Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis

Abstract Objective Physical training (PT, e.g., Tai Chi and strength training) has been demonstrated to improve balance control and prevent falls. Recently, exergame intervention (EI) has emerged to prevent falls by enhancing both physical and cognitive functions in older adults. Therefore, we aim t...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yan Chen, Yuan Zhang, Zhenxiang Guo, Dapeng Bao, Junhong Zhou
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Exergame Balance Fall prevention Older adults Systematic review Meta-analysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/019a0ecc7f1643f2b0d021bca7a7a0bb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:019a0ecc7f1643f2b0d021bca7a7a0bb
record_format	dspace
spelling	oai:doaj.org-article:019a0ecc7f1643f2b0d021bca7a7a0bb2021-11-28T12:38:38ZComparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis10.1186/s12984-021-00917-01743-0003https://doaj.org/article/019a0ecc7f1643f2b0d021bca7a7a0bb2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12984-021-00917-0https://doaj.org/toc/1743-0003Abstract Objective Physical training (PT, e.g., Tai Chi and strength training) has been demonstrated to improve balance control and prevent falls. Recently, exergame intervention (EI) has emerged to prevent falls by enhancing both physical and cognitive functions in older adults. Therefore, we aim to quantitatively assess and compare the effects of PT and EI on the performance of balance control and fall prevention in healthy older adults via meta-analysis. Methods A search strategy based on the PICOS principle was used to find the publication in the databases of PubMed, EMBASE, Web of Science, Cochrane Library, and MEDLINE. The quality and risk of bias in the studies were independently assessed by two researchers. Results Twenty studies consisting of 845 participants were included. Results suggested that as compared to PT, EI induced greater improvement in postural control (sway path length, SMD = − 0.66, 95% CI − 0.91 to − 0.41, P < 0.001, I 2 = 0%; sway speed, SMD = − 0.49, 95% CI − 0.71 to − 0.27, P < 0.001, I 2 = 42%) and dynamic balance (SMD = − 0.19, 95% CI − 0.35 to − 0.03, P = 0.02, I 2 = 0%) in healthy older adults. The EI with 90–119 min/week for more than 8-week significantly reduced falls. Subgroup analyses revealed that exergames, which were designed by the two principles of repeatedly performing diversified tasks and gradually increase the difficulty of the task, induced significant effects in improving balance control and falls prevention respectively (P = 0.03, P = 0.009). In addition, intervention that combines EI and PT induced significant improvement in postural control (P = 0.003). Conclusion The exergame intervention, especially the combination of EI and PT, is a promising strategy to improve balance control and reduce falls in healthy older adults. Future studies with rigorous design, larger sample size, and follow-up assessments are needed to further assess the effectiveness of diverse exergame interventions in fall prevention and to quantify the “dose-effect” relationship, as well as the carry-over effect of such intervention, which will ultimately help optimize the rehabilitative strategies to improve balance control and prevent falls.Yan ChenYuan ZhangZhenxiang GuoDapeng BaoJunhong ZhouBMCarticleExergameBalanceFall preventionOlder adultsSystematic reviewMeta-analysisNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENJournal of NeuroEngineering and Rehabilitation, Vol 18, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Exergame Balance Fall prevention Older adults Systematic review Meta-analysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	Exergame Balance Fall prevention Older adults Systematic review Meta-analysis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Yan Chen Yuan Zhang Zhenxiang Guo Dapeng Bao Junhong Zhou Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
description	Abstract Objective Physical training (PT, e.g., Tai Chi and strength training) has been demonstrated to improve balance control and prevent falls. Recently, exergame intervention (EI) has emerged to prevent falls by enhancing both physical and cognitive functions in older adults. Therefore, we aim to quantitatively assess and compare the effects of PT and EI on the performance of balance control and fall prevention in healthy older adults via meta-analysis. Methods A search strategy based on the PICOS principle was used to find the publication in the databases of PubMed, EMBASE, Web of Science, Cochrane Library, and MEDLINE. The quality and risk of bias in the studies were independently assessed by two researchers. Results Twenty studies consisting of 845 participants were included. Results suggested that as compared to PT, EI induced greater improvement in postural control (sway path length, SMD = − 0.66, 95% CI − 0.91 to − 0.41, P < 0.001, I 2 = 0%; sway speed, SMD = − 0.49, 95% CI − 0.71 to − 0.27, P < 0.001, I 2 = 42%) and dynamic balance (SMD = − 0.19, 95% CI − 0.35 to − 0.03, P = 0.02, I 2 = 0%) in healthy older adults. The EI with 90–119 min/week for more than 8-week significantly reduced falls. Subgroup analyses revealed that exergames, which were designed by the two principles of repeatedly performing diversified tasks and gradually increase the difficulty of the task, induced significant effects in improving balance control and falls prevention respectively (P = 0.03, P = 0.009). In addition, intervention that combines EI and PT induced significant improvement in postural control (P = 0.003). Conclusion The exergame intervention, especially the combination of EI and PT, is a promising strategy to improve balance control and reduce falls in healthy older adults. Future studies with rigorous design, larger sample size, and follow-up assessments are needed to further assess the effectiveness of diverse exergame interventions in fall prevention and to quantify the “dose-effect” relationship, as well as the carry-over effect of such intervention, which will ultimately help optimize the rehabilitative strategies to improve balance control and prevent falls.
format	article
author	Yan Chen Yuan Zhang Zhenxiang Guo Dapeng Bao Junhong Zhou
author_facet	Yan Chen Yuan Zhang Zhenxiang Guo Dapeng Bao Junhong Zhou
author_sort	Yan Chen
title	Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
title_short	Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
title_full	Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
title_fullStr	Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
title_full_unstemmed	Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
title_sort	comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/019a0ecc7f1643f2b0d021bca7a7a0bb
work_keys_str_mv	AT yanchen comparisonbetweentheeffectsofexergameinterventionandtraditionalphysicaltrainingonimprovingbalanceandfallpreventioninhealthyolderadultsasystematicreviewandmetaanalysis AT yuanzhang comparisonbetweentheeffectsofexergameinterventionandtraditionalphysicaltrainingonimprovingbalanceandfallpreventioninhealthyolderadultsasystematicreviewandmetaanalysis AT zhenxiangguo comparisonbetweentheeffectsofexergameinterventionandtraditionalphysicaltrainingonimprovingbalanceandfallpreventioninhealthyolderadultsasystematicreviewandmetaanalysis AT dapengbao comparisonbetweentheeffectsofexergameinterventionandtraditionalphysicaltrainingonimprovingbalanceandfallpreventioninhealthyolderadultsasystematicreviewandmetaanalysis AT junhongzhou comparisonbetweentheeffectsofexergameinterventionandtraditionalphysicaltrainingonimprovingbalanceandfallpreventioninhealthyolderadultsasystematicreviewandmetaanalysis
_version_	1718407812454809600

Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis

Ejemplares similares