The Effect of Virtual Reality-Based Neurocognitive Training and Adaptive Neuromuscular Exercises on Neural Network Reorganization of Balance in Older Adults: A research protocol
Paper ID : 1707-SPORTCONGRESS
Authors
Turan Foroutan *, Amir Pourreza, Narges Ilanlo, Nastaran Eshghi
University of Tehran
Abstract
Introduction: Balance impairment is a major motor and cognitive challenge in older adults, leading to increased fall risk, reduced quality of life, and functional limitations. Neuromuscular exercises have been shown to improve postural control, but their effects on neural network reorganization are limited and short-term. Neurocognitive training and virtual reality (VR) can simultaneously engage cognitive, perceptual, and motor processes, potentially enhancing neural adaptation. The systematic integration of these approaches has not yet been thoroughly evaluated in older adults.

Methods: The protocol includes two main interventions:
1. Adaptive neuromuscular exercises, targeting coordination, reactive balance, and dynamic stability.
2. VR-based neurocognitive training, engaging visual, vestibular, and cognitive systems.
Assessments include functional balance measures (Berg Balance Scale, Timed Up and Go), cognitive-behavioral outcomes (Activities-specific Balance Confidence - ABC Scale), and neural metrics using EEG or fNIRS to examine changes in cortical networks related to postural control.

Results: This study will investigate whether the combined intervention can improve balance performance, neural processing speed, and confidence in balance. It is expected that positive changes will occur in the synchronization of the cerebral cortex and neural networks associated with postural control.

Conclusion: This innovative protocol provides a model for balance rehabilitation in older adults. Integrating neurocognitive and neuromuscular training within a VR environment may enhance multisensory processing and neural connectivity, improving motor-cognitive function. Findings could inform the development of personalized interventions and serve as a foundation for future research.
Keywords
Neurocognitive training,Neuromuscular training,Balance,The elderly
Status: Abstract Accepted (Poster Presentation)