Effects of Video Game Training on the Musculoskeletal Function of Older Adults: A Systematic Review and Meta-analysis

This systematic review and meta-analysis aimed to evaluate the effects of video game exercise training (VGET) on the musculoskeletal function of older adults. The review was carried out in the PubMed, LILACS, WEB OF SCIENCE, WEB OF KNOWLEDGE, PEDro, and Cochrane CENTRAL. Sixteen controlled clinical trials were included, and the risks of bias were measured using the JADAD scale. There was no evidence that VGET might be effective on functional mobility (standardized mean difference [SMD] = 0.23, 95% confidence interval [CI]: −0.13 to 0.59) or on balanced self-efficacy (SMD = 0.15, 95% CI: −0.29 to 0.60). Future randomized controlled trials with greater methodological rigor, focusing on the parameters used to prescribe the exercises, are necessary.

[1]  K. Daniel Wii‐Hab for Pre‐Frail Older Adults , 2012, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[2]  Po-Yin Chen,et al.  Lower limb power rehabilitation (LLPR) using interactive video game for improvement of balance function in older people. , 2012, Archives of gerontology and geriatrics.

[3]  Gert Jan Wijlhuizen,et al.  Falls incidence underestimates the risk of fall-related injuries in older age groups: a comparison with the FARE (Falls risk by Exposure). , 2012, Age and ageing.

[4]  Karen A Robinson,et al.  Development of a highly sensitive search strategy for the retrieval of reports of controlled trials using PubMed. , 2002, International journal of epidemiology.

[5]  K. Jacobs,et al.  The effect of the Nintendo Wii Fit and exercise in improving balance and quality of life in community dwelling elders. , 2012, Technology and health care : official journal of the European Society for Engineering and Medicine.

[6]  A. Rodacki,et al.  The effects of stretching on the flexibility, muscle performance and functionality of institutionalized older women. , 2011, Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas.

[7]  P. Caserotti Strength Training in Older Adults: Changes in Mechanical Muscle Function And Functional Performance~!2009-07-05~!2009-11-01~!2010-04-29~! , 2010 .

[8]  Sun Woo Lee,et al.  Virtual Reality Exercise Improves Balance of Elderly Persons with Type 2 Diabetes: a Randomized Controlled Trial , 2012 .

[9]  I. Melzer,et al.  Postural stability in the elderly: a comparison between fallers and non-fallers. , 2004, Age and ageing.

[10]  J. M. D. Dias,et al.  Cross-cultural adaptation and evaluation of the psychometric properties of the Falls Efficacy Scale-International Among Elderly Brazilians (FES-I-BRAZIL). , 2010, Revista brasileira de fisioterapia (Sao Carlos (Sao Paulo, Brazil)).

[11]  Julie Ratcliffe,et al.  Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: a feasibility trial , 2012, Disability and rehabilitation.

[12]  B. Franklin,et al.  American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. , 2011, Medicine and science in sports and exercise.

[13]  Hamid Bateni,et al.  Changes in balance in older adults based on use of physical therapy vs the Wii Fit gaming system: a preliminary study. , 2012, Physiotherapy.

[14]  M. Rogers,et al.  Methods to assess and improve the physical parameters associated with fall risk in older adults. , 2003, Preventive medicine.

[15]  Eric G. Johnson,et al.  The effect of virtual reality gaming on dynamic balance in older adults. , 2012, Age and ageing.

[16]  P. Cawthon,et al.  Sarcopenia: etiology, clinical consequences, intervention, and assessment , 2009, Osteoporosis International.

[17]  Joseph F Signorile,et al.  Pilot study comparing changes in postural control after training using a video game balance board program and 2 standard activity-based balance intervention programs. , 2012, Archives of physical medicine and rehabilitation.

[18]  B. Rajaratnam,et al.  Participating in a virtual reality balance exercise program can reduce risk and fear of falls. , 2012, Maturitas.

[19]  G. Salem,et al.  American College of Sports Medicine position stand. Exercise and physical activity for older adults. , 2009, Medicine and science in sports and exercise.

[20]  Oddom Demontiero,et al.  Effects of balance training using a virtual-reality system in older fallers , 2013, Clinical interventions in aging.

[21]  Alan Hartley,et al.  Effects of interactive physical-activity video-game training on physical and cognitive function in older adults. , 2012, Psychology and aging.

[22]  N. Olivier,et al.  Wii Fit® training vs. Adapted Physical Activities: which one is the most appropriate to improve the balance of independent senior subjects? A randomized controlled study , 2012, Clinical rehabilitation.

[23]  Cathy Craig,et al.  Assessing and training standing balance in older adults: a novel approach using the 'Nintendo Wii' Balance Board. , 2011, Gait & posture.

[24]  Ângela Garcia Rossi,et al.  Equilíbrio no idoso , 2005 .

[25]  B. Rajaratnam,et al.  Effects of balance-focused interactive games compared to therapeutic balance classes for older women , 2012, Climacteric : the journal of the International Menopause Society.

[26]  Valeska Gatica Rojas,et al.  Impacto del Entrenamiento del Balance a través de Realidad Virtual en una Población de Adultos Mayores , 2010 .

[27]  Zahra Moussavi,et al.  Effects of an Interactive Computer Game Exercise Regimen on Balance Impairment in Frail Community-Dwelling Older Adults: A Randomized Controlled Trial , 2011, Physical Therapy.

[28]  Rachael D. Seidler,et al.  The effects of short term balance training on the postural control of older adults , 1997 .

[29]  Silvio Lorenzetti,et al.  The effect of a cognitive-motor intervention on voluntary step execution under single and dual task conditions in older adults: a randomized controlled pilot study , 2012, Clinical interventions in aging.