Virtual reality using games for improving physical functioning in older adults: a systematic review
Identifieur interne : 000033 ( Pmc/Checkpoint ); précédent : 000032; suivant : 000034Virtual reality using games for improving physical functioning in older adults: a systematic review
Auteurs : Karina Iglesia Molina ; Natalia Aquaroni Ricci ; Suzana Albuquerque De Moraes ; Monica Rodrigues PerraciniSource :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2014.
Abstract
The use of virtual reality through exergames or active video game, i.e. a new form of interactive gaming, as a complementary tool in rehabilitation has been a frequent focus in research and clinical practice in the last few years. However, evidence of their effectiveness is scarce in the older population. This review aim to provide a summary of the effects of exergames in improving physical functioning in older adults. A search for randomized controlled trials was performed in the databases EMBASE, MEDLINE, PsyInfo, Cochrane data base, PEDro and ISI Web of Knowledge. Results from the included studies were analyzed through a critical review and methodological quality by the PEDro scale. Thirteen studies were included in the review. The most common apparatus for exergames intervention was the Nintendo Wii gaming console (8 studies), followed by computers games, Dance video game with pad (two studies each) and only one study with the Balance Rehabilitation Unit. The Timed Up and Go was the most frequently used instrument to assess physical functioning (7 studies). According to the PEDro scale, most of the studies presented methodological problems, with a high proportion of scores below 5 points (8 studies). The exergames protocols and their duration varied widely, and the benefits for physical function in older people remain inconclusive. However, a consensus between studies is the positive motivational aspect that the use of exergames provides. Further studies are needed in order to achieve better methodological quality, external validity and provide stronger scientific evidence.
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DOI: 10.1186/1743-0003-11-156
PubMed: 25399408
PubMed Central: 4247561
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<front><div type="abstract" xml:lang="en"><p>The use of virtual reality through exergames or active video game, i.e. a new form of interactive gaming, as a complementary tool in rehabilitation has been a frequent focus in research and clinical practice in the last few years. However, evidence of their effectiveness is scarce in the older population. This review aim to provide a summary of the effects of exergames in improving physical functioning in older adults. A search for randomized controlled trials was performed in the databases EMBASE, MEDLINE, PsyInfo, Cochrane data base, PEDro and ISI Web of Knowledge. Results from the included studies were analyzed through a critical review and methodological quality by the PEDro scale. Thirteen studies were included in the review. The most common apparatus for exergames intervention was the Nintendo Wii gaming console (8 studies), followed by computers games, Dance video game with pad (two studies each) and only one study with the Balance Rehabilitation Unit. The Timed Up and Go was the most frequently used instrument to assess physical functioning (7 studies). According to the PEDro scale, most of the studies presented methodological problems, with a high proportion of scores below 5 points (8 studies). The exergames protocols and their duration varied widely, and the benefits for physical function in older people remain inconclusive. However, a consensus between studies is the positive motivational aspect that the use of exergames provides. Further studies are needed in order to achieve better methodological quality, external validity and provide stronger scientific evidence.</p>
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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Neuroeng Rehabil</journal-id>
<journal-id journal-id-type="iso-abbrev">J Neuroeng Rehabil</journal-id>
<journal-title-group><journal-title>Journal of NeuroEngineering and Rehabilitation</journal-title>
</journal-title-group>
<issn pub-type="epub">1743-0003</issn>
<publisher><publisher-name>BioMed Central</publisher-name>
<publisher-loc>London</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">25399408</article-id>
<article-id pub-id-type="pmc">4247561</article-id>
<article-id pub-id-type="publisher-id">675</article-id>
<article-id pub-id-type="doi">10.1186/1743-0003-11-156</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Virtual reality using games for improving physical functioning in older adults: a systematic review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Molina</surname>
<given-names>Karina Iglesia</given-names>
</name>
<address><email>karinaiglesia@msn.com</email>
</address>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Ricci</surname>
<given-names>Natalia Aquaroni</given-names>
</name>
<address><email>natalia_ricci@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Moraes</surname>
<given-names>Suzana Albuquerque</given-names>
</name>
<address><email>szn.albuquerque@hotmail.com</email>
</address>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Perracini</surname>
<given-names>Monica Rodrigues</given-names>
</name>
<address><email>monica.perracini@unicid.edu.br</email>
</address>
<xref ref-type="aff" rid="Aff5"></xref>
</contrib>
<aff id="Aff5">Master’s and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo - UNICID, Rua Cesáreo Galeno, 448, 03071-000 Tatuapé, SP Brazil</aff>
</contrib-group>
<pub-date pub-type="epub"><day>15</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>15</day>
<month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="collection"><year>2014</year>
</pub-date>
<volume>11</volume>
<elocation-id>156</elocation-id>
<history><date date-type="received"><day>28</day>
<month>5</month>
<year>2014</year>
</date>
<date date-type="accepted"><day>31</day>
<month>10</month>
<year>2014</year>
</date>
</history>
<permissions><copyright-statement>© Molina et al.; licensee BioMed Central Ltd. 2014</copyright-statement>
<license license-type="open-access"><license-p>This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>
), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>
) applies to the data made available in this article, unless otherwise stated.</license-p>
</license>
</permissions>
<abstract id="Abs1"><p>The use of virtual reality through exergames or active video game, i.e. a new form of interactive gaming, as a complementary tool in rehabilitation has been a frequent focus in research and clinical practice in the last few years. However, evidence of their effectiveness is scarce in the older population. This review aim to provide a summary of the effects of exergames in improving physical functioning in older adults. A search for randomized controlled trials was performed in the databases EMBASE, MEDLINE, PsyInfo, Cochrane data base, PEDro and ISI Web of Knowledge. Results from the included studies were analyzed through a critical review and methodological quality by the PEDro scale. Thirteen studies were included in the review. The most common apparatus for exergames intervention was the Nintendo Wii gaming console (8 studies), followed by computers games, Dance video game with pad (two studies each) and only one study with the Balance Rehabilitation Unit. The Timed Up and Go was the most frequently used instrument to assess physical functioning (7 studies). According to the PEDro scale, most of the studies presented methodological problems, with a high proportion of scores below 5 points (8 studies). The exergames protocols and their duration varied widely, and the benefits for physical function in older people remain inconclusive. However, a consensus between studies is the positive motivational aspect that the use of exergames provides. Further studies are needed in order to achieve better methodological quality, external validity and provide stronger scientific evidence.</p>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Virtual reality therapy</kwd>
<kwd>Video game</kwd>
<kwd>Physical exercise</kwd>
<kwd>Randomized controlled trial</kwd>
<kwd>Aged</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© The Author(s) 2014</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="De Moraes, Suzana Albuquerque" sort="De Moraes, Suzana Albuquerque" uniqKey="De Moraes S" first="Suzana Albuquerque" last="De Moraes">Suzana Albuquerque De Moraes</name>
<name sortKey="Molina, Karina Iglesia" sort="Molina, Karina Iglesia" uniqKey="Molina K" first="Karina Iglesia" last="Molina">Karina Iglesia Molina</name>
<name sortKey="Perracini, Monica Rodrigues" sort="Perracini, Monica Rodrigues" uniqKey="Perracini M" first="Monica Rodrigues" last="Perracini">Monica Rodrigues Perracini</name>
<name sortKey="Ricci, Natalia Aquaroni" sort="Ricci, Natalia Aquaroni" uniqKey="Ricci N" first="Natalia Aquaroni" last="Ricci">Natalia Aquaroni Ricci</name>
</noCountry>
</tree>
</affiliations>
</record>
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