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Fall prevention with virtual reality presents good results in improving postural control. Transcranial Direct Current Stimulation (tDCS) has been used with the same aim; however, the combination of the two techniques has still been little studied.<\/jats:p><\/jats:sec><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess whether tDCS can enhance the effect of video game training (VGT) on improving the postural balance of healthy older women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A blinded, randomized, controlled clinical trial was conducted with 57 older women who were randomized to three balance training groups: Control Group (VGT), Anodal Group (VGT combined with anodic tDCS\u2010atDCS), and Sham Group (VGT combined with sham tDCS\u2010stDCS). Balance training was performed twice a week for four weeks, totalizing eight 20\u2010min sessions using VGT associated with tDCS. Postural balance was assessed pre\u2010and post\u2010training and 30\u00a0days after the end of the eight sessions using the Mini\u2010Balance Evaluation Systems Test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to pre\u2010intervention the Mini BEST test increased similarly in the three groups in post\u2010intervention (control: pre 23.7\u00a0\u00b1\u00a02.8 to post 27.0\u00a0\u00b1\u00a02.2; anodal: pre 24.4\u00a0\u00b1\u00a01 to post 27.7\u00a0\u00b1\u00a00.8 and sham: pre 24.2\u00a0\u00b1\u00a01.9 to post 26.5\u00a0\u00b1\u00a01.6; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001) and follow\u2010up (control: pre 23.7\u00a0\u00b1\u00a02.8 to follow\u2010up 26.8\u00a0\u00b1\u00a02.3; anodal: pre 24.4\u00a0\u00b1\u00a01 to follow\u2010up 27.3\u00a0\u00b1\u00a01.4 and sham: pre 24.2\u00a0\u00b1\u00a01.9 to follow\u2010up 26.8\u00a0\u00b1\u00a01.5; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was an improvement in the postural balance of the three training groups that were independent of tDCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Some studies have shown the positive tDCS effects associated with other tasks to improve balance. However, these results convey the effects of only anodic\u2010tDCS compared to sham\u2010tDCS. Possibly, the effect of VGT surpassed the tDCS effects, promoting a ceiling effect from the combination of these two therapies. However, studies with other therapies combined with tDCS for older adults deserve to be investigated, as well as in frail older people.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pri.2046","type":"journal-article","created":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T06:13:53Z","timestamp":1692771233000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The effect of transcranial direct current stimulation associated with video game training on the postural balance of older women in the community: A blind, randomized, clinical trial"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7321-6257","authenticated-orcid":false,"given":"Fernanda Ishida","family":"Corr\u00eaa","sequence":"first","affiliation":[{"name":"Doctoral and Master's Programs in Rehabilitation Sciences Nove de Julho University  S\u00e3o Paulo 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