Effects of Exergaming on Physical and Cognitive Functions in Individuals with Autism Spectrum Disorder: A Systematic Review

Fang, Qun; Aiken, Christopher A.; Fang, Chao; Pan, Zhujun

doi:10.1089/g4h.2018.0032

Cited by 66 publications

(48 citation statements)

References 52 publications

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“…38 Considering the interpretation of the quality score adopted by relevant research as well as characteristics of exercise intervention trials, we use the score of 6 as a cutoff point for high-quality studies with low risk of bias. [38][39][40] A trial scoring 4 to 6 suggests moderate quality while a study with a score of 3 or below is considered low quality with high risk of bias. Two authors (P.G.…”

Section: Quality Assessment and Risk Of Biasmentioning

confidence: 99%

Effects of Exergaming on Balance of Healthy Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Fang

Ghanouni

Anderson

et al. 2020

Games for Health Journal

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Balance is critical for older adults to perform daily activities. However, age-related declines in balance increase the risk of falls and severe injuries, such as bone fractures and head injuries. Exergames have been widely applied to improve health-related outcomes in older adults. This meta-analysis aims to quantify the effects of exergaming interventions on balance performance in healthy older adults. A literature search was performed using PubMed, ScienceDirect, SPORTDiscus, COCHRANE, EBSCO, and EMBASE. A total of 16 experimental studies met inclusion criteria for a full-text review. Data synthesis examined balance functions, including static, dynamic, proactive, and perceived balance abilities when performing daily activities. Intervention protocols of the reviewed studies included an average of two to three 40-minute exergaming sessions per week for 8 weeks. A random effects model identified significant effects in favor of the exergaming group, with moderate effect size in dynamic balance (Hedges' g = 0.36, 95% CI = 0.26-1.30, P < 0.001), and perceived balance (Hedges' g = 0.31, 95% CI = 0.04-0.58, P = 0.02); and considerable effect size in Chair Stand Test (Hedges' g = 0.78, 95% CI = 0.26-1.30, P = 0.003), and balance test batteries (Hedges' g = 0.72, 95% CI = 0.42-1.02, P < 0.001). No significant effect was found in the static balance (Hedges' g = 0.22, 95% CI =-0.31 to 0.76, P = 0.42), or proactive balance (Hedges' g = 0.54, 95% CI =-0.12 to 1.20, P = 0.11). Metaanalysis identified exergaming-associated benefits in older adults' balance function and confidence. This finding supports the feasibility of exergaming as a supplementary approach to improve balance for healthy older adults. Health professionals may optimize treatment effect by integrating exergaming sessions into a traditional balance exercise program.

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Section: Quality Assessment and Risk Of Biasmentioning

confidence: 99%

Effects of Exergaming on Balance of Healthy Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Fang

Ghanouni

Anderson

et al. 2020

Games for Health Journal

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“…Exergames have been used to train many executive functions (13,14), and, as pointed out by a recent meta-analysis (15), they have been used to improve cognitive functioning in neurological disabilities of older adults or school-aged children affected by developmental disorders (16,17). They also increase daily physical activity in populations such as children with autism, without whom may have difficulty accessing collective sports (18). Such games are easily accessible, affordable and widely available for the general population and medical practitioners.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic and Preventive Use of Video Games in Child and Adolescent Psychiatry: A Systematic Review

2020

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Background: Over the past decade, the use of commercial video games and serious games has developed in child and adolescent psychiatry. These games may become relevant alternatives or adjuncts to traditional psychotherapy, providing that their effectiveness is properly established. The purpose of this literature review was to evaluate the effectiveness of serious games and commercial video games in the treatment or prevention of psychiatric disorders in children and adolescents. Methods: Medline's database was used to search articles published between January 2012 and July 2019. The following keywords were used for this search: "Video games" OR "Active video game" OR "serious gaming" OR "Serious game" OR "Exergame" AND "Child mental disorder" OR "Adolescent" OR "Child" AND "Therapy" OR "Prevention". Only comparative studies which targeted interventions on children and adolescents suffering from psychiatric disorders were included. Results: Twenty-two studies, focusing on a wide range of psychiatric conditions, met our inclusion criteria's: 14 evaluated serious games and 8 commercial games. All studies were randomized controlled trials but only two studies compared the intervention game to psychotherapeutic gold standard; other studies used a no-intervention control group or an alternative game as the control group. Eighteen studies reported significant improvements on the symptoms and test scores targeted. Conclusion: Serious games and commercially available video games can be an effective trajectory for psychotherapy in child and adolescent psychiatry. However, there is a lack of longitudinal studies which assess the sustained effects of these games, and standards for proper evaluation of their effectiveness are missing.

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“…Articles examining exergaming interventions included two quasi-experimental studies (Hilton et al, 2015;Travers et al, 2018), two pre-post designs (Edwards et al, 2017;Getchell et al, 2012) and one systematic review (Fang et al, 2019). The exergaming interventions ranged from three twominute sessions each day with up to six sessions per week for six to ten weeks (Hilton et al, 2015), to three 60-minute sessions per week for six weeks (Travers et al, 2018 Within the exergaming intervention studies, overall sample size ranged from 17 (Hilton et al, 2015) to 30 participants (Getchell et al, 2012) and age spanned from 6 (Edwards et al, 2017) to 18 years old (Hilton et al, 2015).…”

Section: Study Designsmentioning

confidence: 99%

“…Exergaming interventions were found to be effective in addressing gross motor and physical outcomes (Edwards et al, 2017;Fang. et al, 2019;Getchell et al, 2012;Hilton et al, 2015;Travers et al, 2015).…”

Section: Review Of Outcomesmentioning

confidence: 99%

“…Travers et al (2018) found improved balance and postural sway after using a balance-based intervention delivered through a Nintendo®️ Wii balance board and Xbox Kinect. The systematic review by Fang et al (2019) reviewed the effects of exergaming on physical and cognitive outcomes, including dance video games. Their results supported exergaming in addressing cognitive performance, social-emotional, and physical behaviors associated with ASD (Fang et al, 2019).…”

Section: Review Of Outcomesmentioning

confidence: 99%

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Innovative Movement Strategies for Adolescents with Autism Spectrum Disorder: A Review of Dance and Exergaming Interventions

Garcia

Bode

Camillone

et al. 2020

SJOT

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Background: Given the types of symptoms present in individuals with autism spectrum disorder (ASD), interventions should address deficits in motor control, social interactions, and emotional intelligence. Alternative interventions, such as exercise video gaming (exergaming) and dance movement therapy, may address these deficits in an engaging, age-appropriate manner, thus meeting the unique needs of adolescents with ASD. Objectives: The purpose of this paper was first, to review the current literature on ASD for innovative movement strategies feasible to address emotional, social, cognitive, and physical outcomes for adolescents ages 11-18; and second, to determine the effectiveness of these interventions. Methods: The databases used were: Pubmed, Cochrane Library, Web of Science, EMBASE, CINAHL, Psycinfo, REHABDATA, Human Kinetics Journal, and PEDro. Search terms included: autism or autism spectrum disorder; and dance, dancing or dance therapy, or exergaming, exergame, video gaming or video game. Selected articles were published in the last 10 years, written in English, and included subjects with ASD who participated in dance or exergaming interventions. After the initial screening of articles with relevant titles and abstracts, we included studies with evidence levels of 1-4. Results: Five dance therapy intervention studies showed moderate effectiveness for social and emotional outcomes such as empathy skills, emotional regulation, and negative symptoms of ASD. Four exergaming studies had moderate effectiveness for motor and physical outcomes, such as energy expenditure and perceived object control. Implications: Based on the review of dance and exergaming intervention studies, the authors recommend providing the interventions to selected clients depending on individual circumstances. Both dance and exergaming may be cost-effective and feasible in school settings. Future studies should include larger and more diverse samples with rigorous randomization procedures

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Effects of Exergaming on Physical and Cognitive Functions in Individuals with Autism Spectrum Disorder: A Systematic Review

Cited by 66 publications

References 52 publications

Effects of Exergaming on Balance of Healthy Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Effects of Exergaming on Balance of Healthy Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials

Therapeutic and Preventive Use of Video Games in Child and Adolescent Psychiatry: A Systematic Review

Innovative Movement Strategies for Adolescents with Autism Spectrum Disorder: A Review of Dance and Exergaming Interventions

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