Effectiveness of Exergame Intervention on Walking in Older Adults : A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Janhunen, M., Karner, V., Katajapuu, N., Niiranen, O., Immonen, J., Karvanen, J., Heinonen, A., & Aartolahti, E. (2021). Effectiveness of Exergame Intervention on Walking in Older Adults : A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Physical Therapy, 101(9), Article pzab152. https://doi.org/10.1093/ptj/pzab152
Published in
Physical TherapyAuthors
Date
2021Copyright
© 2021 the Authors
Objective. The objective of this review was to systematically evaluate the effectiveness of exergaming on walking in older adults. In addition, the aim was to investigate the relationship between the exergaming effect and age, baseline walking performance, exercise traits, technology used and the risk of bias.
Methods. A literature search was carried out in the databases MEDLINE, CINAHL, CENTRAL, EMBASE, WoS, PsycInfo and PEDro up to January 10, 2020. Studies with a Randomized Controlled Trial (RCT) design, people ≥60 years of age without neurological disorders, comparison group with other exercise or no exercise, and walking related outcomes were included. Cochrane RoB2, meta-analysis, meta-regression, and GRADE were used to estimate quality, treatment effect, covariates’ effect, and the certainty of evidence, respectively.
Results. In the studies included (n = 66), the overall risk of bias was low (n = 2), unclear (n = 48) or high (n = 16). Compared with comparison groups, exergaming interventions were more effective for walking improvements (SMD = −0.21; 95% CI = −0.36 to −0.06; 3102 participants, 58 studies; moderate-quality evidence) and more or equally effective (SMD = −0.32; 95% CI = −0.64 to 0.00; 1028 participants, 13 studies; low-quality evidence) after nonexergaming follow-up. The strongest effect for covariates was observed with the type of comparison group, explaining 18.6% of the variance.
Conclusions. For older adults without neurological disorders, exergame-based training improved walking, and improvements were maintained at follow-up. Greater benefits were observed when exergaming groups were compared to inactive comparison groups. To strengthen the evidence, further RCTs on the effectiveness of gamified exercise intervention are needed.
Impact. Exergaming has effect equivalent to other types of exercising on improving walking in older adults. Physical therapists and other rehabilitation professionals may consider exergaming as a promising form of exercise in this age group.
...


Publisher
Oxford University Press (OUP)ISSN Search the Publication Forum
0031-9023Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/97959282
Metadata
Show full item recordCollections
Additional information about funding
This research was funded by the Business Finland, SE Innovations Oy (Senior Some Oy), Suunto Oy, Physiotools Oy, GoodLife Technology Oy, Lingsoft Oy, eSeteli Palveluverkko Oy, PN Turku Oy, Ade Animations Design & Effects Oy, Adesante Oy, and Realmax Oy.License
Related items
Showing items with similar title or keywords.
-
Effectiveness of technology-based distance physical rehabilitation interventions for improving physical functioning in stroke : a systematic review and meta-analysis of randomized controlled trials
Rintala, Aki; Päivärinne, Ville; Hakala, Sanna; Paltamaa, Jaana; Heinonen, Ari; Karvanen, Juha; Sjögren, Tuulikki (W.B. Saunders Co., 2019)Objective To study the effectiveness of technology-based distance physical rehabilitation interventions on physical functioning in stroke. Data Sources A systematic literature search was conducted in 6 databases from ... -
Physical activity reduces the risk of pneumonia : systematic review and meta-analysis of 10 prospective studies involving 1,044,492 participants
Kunutsor, Setor K.; Seidu, Samuel; Laukkanen, Jari A. (Springer Science and Business Media LLC, 2022)The beneficial effects of regular physical activity in promoting health and preventing chronic diseases are well documented. The relationship between regular physical activity and the risk of pneumonia is uncertain. We ... -
Exercise treatment effect modifiers in persistent low back pain : an individual participant data meta-analysis of 3514 participants from 27 randomised controlled trials
Hayden, Jill A.; Wilson, Maria N.; Stewart, Samuel; Cartwright, Jennifer L.; Smith, Andrea O.; Riley, Richard D.; van Tulder, Maurits; Bendix, Tom; Cecchi, Francesca; Costa, Leonardo O. P.; Dufour, Ninna; Ferreira, Manuela L.; Foster, Nadine E.; Gudavalli, Maruti R.; Hartvigsen, Jan; Helmhout, Pieter; Kool, Jan; Koumantakis, George A.; Kovacs, Francisco M.; Kuukkanen, Tiina; Long, Audrey; Macedo, Luciana G., Machado, Luciana A. C.; Maher, Chris G.; Mehling, Wolf; Morone, Giovanni; Peterson, Tom; Rasmussen-Barr, Eva; Ryan, Cormac G.; Sjögren, Tuulikki; Smeets, Rob; Staal, J. Bart; Unsgaard-Tøndel, Monica; Wajswelner, Henry; Yeung, Ella W. (BMJ Publishing Group Ltd.; British Association of Sport and Exercise Medicine, 2020)Background: Low back pain is one of the leading causes of disability worldwide. Exercise therapy is widely recommended to treat persistent non-specific low back pain. While evidence suggests exercise is, on average, ... -
Supervised Physical Training Enhances Muscle Strength but Not Muscle Mass in Prostate Cancer Patients Undergoing Androgen Deprivation Therapy : A Systematic Review and Meta-Analysis
Chen, Ziyuan; Zhang, Yuan; Lu, Chunyan; Zeng, Hao; Schumann, Moritz; Cheng, Sulin (Frontiers Media, 2019)Introduction: Androgen deprivation therapy (ADT) is considered the basic treatment for advanced prostate cancer, but it is highly associated with detrimental changes in muscle mass and muscle strength. The aim of this ... -
Effectiveness of technology-based distance physical rehabilitation interventions on physical activity and walking in multiple sclerosis : a systematic review and meta-analysis of randomized controlled trials
Rintala, Aki; Hakala, Sanna; Paltamaa, Jaana; Heinonen, Ari; Karvanen, Juha; Sjögren, Tuulikki (Informa Healthcare, 2018)Objective: To determine the effectiveness of technology-based distance physical rehabilitation interventions in multiple sclerosis (MS) on physical activity and walking. Data sources: A systematic literature search was ...