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Effect of interactive videogames on postural control and risk of fall outcomes in frail and pre-frail older adults: a systematic review and meta-analysis

journal contribution
posted on 26.10.2020, 14:08 by Hammad Alhasan, Mansour Alshehri, Patrick Wheeler, Daniel Fong
Background: Interactive videogames have been used to reduce risk of falls in the older adult and improve Postural control outcomes.
Objective: To systematically review trials that examine whether Interactive videogames training is effective in improving Postural control and managing falls in frail and pre-frail older adult.
Data sources: Four databases were searched, Scopus, Web of science, PubMed, and MEDLINE from JAN 2007 to March 2019.
Eligibility criteria: Frail and pre-frail older adults aged 65+. Interventions were any Nintendo Wii training. The outcome measures were Postural control and risk of falls as measured by any validated outcome measure. Studies appraisal method: The PEDro scale and Cochrane risk of bias tool were used by two independent authors.
Results: Eleven papers were included, involving 388 participants, with a mean age of 79 ± 5.7 years. The mean duration of Interactive videogames sessions was 8.8 ± 3.8 weeks, the mean total number of sessions was 20 ±11.1 session and the mean length of training was 44 ± 15.7 minutes.
Meta-analysis: IVGs achieved better results compared to traditional exercises and control on the Berg Balance Scale [mean difference (MD) 2.80; 95% CI 1.21 to 4.39; p<0.001; I²=16%], as well as in the short-term on Timed Up and Go (MD -1.23; 95% CI -2.37 to -0.09; p =0.03; I²=0%).
Limitation: Definitive judgement could not be made due to the variability in training, training duration and outcomes measurement. Conclusion: Interactive videogames is promising modality that has a positive effect on Postural control but not on the outcome of falls, so should be prescribed with caution among the frail older adults.

History

School

  • Sport, Exercise and Health Sciences

Published in

Games for Health Journal

Publisher

Mary Ann Liebert

Version

AM (Accepted Manuscript)

Publisher statement

Final publication is available from Mary Ann Liebert, Inc., publishers http://dx.doi.org/[insert DOI]

Acceptance date

25/10/2020

ISSN

2161-783X

eISSN

2161-7856

Language

en

Depositor

Dr Daniel Fong Deposit date: 26 October 2020

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