Evidence map›Paper›PMID 32682439›Full record

SynthesisSystematic reviews2020

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

T B F Pacheco, C S P de Medeiros, V H B de Oliveira, E R Vieira, F A C de Cavalcanti

2 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Systematic reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 74 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 19 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06115928 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of VIRTUal reALity on Rehabilitation in Patients With Heart Failure: a Protocol for a Randomized Controlled Trial

TypeinterventionalSponsorValentina MicheluzziRan2023 to 2024Enrolled80ConditionsHeart Failure, Reduced Ejection FractionArmsVirtual reality
NCT06711393 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

The Effectiveness of Exergaming (YetiHome®) Versus Traditional Exercise for Older People Mobility and Balance: Protocol of the Randomized Intervention Trial

TypeinterventionalSponsorUniversity of OuluRan2024 to 2025Enrolled100ConditionsMobility LimitationArmsExercise, Exercise as usual
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 19 syntheses or guidelines pooled it.

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  18. Effectiveness of Virtual Reality Systems to Improve the Activities of Daily Life in Older People.International journal of environmental research and public health · 2020
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

T B F PachecoDepartment of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil. thaianab@ufrn.edu.br.ORCID 0000-0002-8498-3862
C S P de MedeirosDepartment of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.
V H B de OliveiraDepartment of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.
E R VieiraDepartment of Physical Therapy, Florida International University (FIU), Miami, USA.
F A C de CavalcantiDepartment of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Natal, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExergaming 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.

methodsThe 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.

resultsAfter 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

conclusionsExergames 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.

Indexed as

Exercise TherapyPostural BalanceAgedAged, 80 and overExerciseHumansReproducibility of ResultsTime and Motion StudiesAgingBalanceGaitVideo games

Identifiers

PMID32682439
PMCPMC7368979

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.