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November 27, 2021Journal of Biomedical Physics and EngineeringOpen Access

Neurofeedback training significantly reduced fall risk and was non-inferior to conventional balance exercise training in improving balance among healthy older adults.

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Why the study?

Balance impairment is a major risk factor for falls in older adults, prompting investigation and comparison of the effects of neurofeedback training versus balance training on balance and fall risk.

Does neurofeedback training improve balance and reduce fall risk compared to balance exercise in healthy older adults?

Population

48 older adults aged more than 65 years

Comparison

Neurofeedback training vs balance exercise

Design

Randomized controlled trial

Follow-up

four weeks

Key result

Neurofeedback training significantly reduced fall risk and was non-inferior to conventional balance exercise training in improving balance among healthy older adults.

Authors

KRKatayoon Rezaei

Discussion

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Overview

Both neurofeedback and balance training improve balance in older adults; reinforces non-pharmacological fall prevention and supports head-to-head trials.

Study Design

Type

RCT (n=48)

Blinding

Single-blind

Randomization

Block allocation (size of block-4)

Multicenter

No

Structured PICO

Does neurofeedback training improve balance and reduce fall risk compared to balance exercise in healthy older adults?

P
Population
48 healthy older adults aged 65 and older with mild balance impairments, randomized to receive either neurofeedback or balance training for 4 weeks.
I
Intervention
Neurofeedback training for 12 sessions of 30-min, every other day
C
Comparator
Balance training for four weeks in 12 sessions (45-minute) every other day
O
Outcome
Static balance, dynamic balance, and fall risk measured using Biodex D balance system and Fullerton Advanced Balance scalesurrogate

Main Result

Absolute Event Rate: 0.91% vs 1.11%

p-value: p=<0.001

Neurofeedback training is an effective alternative to balance exercises for improving balance and reducing fall risk in older adults.

Limitations

  • Participants were healthy with no identified cognitive disorder or severe postural impairments, limiting generalizability to those with physical or cognitive impairments.
  • Lack of a long-term follow-up to assess the durability of the therapeutic effects.
  • Emotional condition was not controlled, which could affect attention and balance.
  • Lack of long-term follow-up

Cite This Study

Katayoon Rezaei (2021) conducted an RCT in Mild balance impairments in healthy older adults (n=48). Neurofeedback training vs. Balance exercise training (12 sessions of 45 minutes, every other day) was evaluated on Score of fall risk on Biodex balance system (p=<0.001). Neurofeedback training significantly reduced fall risk and was non-inferior to conventional balance exercise training in improving balance among healthy older adults.

synapsesocial.com/papers/6a5e1da470eb43e754d8a7f9https://doi.org/10.31661/jbpe.v0i0.1203
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The effect of neurofeedback and somatosensory exercises on balance and physical performance of older adults: a parallel single-blinded randomized controlled trial2024 · 5 citations
  2. 2The effect of neurofeedback and somatosensory exercises on balance and physical performance of elderly individuals: A parallel single-blinded randomized controlled trial2024
  3. 3Behavioral and neural adaptations in response to five weeks of balance training in older adults: a randomized controlled trial2017 · 25 citations
  4. 4Effect of Strategic Targeted Exercise Programme on Balance in Elderly People: An Experimental Study2025
  5. 5The effect of proprioceptive neuromuscular facilitation techniques compared to aerobic exercise on balance, fear of falling, and quality of life in older adults: a randomized controlled trial2024