دورية أكاديمية
أعرض في EDS

Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of exergames for improving mobility and balance in older adults: a systematic review and meta-analysis.
المؤلفون: Pacheco TBF; Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil. thaianab@ufrn.edu.br., de Medeiros CSP; Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil., de Oliveira VHB; Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil., Vieira ER; Department of Physical Therapy, Florida International University (FIU), Miami, USA., de Cavalcanti FAC; Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.
المصدر: Systematic reviews [Syst Rev] 2020 Jul 18; Vol. 9 (1), pp. 163. Date of Electronic Publication: 2020 Jul 18.
نوع المنشور: Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Systematic Review
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101580575 Publication Model: Electronic Cited Medium: Internet ISSN: 2046-4053 (Electronic) Linking ISSN: 20464053 NLM ISO Abbreviation: Syst Rev Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central
مواضيع طبية MeSH: Exercise Therapy* , Postural Balance*, Aged ; Aged, 80 and over ; Exercise ; Humans ; Reproducibility of Results ; Time and Motion Studies
مستخلص: Background: Exergaming is a fun, engaging, and interactive form of exercising that may help overcome some of the traditional exercise barriers and help improve adherence on the part of older adults, providing therapeutic applications for balance recovery and functional mobility. The purpose of this systematic review is to summarize the effects of exergames on mobility and balance in older adults.
Methods: The PRISMA guidelines for systematic reviews were followed. The following databases were searched from inception to August 2019: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PEDro, CINAHL, and INSPEC. We selected randomized controlled trials that assessed the effects of exergames on balance or mobility of older adults without neurological conditions, in comparison to no intervention or health education. Two review authors independently screened the trials' titles and abstracts and identified trials for inclusion according to the eligibility criteria. An almost perfect agreement between the authors was observed with respect to interrater reliability of trial selection (kappa = 0.84; P < 0.001). We performed descriptive analysis of the quantitative data to summarize the evidence. Meta-analysis was carried out using RevMan. A random effects model was used to compute the pooled prevalence with 95% confidence intervals.
Results: After screening 822 records, 12 trials comparing exergames with no intervention were included. A total of 1520 older adults participated in the studies, with a mean age of 76 ± 6 years for the experimental group and 76 ± 5 years for the control group. Quantitative synthesis showed significant improvements in balance and mobility based on the center of pressure sway (SMD = - 0.89; 95%CI = - 1.26 to - 0.51; P = 0.0001; I 2 = 58%), Berg Balance Scale (MD = 2.15; 95%CI = 1.77 to 2.56; P = 0.0001; I 2 = 96%), and on Timed Up and Go test (MD = - 2.48; 95%CI = - 3.83 to - 1.12; P = 0.0003; I 2 = 0).
Conclusions: Exergames improved balance and mobility in older adults without neurological disorders and motivate patients to keep performing balance exercises. High quality studies with standardized assessment protocols are necessary to improve the strength of the evidence.
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فهرسة مساهمة: Keywords: Aging; Balance; Gait; Video games
تواريخ الأحداث: Date Created: 20200720 Date Completed: 20210624 Latest Revision: 20210624
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC7368979
DOI: 10.1186/s13643-020-01421-7
PMID: 32682439
قاعدة البيانات: MEDLINE
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