Exercise gaming – a motivational approach for older adults with vestibular dysfunction.

PurposeThe purpose of the study was to identify possible reasons for a modest level of exercise compliance during computer-assisted training for vestibular rehabilitation.MethodQualitative design and analysis of 14 semi-structured interviews with seven participants before and after a period with com...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 12; no. 2; pp. 137 - 145
Autores principales: Smaerup, M., Grönvall, E., Larsen, S. B., Laessoe, U., Henriksen, J. J., Damsgaard, E. M.
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2017
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      pub: Taylor & Francis Ltd
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        10.3109/17483107.2015.1104560
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        atl: Exercise gaming – a motivational approach for older adults with vestibular dysfunction.
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          Smaerup, M.
          Grönvall, E.
          Larsen, S. B.
          Laessoe, U.
          Henriksen, J. J.
          Damsgaard, E. M.
        affil: Department of Geriatrics, Aarhus University Hospital, Aarhus, Denmark
      sug:
        subj:
          Vestibular Diseases
          Computer-Assisted Instruction
          Therapeutic Exercise Methods
          Motivation
          Patient Compliance
          Human
          Aged
          Aged, 80 and Over
          Female
          Male
          Denmark
          Funding Source
          Qualitative Studies
          Semi-Structured Interview
          Pretest-Posttest Design
          Diffusion of Innovation
          Aged: 65+ years
          Aged, 80 & over
          Female
          Male
      ab: PurposeThe purpose of the study was to identify possible reasons for a modest level of exercise compliance during computer-assisted training for vestibular rehabilitation.MethodQualitative design and analysis of 14 semi-structured interviews with seven participants before and after a period with computer-assisted home training. The interviews evolved around themes, such as the elderly participants' self-efficacy, motivation and acceptance of the technology.ResultsAge was not an excuse for the modest exercise compliance. The participants were basically self-efficient and accepted the technology, but their knowledge and understanding of the training programme were insufficient. The participants asked for a greater variation in the exercises and asked for closer contact with the physiotherapist. When Mitii is used for vestibular rehabilitation, the system has some limitations.ConclusionsThe modest level of exercise compliance can be explained by (1) missing variety of exercise speed and duration and lack of introducing new exercises, (2) insufficient interaction with the physiotherapist regarding the participants’ performance and lack of social contact with other patients and (3) desire for a deeper understanding of the training programme with supplying information on the parts of the vestibular system addressed by the training.Implications for RehabilitationComputer-assisted technologies should generate feedback on the quality of user performance and inform the patient of the relevance of the exercise.The technology should support social contact among patients with the same diagnosis and establish contact with the physiotherapist at the hospital advice and feedback.Varity and adjustments to exercises are necessary to maintain motivation and exercise compliance.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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