What is the smart±step Exergame?
The smart±step game was created by researchers at NeuRA specifically to address the public health issue of falls among older adults. It is not a commercial product like a traditional fitness step platform, but rather a video game system designed for at-home use. The system uses a specialized floor mat with pressure-sensitive panels that connect to a television screen, functioning like an interactive game controller. The games themselves are engaging and arcade-like, making the balance and stepping exercises far more motivating and consistent than traditional regimens. This approach is crucial because the effectiveness of fall prevention exercises depends heavily on regular adherence, which can often be a challenge for seniors.
How does the smart±step game work?
The gameplay of smart±step is straightforward and intuitive, requiring players to step on specific targets on the mat in response to cues on the television screen. The activities vary, from simple tasks like stomping on virtual cockroaches to more complex ones involving collecting treasures or avoiding obstacles. The system offers multiple levels and difficulties, ensuring it remains challenging and engaging over time. Critically, the games are designed to be self-guided, allowing seniors to participate in a structured exercise program from the comfort of their own homes with minimal assistance. Adherence is monitored automatically by the system, allowing researchers to track progress during trials. There is even an option for seated play for those with limited mobility, allowing access to cognitive-based games.
Scientifically proven benefits for seniors
The most compelling evidence for smart±step comes from a large randomized control trial conducted by NeuRA and published in Nature Medicine. The study involved 769 community-dwelling individuals aged 65 or older. Participants were divided into groups, including one that used the smart±step exergame for at least two hours per week over a 12-month period.
Significant Fall Reduction
The results were conclusive: the group using the smart±step system experienced a 26% reduction in falls compared to the control group, which only received educational materials. This statistically significant outcome demonstrates the game's effectiveness in improving balance and coordination, which are key factors in preventing falls.
Dual Physical and Cognitive Training
The game's benefits go beyond just physical exercise. By requiring quick decisions and reactions, smart±step simultaneously provides cognitive training. Players must process visual information from the screen and respond with timely movements, engaging multiple brain functions at once. This "two-in-one" benefit is excellent for healthy aging, keeping both the body agile and the brain sharp.
Enhanced Motivation and Adherence
Traditional balance-challenging exercises can become boring and repetitive, leading to low adherence. smart±step's gamified, arcade-like nature combats this, turning necessary exercise into a fun activity. The competitive element, where players strive to beat high scores, further motivates consistent use.
Potential Socialization in Care Settings
While designed for at-home use, the game also shows promise in aged care settings. One trial noted that its competitive nature boosted morale and sociability among residents, showing its potential for group activities.
Important distinctions and availability
It is important not to confuse the NeuRA-developed smart±step exergame with similarly named commercial products, such as the LES MILLS SMARTSTEP, which is a traditional fitness step platform,. The NeuRA product was developed as a research tool and is not widely available for purchase. For those interested in acquiring it, researchers have suggested joining a waitlist.
| Feature | NeuRA smart±step Exergame |
LES MILLS SMARTSTEP |
|---|---|---|
| Purpose | Fall prevention, cognitive training | Group fitness, cardio workouts |
| Function | Interactive video game controller | Adjustable step platform for exercise |
| How It Works | Step on mat panels connected to a TV | Traditional step movements |
| Audience | Older adults, focus on balance | General fitness enthusiasts |
| Availability | Waitlist via NeuRA (limited) | Widely available for purchase |
Safety considerations for use
While smart±step is designed to be a safe, self-guided exercise, certain precautions are necessary, especially for seniors with pre-existing conditions or a history of falls.
- Medical Consultation: Always consult a healthcare provider before beginning any new exercise program, including one involving an exergame. This ensures it is appropriate for individual health needs.
- Safe Environment: Play the game in a clear, well-lit, and secure area. Remove any tripping hazards and ensure a stable surface.
- Supervision: For frailer individuals or those with significant mobility issues, supervision from a staff member or family caregiver is recommended to ensure safety.
- Listening to Your Body: Users should start slowly and gradually increase intensity. Stop immediately if any pain or discomfort occurs.
Conclusion
The smart±step game for seniors represents a significant advancement in preventive healthcare for older adults, using technology to make medically beneficial exercises more engaging and effective. By addressing the critical issue of fall prevention with a fun, gamified approach, it helps seniors maintain their balance, coordination, and cognitive function. As studies continue to validate the effectiveness of exergames, systems like smart±step are poised to play a crucial role in promoting healthy and active aging.
For more information on the study that validated the effectiveness of the exergame, refer to the research published in Nature.
