Current state and trends of the research in exergames for the elderly and their impact on health outcomes: a scoping review

López-Nava, Irvin Hussein; Rodríguez, Marcela D.; García-Vázquez, Juan Pablo; Sanpablo, Alberto Isaac Pérez; Quiñones-Urióstegui, Ivett; Meneses-Peñaloza, Alicia; Castillo, Víctor H.; Cuaya-Simbro, German; Armenta, Josué S.; Martínez, Alicia; Sánchez, Wendy; Caro, Karina; Martínez-García, Ana I.; Favela, Jesús

doi:10.1007/s12652-022-04364-0

Cited by 7 publications

(4 citation statements)

References 152 publications

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“…Many effective exercise interventions were found with balance training (5, 6, 10-12, 18, 26, 27, 29-35), strengthening programs (3,15,16,21,27,33), and endurance training (11,27,31,32), and have proven their effectiveness in improving physical fitness and reducing the falls in the elderly in the community. Studies included in the analysis of simple fall prevention exercise programs are presented in Table S1.…”

Section: Resultsmentioning

confidence: 99%

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Best-Practice Exercise Interventions to Prevent Falls in Older Adults

Bogahawatta¹,

Wettasinghe²

2022

Sri Lankan J. Health Sci.

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Globally, falls are a major public health problem that can cause morbidity, including fracture and disability, and mortality in older people. Exercise therapy is widely recommended, and it is frequently regarded as the gold-standard strategy for preventing falls in both community-dwelling and institutionalized older people. This review synthesizes published findings on feasible, low-technology, low-cost equipment, and easy-to-follow effective fall prevention interventions in healthy older adults. According to the evidence presented in this review, home-based balance and strengthening training programs utilizing low-cost equipment such as foam balance pads, steps, dumbbells, and elastic bands are more cost-effective and feasible exercises for fall prevention in older adults who do not have cognitive impairments. The Otago program, Lifestyle Approach to reducing Falls through Exercise (LiFE) program, and Ossébo exercise program are some of the best-known examples. Physiotherapists will benefit from this updated review, which rates different simple fall prevention programs used worldwide for both community-dwelling and institutionalized older adults.

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Section: Resultsmentioning

confidence: 99%

“…For example, computerized balance training has been shown to improve performance in clinical tests of mobility and gait speed. In addition, cognitive-motor training programs are considered promising strategies for improving physical function in older people with the use of computer-based technology ideal for such interventions (20,21).…”

Section: Introductionmentioning

confidence: 99%

Best-Practice Exercise Interventions to Prevent Falls in Older Adults

Bogahawatta¹,

Wettasinghe²

2022

Sri Lankan J. Health Sci.

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“…A possible solution to circumvent some of the technical problems would be the consideration of alternative peripherals. Recent research shows an increased use of camera-based systems and virtual or augmented reality headsets, which offer a wealth of new possibilities for optimizing these interventions (López-Nava et al, 2023 ).…”

Section: Discussionmentioning

confidence: 99%

Feasibility, usability, and acceptance of “Brain-IT”—A newly developed exergame-based training concept for the secondary prevention of mild neurocognitive disorder: a pilot randomized controlled trial

Manser,

Poikonen,

de Bruin

2023

Front. Aging Neurosci.

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BackgroundExergames provide a promising new approach to implement simultaneous motor–cognitive training, which may support preventing the decline in cognitive functioning in older adults who have a mild neurocognitive disorder (mNCD).ObjectivesTo evaluate feasibility, system usability, and acceptance of “Brain-IT”, a newly developed training concept combining exergame-based motor-cognitive training and heart rate variability (HRV) guided resonance breathing for the secondary prevention of mNCD.MethodsA pilot randomized controlled trial (RCT) with an allocation ratio of 2:1 (i.e., intervention:control) was conducted. The control group proceeded with usual care. The intervention group performed a 12-week training according to the “Brain-IT” training concept implemented with the “Senso Flex” (Dividat AG) exergaming system in addition to usual care. Feasibility and usability outcomes were analyzed using descriptive statistics. User acceptance was analyzed qualitatively and using Friedman analysis of variance (ANOVA), as well as Wilcoxon signed-rank tests.ResultsEighteen participants (77.3 ± 9.8 years; 44.4% females) were included. On average, we recruited 2.2 participants per month, and 35.3% of the individuals contacted were included. The intervention group had an attrition rate of 20% and mean adherence and compliance rates of 85.0 and 84.1%, respectively. The mean system usability score, measured with the system usability scale, was 71.7. High levels of exergame enjoyment, an increase in exergame enjoyment, and internalization of training motivation with large effect sizes (p = 0.03, r = 0.75 and p = 0.03, r = 0.74, respectively), as well as acceptable perceived usefulness, were observed. Preliminary data on the effects of the “Brain-IT” training are promising.ConclusionThe feasibility and usability of the “Brain-IT” training are acceptable. However, frequent occurrences of technical problems and difficulties in using the exergame training system were identified as barriers to performing the “Brain-IT” training. To optimize feasibility, either improvements or alternative solutions are required in the hardware and software of the exergame used to implement the “Brain-IT” training. The “Brain-IT” training itself was well-accepted by older adults who have mNCD. Therefore, the effectiveness of the “Brain-IT” training concept should be investigated in future studies.Trial registrationclinicaltrials.gov/ct2/show/NCT04996654.

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“…A similar approach is being sought also for physical rehabilitation, in the form of telerehabilitation, through the employment of so-called Exergames or Serious Games. Exergames are broadly investigated for motor-cognitive rehabilitation in healthcare [33,34], exploiting new generation devices such as RGB-Depth cameras (e.g., Kinect) [35,36], balance boards (e.g., WII balance board) [37], and virtual-reality headsets [38,39]. The users can control the game through their own body and carry out goal-oriented tasks, which aim at stimulating specific motor and cognitive skills.…”

Section: Introductionmentioning

confidence: 99%

Measuring Brain Activation Patterns from Raw Single-Channel EEG during Exergaming: A Pilot Study

et al. 2023

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Physical and cognitive rehabilitation is deemed crucial to attenuate symptoms and to improve the quality of life in people with neurodegenerative disorders, such as Parkinson’s Disease. Among rehabilitation strategies, a novel and popular approach relies on exergaming: the patient performs a motor or cognitive task within an interactive videogame in a virtual environment. These strategies may widely benefit from being tailored to the patient’s needs and engagement patterns. In this pilot study, we investigated the ability of a low-cost BCI based on single-channel EEG to measure the user’s engagement during an exergame. As a first step, healthy subjects were recruited to assess the system’s capability to distinguish between (1) rest and gaming conditions and (2) gaming at different complexity levels, through Machine Learning supervised models. Both EEG and eye-blink features were employed. The results indicate the ability of the exergame to stimulate engagement and the capability of the supervised classification models to distinguish resting stage from game-play (accuracy > 95%). Finally, different clusters of subject responses throughout the game were identified, which could help define models of engagement trends. This result is a starting point in developing an effectively subject-tailored exergaming system.

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Current state and trends of the research in exergames for the elderly and their impact on health outcomes: a scoping review

Cited by 7 publications

References 152 publications

Best-Practice Exercise Interventions to Prevent Falls in Older Adults

Best-Practice Exercise Interventions to Prevent Falls in Older Adults

Feasibility, usability, and acceptance of “Brain-IT”—A newly developed exergame-based training concept for the secondary prevention of mild neurocognitive disorder: a pilot randomized controlled trial

Measuring Brain Activation Patterns from Raw Single-Channel EEG during Exergaming: A Pilot Study

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