PMID- 29289541
OWN - NLM
STAT- MEDLINE
DCOM- 20191111
LR  - 20191111
IS  - 1538-9375 (Electronic)
IS  - 1525-8610 (Linking)
VI  - 19
IP  - 2
DP  - 2018 Feb
TI  - Supervised Balance Training and Wii Fit-Based Exercises Lower Falls Risk in Older 
      Adults With Type 2 Diabetes.
PG  - 185.e7-185.e13
LID - S1525-8610(17)30631-X [pii]
LID - 10.1016/j.jamda.2017.11.004 [doi]
AB  - OBJECTIVES: This study examined the benefits of and differences between 12 weeks 
      of thrice-weekly supervised balance training and an unsupervised at-home balance 
      activity (using the Nintendo Wii Fit) for improving balance and reaction time and 
      lowering falls risk in older individuals with type 2 diabetes mellitus (T2DM). 
      DESIGN: Before-after trial. SETTING: University research laboratory, home 
      environment. PARTICIPANTS: Sixty-five older adults with type 2 diabetes were 
      recruited for this study. Participants were randomly allocated to either 
      supervised balance training (mean age 67.8 +/- 5.2) or unsupervised training using 
      the Nintendo Wii Fit balance board (mean age 66.1 +/- 5.6). INTERVENTION: The 
      training period for both groups lasted for 12 weeks. Individuals were required to 
      complete three 40-minute sessions per week for a total of 36 sessions. 
      MEASUREMENT: The primary outcome measure was falls risk, which was as derived 
      from the physiological profile assessment. In addition, measures of simple 
      reaction time, lower limb proprioception, postural sway, knee flexion, and knee 
      extension strength were also collected. Persons also self-reported any falls in 
      the previous 6 months. RESULTS: Both training programs resulted in a significant 
      lowering of falls risk (P < .05). The reduced risk was attributable to 
      significant changes in reaction times for the hand (P < .05), foot (P < .01), 
      lower-limb proprioception (P < .01), and postural sway (P < .05). CONCLUSIONS: 
      Overall, training led to a decrease in falls risk, which was driven by 
      improvements in reaction times, lower limb proprioception, and general balance 
      ability. Interestingly, the reduced falls risk occurred without significant 
      changes in leg strength, suggesting that interventions to reduce falls risk that 
      target intrinsic risk factors related to balance control (over muscle strength) 
      may have positive benefits for the older adult with T2DM at risk for falls.
CI  - Copyright (c) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine. 
      Published by Elsevier Inc. All rights reserved.
FAU - Morrison, Steven
AU  - Morrison S
AD  - School of Physical Therapy and Athletic Training, Old Dominion University, 
      Norfolk, VA. Electronic address: smorriso@odu.edu.
FAU - Simmons, Rachel
AU  - Simmons R
AD  - School of Physical Therapy and Athletic Training, Old Dominion University, 
      Norfolk, VA.
FAU - Colberg, Sheri R
AU  - Colberg SR
AD  - Human Movement Sciences Department, Old Dominion University, Norfolk, VA.
FAU - Parson, Henri K
AU  - Parson HK
AD  - Strelitz Diabetes Center, Eastern Virginia Medical School, Norfolk, VA.
FAU - Vinik, Aaron I
AU  - Vinik AI
AD  - Strelitz Diabetes Center, Eastern Virginia Medical School, Norfolk, VA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20171227
PL  - United States
TA  - J Am Med Dir Assoc
JT  - Journal of the American Medical Directors Association
JID - 100893243
SB  - IM
MH  - Accidental Falls/*prevention & control
MH  - Aged
MH  - Diabetes Mellitus, Type 2/*physiopathology
MH  - Exercise Therapy/*methods
MH  - Female
MH  - Humans
MH  - Male
MH  - Postural Balance/*physiology
MH  - Reaction Time
MH  - Video Games
OTO - NOTNLM
OT  - Falls
OT  - Wii
OT  - balance
OT  - diabetes
OT  - reaction time
OT  - training
EDAT- 2018/01/01 06:00
MHDA- 2019/11/12 06:00
CRDT- 2018/01/01 06:00
PHST- 2017/11/02 00:00 [received]
PHST- 2017/11/03 00:00 [accepted]
PHST- 2018/01/01 06:00 [pubmed]
PHST- 2019/11/12 06:00 [medline]
PHST- 2018/01/01 06:00 [entrez]
AID - S1525-8610(17)30631-X [pii]
AID - 10.1016/j.jamda.2017.11.004 [doi]
PST - ppublish
SO  - J Am Med Dir Assoc. 2018 Feb;19(2):185.e7-185.e13. doi: 
      10.1016/j.jamda.2017.11.004. Epub 2017 Dec 27.