Phu S, et al. - In this pre- and post-intervention study, researchers focused on the influences of virtual reality training using the Balance Rehabilitation Unit (BRU) vs exercise using a modified Otago Exercise Programme (EX) on enhancing balance and physical performance in the short-term restorative care setting of the Gait and Balance Gym (Gabagym). Participants included 195 individuals (median age: 78 years; 67% female) with risk and/or history of falls who were allocated to either EX (n=82) or BRU (n=63), as well as a separate group of 50 people with similar features who did not receive any intervention. Balance and physical performance measures were found to be improved in both intervention groups. Compared with the non-intervention group, significantly better improvements in Timed Up and Go, gait speed, limits of stability in post-urography evaluation, FES-I score, and handgrip strength were observed in both intervention groups. In order to improve outcomes of balance training for the attenuation of the risk of falls in older adults, the potential use of virtual reality as a practical alternative was highlighted in this investigation.