Evidence map›Paper›PMID 39172915›Full record

SynthesisPloS one2024

A systematic review of exergame usability as home-based balance training tool for older adults usability of exergames as home-based balance training.

Candice Simões Pimenta de Medeiros, Luanna Bárbara Araújo Farias, Maria Clara do Lago Santana, Thaiana Barbosa Ferreira Pacheco, Rummenigge Rudson Dantas, Fabrícia Azevedo da Costa Cavalcanti

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Observational
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

6 authors.

Candice Simões Pimenta de MedeirosPhysical Therapy Department, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.ORCID 0000-0003-3209-8412
Luanna Bárbara Araújo FariasPhysical Therapy Department, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Maria Clara do Lago SantanaPhysical Therapy Department, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Thaiana Barbosa Ferreira PachecoPhysical Therapy Department, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Rummenigge Rudson DantasDigital Metropolis Institute, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Fabrícia Azevedo da Costa CavalcantiPhysical Therapy Department, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExergames are a fun, viable, attractive, and safe way to engage in physical exercise for most patient populations, including older adults. Their use in the home environment enables an expanded understanding about its applicability and its impact on clinical outcomes that can contribute to improved functionality and quality of life in this population. This systematic review aimed to synthesize the evidence on the usability of exergames as a tool for home-based balance training in older adults.

methodsThe search was realized in 6 electronic databases and were included 1) randomized controlled trials with exergames home-based training as intervention, 2) studies involving older adults (aged 60 years or older) described as having impaired static or dynamic balance, 3) that compared the effects of exergames to usual care, health education or no intervention, and 4) reported usability and balance outcomes. The Cochrane Risk of Bias tool for randomized trials version 2 and the Grading of Recommendations Assessment, Development, and Evaluation were used to evaluate the methodological quality of studies and levels of evidence for outcomes.

resultsAfter screening 1107 records, we identified 4 trials were included. The usability score of exergames was classified as an acceptable, good, and feasible tool. The pooled effect indicated improvements in favor of the exergame group for functional balance by TUG test (MD = -5.90; 95%CI = -10.29 to -1.51) with low-certainty evidence and Tinetti scale (MD = 4.80; 95%CI = 3.36 to 6.24) with very low-certainty evidence. Analyzing the different immersion level, it was observed a significant difference in the experimental group for the immersive exergames (MD = -9.14; 95%CI = -15.51 to -2.77) with very low-certainty evidence.

conclusionExergames applied at home showed good usability and had significant effects on functional balance compared to usual care or no intervention, especially in the immersive modality.

trial registrationPROSPERO registration number: CRD42022343290.

Indexed as

Exercise TherapyPostural BalanceVideo GamesAgedExerciseFemaleHumansMaleMiddle AgedQuality of LifeRandomized Controlled Trials as Topic

Identifiers

PMID39172915
PMCPMC11340971

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.