyan, H., Hasoon, J., & Urits, I. (2024). Effectiveness of virtual reality–based rehabilitation interventions in improving postoperative outcomes for orthopedic surgery patients. Current Pain and Headache Reports, 28(1), 37-45. https://doi.org/10.1007/s11916-023-01192-5
Hassandra, M., Galanis, E., Hatzigeorgiadis, A. G., Goudas, M., Mouzakidis, C., Karathanasi, E. M., & Theodorakis, Y. (2021). Α virtual reality app for physical and cognitive training of older people with mild cognitive impairment: mixed methods feasibility study. JMIR serious games, 9(1), e24170. https://doi.org/10.2196/24170
Iverson, G. L., Kaarto, M. L., & Koehle, M. S. (2008). Normative data for the balance error scoring system: implications for brain injury evaluations. Brain injury, 22(2), 147-152. https://doi.org/10.1080/02699050701867407
Izquierdo, M., Duque, G., & Morley, J. E. (2021). Physical activity guidelines for older people: knowledge gaps and future directions. The Lancet Healthy Longevity, 2(6), e380-e383. https://doi.org/10.1016/S2666-7568(21)00079-9
Kamińska, M. S., Miller, A., Rotter, I., Szylińska, A., & Grochans, E. (2018). The effectiveness of virtual reality training in reducing the risk of falls among elderly people. Clinical interventions in aging, 13, 2329-2338. https://doi.org/10.2147/CIA.S183502
Ke, Z., Wei, M., Yang, F., Qiu, Y., Zhu, X., Gao, X., & Qiao, G. (2025). The effectiveness of immersive virtual reality on the psychology of older adults: A systematic review and Meta-analysis of randomized controlled trials. General Hospital Psychiatry., 94, 86-96. https://doi.org/10.1016/j.genhosppsych.2025.02.024
Kruse, L., Karaosmanoglu, S., Rings, S., & Steinicke, F. (2022). Evaluating difficulty adjustments in a VR exergame for younger and older adults: Transferabilities and differences. Proceedings of the 2022 ACM Symposium on Spatial User Interaction, (pp. 1-11). https://doi.org/10.1145/3565970.3567684
Ku, J., Kim, Y. J., Cho, S., Lim, T., Lee, H. S., & Kang, Y. J. (2019). Three-dimensional augmented reality system for balance and mobility rehabilitation in the elderly: a randomized controlled trial. Cyberpsychology, Behavior, and Social Networking, 22(2), 132-141. https://doi.org/10.1089/cyber.2018.0261
Lacroix, A., Hortobágyi, T., Beurskens, R., & Granacher, U. (2017). Effects of supervised vs. unsupervised training programs on balance and muscle strength in older adults: a systematic review and meta-analysis. Sports medicine, 47, 2341-2361. https://doi.org/10.1007/s40279-017-0747-6
Lee, J., Phu, S., Lord, S. R., & Okubo, Y. (2024). Effects of immersive virtual reality training on balance, gait and mobility in older adults: a systematic review and meta-analysis. Gait and posture, 110, 129-137. https://doi.org/10.1016/j.gaitpost.2024.03.009
Lee, S. H., Kim, M., Kim, H., & Park, C. Y. (2021). Visual fatigue induced by watching virtual reality device and the effect of anisometropia. Ergonomics, 64(12), 1522-1531. https://doi.org/10.1080/00140139.2021.1957158
Martínez González, B. M., Hernández Falcón, N., Díaz Camellón, D. J., Arencibia Márquez, F., & Morejón Milera, A. (2020). Envejecimiento y caídas. Su impacto social. Revista Médica Electrónica, 42(4), 2066-2077. Retrieved Febrero 14, 2025, from http://scielo.sld.cu/scielo.php?pid=S1684-18242020000402066&script=sci_arttext
Mascarenhas, C. H., Silva, I. E., Carneiro, J. A., Paula, R. P., & Paula, L. S. (2023). Effects of conventional proprioceptive training and virtual reality on functionality and fear of falling in elderly women: randomized clinical trial. J Clin Med Surgery, 3(1), 1074. Retrieved Enero 29, 2025, from https://jclinmedsurgery.meddocsonline.org/articles/jcms-v3-1074.html
Mera, M. A., Morales, S., & García, M. R. (2018). Intervención con actividad físico-recreativa para la ansiedad y la depresión en el adulto mayor. Revista Cubana de Investigaciones Biomédicas, 37(1), 1-11. Retrieved Enero 12, 2023, from http://www.revibiomedica.sld.cu/index.php/ibi/article/view/95
Micheluzzi, V., Casu, G., Sanna, G. D., Canu, A., Iovino, P., Caggianelli, G., & Vellone, E. (2024). Improving adherence to rehabilitation for heart failure patients through immersive virtual reality (VIRTUAL-HF): a protocol for a randomized controlled trial. Contemporary Clinical Trials, 138, 107463. https://doi.org/10.1016/j.cct.2024.107463
Molina-Donoso, M., González-Hernández, J., Delgado, C., Cancino, V., Bello-Lepe, S., Alonso-Sánchez, M. F., & Slachevsky, A. (2023). Nuevos datos normativos para el Mini Mental State Examination (MMSE) en la población de personas mayores en Chile. Revista médica de Chile, 151(11), 1464-1470. Retrieved Enero 29, 2025, from https://mail.revistamedicadechile.cl/index.php/rmedica/article/view/10272
Morales., S. C., Vinueza, G. C., Yance, C. L., & Paguay, W. J. (2023). Gross motor development in preschoolers through conductivist and contructivist physical-recreational activities: Comparative research. Sports, 11(3), 61. https://doi.org/10.3390/sports11030061
Moran, R. C., Montenegro, J. S., Díaz, J. M., & Loayza, E. F. (2024). Usos de la realidad virtual en la rehabilitación física: una revisión sistemática. Retos, 61, 1060-1070. https://doi.org/10.47197/retos.v61.110044
Mouatt, B., Smith, A. E., Mellow, M. L., Parfitt, G., Smith, R. T., & Stanton, T. R. (2020). The use of virtual reality to influence motivation, affect, enjoyment, and engagement during exercise: A scoping review. Frontiers in Virtual Reality, 1, 564664. https://doi.org/10.3389/frvir.2020.564664
Nobari, H., Rezaei, S., Sheikh, M., Fuentes-García, J. P., & Pérez-Gómez, J. (2021). Effect of virtual reality exercises on the cognitive status and dual motor task performance of the aging population. International Journal of Environmental Research and Public Health, 18(15), 8005. https://doi.org/10.3390/ijerph18158005
Norkin, C. C., y White, D. J. (2016). Measurement of joint motion: a guide to goniometry (5 ed.). USA: FA Davis.
Perloff, D., Grim, C., Flack, J., Frohlich, E. D., Hill, M., McDonald, M., & Morgenstern, B. Z. (1993). Human blood pressure determination by sphygmomanometry. Circulation, 88(5), 2460-2470. https://doi.org/10.1161/01.CIR.88.5.2460
Phu, S., Vogrin, S., Al Saedi, A., & Duque, G. (2019). Balance training using virtual reality improves balance and physical performance in older adults at high risk of falls. Clinical interventions in aging, 14, 1567-1577. https://doi.org/https://doi.org/10.2147/CIA.S220890
Podsiadlo, D., y Richardson, S. (1991). The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. Journal of the American geriatrics Society, 39(2), 142-148. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Prieto, P. C., de Oliveira, I. M., Fuentes, G. R., & Carral, J. M. (2021). Realidad Virtual Inmersiva en personas mayores: estudio de casos. Retos, 39, 1001-1005. https://doi.org/10.47197/retos.v0i39.78195
Qian, J. M., McDonough, D. J., & Gao, Z. (2020). The effectiveness of virtual reality exercise on individual’s physiological, psychological and rehabilitative outcomes: a systematic review. International journal of environmental research and public health, 17(11), 4133. https://doi.org/10.3390/ijerph17114133
Ren, Y., Lin, C., Zhou, Q., Yingyuan, Z., Wang, G., & Lu, A. (2023). Effectiveness of virtual reality games in improving physical function, balance and reducing falls in balance-impaired older adults: A systematic review and meta-analysis. Archives of gerontology and geriatrics, 108, e104924-e104924. https://doi.org/10.1016/j.archger.2023.104924
Rose, D. J. (2014). Equilibrio y movilidad con personas mayores (2 ed.). Barcelona: Paidotribo.
Sadeghi, H., Jehu, D. A., Daneshjoo, A., Shakoor, E., Razeghi, M., Amani, A., & Yusof, A. (2021). Effects of 8 weeks of balance training, virtual reality training, and combined exercise on lower limb muscle strength, balance, and functional mobility among older men: a randomized controlled trial. Sports health , 13(6), 606-612. https://doi.org/10.1177/1941738120986803
Sagarra-Romero, L., Monroy Antón, A., Calero Morales, S., & Ruidiaz Peña, M. (2017). ithlete Heart Rate Variability app: knowing when to train. British Journal of Sports Medicine, 51, 1-3. https://doi.org/10.1136/bjsports-2016-097303
Salazar, M. M., & Morales, S. (2018). Influencia de la actividad física en la motricidad fina y gruesa del adulto mayor femenino. Revista Cubana de Investigaciones Biomédicas, 37(3), 1-14. Retrieved Marzo 16, 2024, from http://www.revibiomedica.sld.cu/index.php/ibi/article/view/127/html
Skarbez, R., Brooks, F. P., & Whitton, M. C. (2020). Immersion and coherence: Research agenda and early results. IEEE transactions on visualization and computer graphics, 27(10), 3839-3850. https://doi.org/10.1109/TVCG.2020.2983701
Snowdon, D. A., Sargent, M., Williams, C. M., Maloney, S., Caspers, K., & Taylor, N. F. (2020). Effective clinical supervision of allied health professionals: a mixed methods study. BMC health services research, 20(2), 1-11. https://doi.org/10.1186/s12913-019-4873-8
Stanica, I. C., Moldoveanu, F., Portelli, G. P., Dascalu, M. I., Moldoveanu, A., & Ristea, M. G. (2020). Flexible virtual reality system for neurorehabilitation and quality of life improvement. Sensors, 20(21), 6045. https://doi.org/10.3390/s20216045
Syed-Abdul, S., Malwade, S., Nursetyo, A. A., Sood, M., Bhatia, M., Barsasella, D., & Li, Y. C. (2019). Virtual reality among the elderly: a usefulness and acceptance study from Taiwan. BMC geriatrics, 19(223), 1-10. https://doi.org/10.1186/s12877-019-1218-8
Uğur, F., y Sertel, M. (2020). The effect of virtual reality applications on balance and gait speed in individuals with Alzheimer dementia: a pilot study. Topics in Geriatric Rehabilitation, 36(4), 221-229. https://doi.org/10.1097/TGR.0000000000000285
Vogt, S., Skjæret-Maroni, N., Neuhaus, D., & Baumeister, J. (2019). Virtual reality interventions for balance prevention and rehabilitation after musculoskeletal lower limb impairments in young up to middle-aged adults: A comprehensive review on used technology, balance outcome measures and observed effects. International journal of medical informatics, 126, 46-58. https://doi.org/10.1016/j.ijmedinf.2019.03.009
Wang, L. T. (2023). Effectiveness of virtual reality exercise for functional fitness in community-dwelling older adults: a 12-week follow-up study. Sage Open, 13(4), 1-12. https://doi.org/10.1177/21582440231218515
Wei, W., Tang, H., Luo, Y., Yan, S., Ji, Q., Liu, Z., & Yang, X. (2024). Efficacy of virtual reality exercise in knee osteoarthritis rehabilitation: A systematic review and meta-analysis. Frontiers in Physiology, 15, 1424815. https://doi.org/10.3389/fphys.2024.1424815
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