Evidence map›Paper›PMID 34160022›Full record

SynthesisPhysical therapy2021

Effectiveness of Exergame Intervention on Walking in Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Maarit Janhunen, Vera Karner, Niina Katajapuu, Oona Niiranen, Jaakko Immonen, Juha Karvanen, Ari Heinonen, Eeva Aartolahti

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Physical therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05839262 (Physical Exercise Guided by Active Video Games for Optimizing Clinical and Psychosocial Outcomes in Older Adults With Knee and/or Hip Osteoarthritis Under a Community-based Rehabilitation Model.), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
9.0field-weighted citation impact, top 2% of its field
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.

NCT05839262 nacompletednot on this mapstarted 2023, after this paper: background citation

Physical Exercise Guided by Active Video Games for Optimizing Clinical and Psychosocial Outcomes in Older Adults With Knee and/or Hip Osteoarthritis Under a Community-based Rehabilitation Model.

TypeinterventionalSponsorCristian AlvarezRan2023 to 2024Enrolled60ConditionsOsteoarthritis, Knee, Osteoarthritis, HipArmsConventional physical rehabilitation plus Active video games (CPR+AVG), Conventional physical rehabilitation alone (CPR)
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  15. Challenges and suggestions for exergaming program in exercise among older adults.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  16. Review
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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

8 authors at 3 institutions in 2 countries.

Maarit JanhunenFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Vera KarnerPhysiotherapy, University of Applied Sciences for Health Professions Upper Austria, Linz, Austria.
Niina KatajapuuFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Oona NiiranenHealth and Well-Being, Turku University of Applied Sciences, Turku, Finland.
Jaakko ImmonenFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Juha KarvanenFaculty of Mathematics and Science, University of Jyväskylä, Jyväskylä, Finland.
Ari HeinonenFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
Eeva AartolahtiFaculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.
University of Jyväskylä · FITurku University of Applied Sciences · FIUniversity of Applied Sciences the health professions Upper Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe 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.

methodsA 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 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 Grading of Recommendations, Assessment, Development and Evaluation were used to estimate quality, treatment effect, covariates' effect, and the certainty of evidence, respectively.

resultsIn 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 (standardized mean difference = -0.21; 95% CI = -0.36 to -0.06; 3102 participants, 58 studies; moderate-quality evidence) and more or equally effective (standardized mean difference = -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.

conclusionFor 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 with inactive comparison groups. To strengthen the evidence, further randomized controlled trials on the effectiveness of gamified exercise intervention are needed. IMPACT: Exergaming has an 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.

Indexed as

AgedAge FactorsAttitude to HealthExerciseExercise TherapyFemaleHealth PromotionHumansMaleMuscle StrengthRandomized Controlled Trials as TopicVideo GamesWalkingAgedExercise TherapyExergamesRehabilitationWalking

Identifiers

PMID34160022
PMCPMC8459884
OpenAlexW3173567986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.