Improving Strength and Balance Through Exercise With LudoFit

The goal of this mixed methods cohort study is to explore how an innovative game-based, technology-enabled home exercise software compares to a conventional home-based exercise program in older adults at risk for falls. The main question\[s\] it aims to answer are:

* Does the exercise software lead to better or similar adherence to exercise recommendations compared to the conventional exercise program?
* Does the exercise software improve user strength and balance, as measured by relevant physical function scores?
* Do participants find the exercise software enjoyable and acceptable?

Participants will be approached during their initial fall risk assessment to see if they are interested in taking part. Those who agree to participate will choose either the exercise software or the conventional exercise program and will be instructed to:

* Perform their respective exercise program for a minimum of 3 times a week for 3 months.
* Return to clinic in 3 months to see our C-FAST physiotherapist for reassessment of their relevant physical functional tests.
* For conventional exercise program only - Document exercise compliance in an exercise log.
* For software program only - Complete a survey regarding the use of the technology.

Researchers will compare software-use cohort versus conventional exercise program cohort to see if adherence and physical function scores are comparable.

This study will take place in the Champlain Falls Assessment and Streamlined Treatment (C-FAST) clinic at the Ottawa Hospital, Division of Geriatric Medicine. This clinic receives patient referrals from the community for fall risk assessment. It strives to see older adults early in their 'falls history' with the goal of promoting their independence and avoiding unnecessary health care utilization due to falls and related injuries. Each patient receives a comprehensive fall risk assessment and individualized, evidenced-based, interventions/recommendations to address their fall risk, including physiotherapist-prescribed strength and balance exercises. The investigators want to find out whether delivering a home-based exercise program using video game-based technology may be acceptable to our patient population and possibly improve adherence to exercise intervention. The investigators will partner with Jintronix, a company that was founded to bring interactive technology to rehabilitation and senior care. LudoFit is one of Jintronix' s latest software programs where older adults participate in strength and balance exercises using an innovative game-based, technology-enabled home exercise software. The investigators want to conduct a study in our clinic where older adults have the option of choosing to exercise using LudoFit software instead of the conventional home-based exercise program and to see whether they show good compliance to exercises, improvement in their specific strength and balance scores and find this method an acceptable and fun way to exercise.

Eligibility Criteria:
Inclusion Criteria:

* Patient is interested in a home-based exercise program.
* The patient is independent with activities of daily living and instrumental activities of daily living.
* Patient agrees to return for 3-month follow-up.
* Patient must speak English or French.

Exclusion Criteria:

* Patient has the following physical functional performance:

  1. Berg Balance Scale score of 45 or less
  2. Unable to safely and independently reach at least 5 inches to the side and forward
  3. Unable to safely and independently reach down, touch floor and then return to start position
* Patient has diagnosed or suspected cognitive impairment.