An Exploratory Study on Virtual Reality Technology for Fall Prevention in Older Adults with Mild Cognitive Impairment

Introduction: Virtual Reality (VR) training indicated a positive training effect of a cognitive-motor intervention method to improve the postural balance and cognition for safer walking. This study aimed to evaluate the training effects of VR training for reducing the risks of falls among older adults with mild cognitive impairment (MCI). Methods: An experimental design was employed to evaluate how the participants attended a full-immersive VR Cave Automatic Virtual Environment (CAVE) training program. Fifty-five participants were randomly assigned into the VR group or the control group. The VR group received 16 training sessions over eight to ten weeks and the control group received a no VR falls prevention program. The primary outcome assessed any falls after the study and the secondary outcomes assessed changes in cognition and executive function, walk speed and balance performances, and the psychological factor such as fear of falling relating to the risk factors of fall. Results: The VR group showed significant greater improvement than the control group on measures of cognitive-motor performance across group and time interaction. However, there were shown inconsistent results in functional mobility and the fall efficacy between the two groups. Conclusion: This study provides promising evidence on the VR CAVE training for reducing the risks of fall among older adults with MCI from Hong Kong. VR technology-based applications are an emerging area in current aged care and rehabilitation services.