Effects and safety of exergaming in persons with multiple sclerosis during corticosteroid treatment: a pilot study

Özdoğar, Asiye Tuba; Baba, Cavid; Kahraman, Turhan; Sağıcı, Özge; Dastan, Seda; Ertekin, Özge; Özakbaş, Serkan

doi:10.1016/j.msard.2022.103823

Cited by 4 publications

(2 citation statements)

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“…Title and abstract screening yields 102 relevant articles for full-text assessment. Based on our performed inclusion criteria, only 33 studies were included in the systematic review (Bove et al, 2021 ; Brichetto et al, 2013 ; Calabro et al, 2017 ; Cuesta-Gómez et al, 2022 ; Dogan et al, 2023 ; Eftekharsadat et al, 2015 ; Galperin et al, 2023 ; Hoang et al, 2015 ; Kalron et al, 2016 ; Khalil et al, 2018 ; Lamargue et al, 2020 ; Leonardi et al, 2021 ; Lozano-Quilis et al, 2014 ; Maggio et al, 2022 ; Molhemi et al, 2022 ; Molhemi et al, 2020 ; Munari et al, 2020 ; Nilsagard et al, 2012 ; Norouzi et al, 2021 ; Ortiz-Gutiérrez et al, 2013 ; Ozdogar et al, 2022 ; Ozdogar et al, 2023 ; Ozdogar et al, 2020 ; Ozkul et al, 2020 ; Pagliari et al, 2021 ; Peruzzi et al, 2016 ; Prosperini et al, 2013 ; Pruszynska et al, 2022 ; Robinson et al, 2015 ; Streicher et al, 2018 ; Tollar et al, 2020 ; Walino-Paniagua et al, 2019 ; Yazgan et al, 2020 ), and 27 were eligible for meta-analysis ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

Exercise-based gaming in patients with multiple sclerosis: A systematic review and meta-analysis

Elhusein,

Fadlalmola,

Awadalkareem

et al. 2024

Belitung Nurs J

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Background: Multiple sclerosis presents a significant burden, with balance disturbances impacting patients’ daily living. Conventional therapies have been supplemented with technological advancements like virtual reality (VR) and exergaming, providing engaging, multisensory rehabilitation options. Objective: This study aimed to synthesize evidence on exergaming’s role in multiple sclerosis treatment, particularly to evaluate the impact of exergaming on cognitive, motor, and psychological outcomes in patients with multiple sclerosis. Methods: A systematic review and subsequent meta-analysis design were employed. An extensive search was conducted up to June 2023 across five electronic databases - Web of Science, Scopus, PubMed, Cochrane, and EMBASE. The data extraction process from the selected studies was conducted independently. The risk of bias was assessed using the Cochrane Risk of Bias Assessment Tool 1 (ROB1) and the National Institutes of Health (NIH) assessment tool. Continuous outcomes were consolidated as mean differences (MD) with 95% confidence intervals (CIs). Meta-analyses were performed using RevMan ver. 5.4. Results: Out of 1,029 studies, 27 were included for meta-analysis. There were no significant differences in cognitive outcomes between the exergaming and the no-intervention group or the Conventional Physiotherapy and Rehabilitation interventions (CPRh) subgroups. However, the Symbol Digit Modalities Test (SDMT) showed a statistically significant difference in favor of exergaming in the no-intervention subgroup (MD = 5.40, 95% CI [0.08, 10.72], p = 0.05). In motor outcomes, exergaming only demonstrated better results in the 6-minute walking test compared to the no-intervention group (MD = 25.53, 95% CI [6.87, 44.19], p = 0.007). The Berg Balance Scale score in both studied subgroups and the Timed Up and Go (TUG) test in the no-intervention group favored exergaming. In terms of psychological outcomes, the Beck Depression Inventory did not reveal any significant differences, while the Modified Fatigue Impact Scale (MFIS) score favored exergaming in the CPRh subgroup. Conclusion: Exergaming shows promise for enhancing cognitive and motor functions, motivation, adherence, and quality of life in MS patients, which is beneficial for nurses. It can be tailored to individual preferences and easily conducted at home, potentially serving as a viable alternative to traditional rehab programs, especially during relapses. However, further research is necessary to fully understand its optimal and lasting benefits.

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Section: Resultsmentioning

confidence: 99%

Exercise-based gaming in patients with multiple sclerosis: A systematic review and meta-analysis

Elhusein,

Fadlalmola,

Awadalkareem

et al. 2024

Belitung Nurs J

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“…Our findings provide evidence of the beneficial effects of EGs, which may offer a promising strategy for promoting healthy aging in older adults. Given that EGs are an innovative, fun, and relatively safe form of exercise [ 58 ], this review presents timely evidence that suggests EGs could be a valuable tool for health professionals, such as physical therapists and occupational therapists.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Exergames Versus Conventional Exercises on the Health Benefits of Older Adults: Systematic Review With Meta-Analysis of Randomized Controlled Trials

Chen,

Wu,

Feng

et al. 2023

JMIR Serious Games

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Background Conventional exercises (CEs) can provide health benefits for older adults, but the long-term exercise adherence rate is low. As an emerging, stimulating, and self-motivating strategy, exergames (EGs) are defined as combinations of exercises and games that users carry out through physical actions. They can promote exercise, but the health effects of EGs versus CEs on the physical function and mental health (cognitive function, depression, and quality of life) of older adults remain controversial. Objective The aim of the study is to compare the health benefits of EGs versus those of CEs for the physical function and mental health of older adults. Methods A comprehensive search was conducted from the earliest available date to February 2023 in the following 6 databases: PubMed, Web of Science, Embase, Cochrane, CINAHL, and PsycINFO. All English-language randomized controlled trials comparing the effects of EGs versus those of CEs on the physical function and mental health of older adults, with nearly same physical activity between the 2 interventions, were included. Risk of bias was independently evaluated by 2 authors using the Cochrane risk of bias in randomized trials tool. Two authors independently extracted data. We followed the Cochrane Handbook of Systematic Reviews of Interventions to process and analyze the data for meta-analysis. Standardized mean differences (SMDs) and 95% CIs were used for continuous data, and random models were used for analyses. Results We included 12 studies consisting of 919 participants in total. Of these, 10 studies were eventually included in the meta-analysis. The results showed that EGs versus CEs exhibited no significant differences in physical (P=.13; τ2=0.31; χ26=26.6; I2=77%; SMD=0.37; 95% CI –0.11 to 0.86) or cognitive function (P=.63; τ2=0.01; χ23=3.1; I2=4%; SMD=0.09; 95% CI –0.27 to 0.44) effects. Conclusions Our findings indicate no significant difference between EGs and CEs in improving the physical function and cognitive function of older adults. Future studies are required to compare the effects of EGs versus those of CEs on cognitive function according to cognitive status, quantify the “dose-effect” relationship between EGs and health benefits, and evaluate the effects of different types and devices of EGs with regard to the health benefits of older adults. Trial Registration PROSPERO CRD42022322734; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=322734

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Older adults’ experiences of implementing exergaming programs: a systematic review and qualitative meta-synthesis

Ning

Jiang

et al. 2022

Age and Ageing

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Objective this study sought to systematically review and synthesize qualitative data to explore older adult exergame experiences and perceptions. Methods a comprehensive search was conducted in seven databases from the earliest available date to May 2022. All qualitative and mixed-method studies available in English and explored exergame experiences in older adults were included. Tools from the Joanna Briggs Institute were used for data extraction and synthesis. Data were extracted using the Capability, Opportunity and Motivation Model of Behaviour (COM-B model) as a guide, and a pragmatic meta-aggregative approach was applied to synthesize the findings. Results this systematic review identified 128 findings and aggregated 9 categories from the 10 qualitative research articles included, and three synthesized findings were: older adult capability, opportunities in the exergaming program and motivation in the exergaming program. Capability consisted of attitude toward exergames, age- or health-related impairments and exergame knowledge and skills. Opportunities included older adult-friendly exergame design and social influence. Motivation included self-efficacy, support, instruction and feedback, health benefits, as well as unpleasant exergaming experiences. Conclusions it is crucial to tailor the exergaming program to suit the older population. We identified barriers and facilitators of implementing exergaming in older adults and found most barriers are surmountable. The results of the current systematic review could provide evidence for the design and implementation of exergaming programs among older adults. The ConQual score of the synthesized findings was assessed as low. Dependability and credibility should be accounted for in future studies to increase confidence.

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Effects and safety of exergaming in persons with multiple sclerosis during corticosteroid treatment: a pilot study

Cited by 4 publications

References 42 publications

Exercise-based gaming in patients with multiple sclerosis: A systematic review and meta-analysis

Exercise-based gaming in patients with multiple sclerosis: A systematic review and meta-analysis

Comparison of Exergames Versus Conventional Exercises on the Health Benefits of Older Adults: Systematic Review With Meta-Analysis of Randomized Controlled Trials

Older adults’ experiences of implementing exergaming programs: a systematic review and qualitative meta-synthesis

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