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Table 4 Multi-component training (combined aerobic, strength, coordination; low challenge balance)

From: The effect of interactive cognitive-motor training in reducing fall risk in older people: a systematic review

Study, sample size

Intervention vs control (content, dose)

Sample characteristics

Main findings

 

Within-group

Between-group

Cognitive-motor only

Lee 2013 [38] N = 55

IG: RT, aerobics, strength, coordination, low level balance (3D, static and dynamic) – higher intensity 10 wk, 2/wk, 50 min, education: twice 50 min

Diabetes; age 65+; IG 73.78 (4.77), CG 74.29 (5.20); independent walking; no intellectual disabilities; 24/55 fall past year

+ BBS pre 51.67(2.48) post 53.41 (.89), p < .001

 

STS pre 17.51(5.46) post 13.78 (2.86), p < .001

CG: N/A (reported as RCT but only within group analysis)

FR pre 28.22 (6.86) post 32.50 (6.31), p < .001

TUG pre 11.48 (2.31) post 9.78 (1.58), p < .001

OLS pre 15.85 (8.26) 21.75 post (8.11), p < .001

Gait speed pre 93.16 (18.97) post 102.87 (16.56), p < .001

Cadence pre 101.95 (11.81) post 109.92 (10.94), p < .001

mFES pre 6.75 (1.7)9 post 8.11 (1.11), p = .002

Rosenberg 2010 [30] N = 19

IG: Wii sports unstructured– higher intensity 12 wk, 3/wk, 35 min

Community-dwelling;age 78.7 (8.7); 63–94; subsyndromal depression; no major depression, primary anxiety disorder, bipolar disorder, schizophrenia, or substance use disorder (Mini-International Neuropsychiatric Interview); no cognitive impairment (MMSE < 24); TUG < 14 s; 18% “limited a lot” in performing moderate level physical activity, 35% “limited a little,”, 47% no limitation (SF-36)

+Depression (Quick Inventory of Depressive Symptoms) pre 7.8 (3.7) 6 wk 4.8 (2.3), p = .002 post 5.1 (3.0) p = .004

 

CG: N/A

Cognition (Repeatable Battery for Assessment of Neurocognitive Status) pre 90.7 (18.0) post 95.3 (16.9), p = .032

No anxiety (Beck Anxiety Inventory)

Keogh 2013 [60] N = 26

IG: Wii sports unstructured– higher intensity 8 wk, individual

Residential aged care; age 83 (8); IG 81 (7), CG 85 (7); able to walk at least 10 meters unaided or with a walking aid; sufficient cognitive ability to understand instructions (standard tools such as the MMSE); sedentary

 

No FSST (n = 15/26) p = .199

CG: passive

Cognitive-motor plus other components

Hsu 2011 [29] N = 34

IG: Wii sports bowling + strength and balance 4 wk, 2/wk, 20 min + 4 wk, 2-4/wk, ?

Long-term care; age 80, 52–97; self-reported upper extremity dysfunction; no major cognitive impairment (determined by staff); 91% walking aid (including wheelchair)

No STS

No STS

CG: strength and balance 4 wk, 2-4/wk, ?

IADL (Nursing Home Physical Performance Test)

  1. IG intervention group, CG control group, wk week, RT reaction time, MMSE Minimental State Examination, TUG Timed up and go test, BBS Berg Balance Scale, STS Sit-to-stand test, FR Functional Reach test, OLS One leg stance, MFES Modified Falls Efficacy Scale, FSST Four Square Step test, ADL Activities of daily living.