Exergames and elderly: A non-systematic review of the literature

Boissieu, Paul de; Denormandie, P.; Armaingaud, Didier; Sanchez, Stéphane; Jeandel, Claude

doi:10.1016/j.eurger.2017.02.003

Cited by 21 publications

(20 citation statements)

References 11 publications

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“…Besides these heterogeneous results, it should be noted, that no study reported performance decrements within exergamers or poorer performance of exergamers compared to active/passive control groups after intervention. Therefore, our findings are in line with previous reviews [61,94,95,96] and meta-analyses [67,68] on exergaming, even though we included at least seven additional studies [67]. The versatile research body on exergaming might result from several reasons, including: (1) the potentially different physical and cognitive demand of particular exergame systems, (2) varying intervention and training characteristics or (3) insufficient statistical analysis not controlling for multiple testing to avoid false positives results within a multitude of applied tests.…”

Section: Discussionsupporting

confidence: 94%

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A Systematic Review on the Cognitive Benefits and Neurophysiological Correlates of Exergaming in Healthy Older Adults

Stojan

Voelcker‐Rehage

2019

JCM

112

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Human aging is associated with structural and functional brain deteriorations and a corresponding cognitive decline. Exergaming (i.e., physically active video-gaming) has been supposed to attenuate age-related brain deteriorations and may even improve cognitive functions in healthy older adults. Effects of exergaming, however, vary largely across studies. Moreover, the underlying neurophysiological mechanisms by which exergaming may affect cognitive and brain function are still poorly understood. Therefore, we systematically reviewed the effects of exergame interventions on cognitive outcomes and neurophysiological correlates in healthy older adults (>60 years). After screening 2709 studies (Cochrane Library, PsycINFO, Pubmed, Scopus), we found 15 eligible studies, four of which comprised neurophysiological measures. Most studies reported within group improvements in exergamers and favorable interaction effects compared to passive controls. Fewer studies found superior effects of exergaming over physically active control groups and, if so, solely for executive functions. Regarding individual cognitive domains, results showed no consistence. Positive effects on neurophysiological outcomes were present in all respective studies. In summary, exergaming seems to be equally or slightly more effective than other physical interventions on cognitive functions in healthy older adults. Tailored interventions using well-considered exergames and intervention designs, however, may result in more distinct effects on cognitive functions.

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Section: Discussionsupporting

confidence: 94%

“…In contrast, we even observed varying effects within all different categories of exergames. Here, we are in line with earlier reviews and meta-analyses on exergaming [61,67,68,94,95,96].…”

Section: Discussionsupporting

confidence: 90%

A Systematic Review on the Cognitive Benefits and Neurophysiological Correlates of Exergaming in Healthy Older Adults

Stojan

Voelcker‐Rehage

2019

JCM

112

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“…Apart from a real-world setting as outlined for the proposed supermarket task, virtual reality environments offer the opportunity to combine cognitive and motor tasks without the need to construct a complex scenery ( Tarr and Warren, 2002 ; Bruin et al, 2010 ). Respective approaches are the so-called “exergames” ( Skjæret et al, 2016 ; Boissieu et al, 2017 ). Those video games, that are also a type of physical exercise task, can be classified within our proposed framework as simultaneous motor-cognitive training because they pose motor and cognitive demands simultaneously ( Pichierri et al, 2012 ; Monteiro-Junior et al, 2016 ).…”

Section: Types Of Motor-cognitive Trainingmentioning

confidence: 99%

Thinking While Moving or Moving While Thinking – Concepts of Motor-Cognitive Training for Cognitive Performance Enhancement

Herold

Hamacher

Schega

et al. 2018

Front. Aging Neurosci.

153

149

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The demographic change in industrial countries, with increasingly sedentary lifestyles, has a negative impact on mental health. Normal and pathological aging leads to cognitive deficits. This development poses major challenges on national health systems. Therefore, it is necessary to develop efficient cognitive enhancement strategies. The combination of regular physical exercise with cognitive stimulation seems especially suited to increase an individual’s cognitive reserve, i.e., his/her resistance to degenerative processes of the brain. Here, we outline insufficiently explored fields in exercise-cognition research and provide a classification approach for different motor-cognitive training regimens. We suggest to classify motor-cognitive training in two categories, (I) sequential motor-cognitive training (the motor and cognitive training are conducted time separated) and (II) simultaneous motor-cognitive training (motor and cognitive training are conducted sequentially). In addition, simultaneous motor-cognitive training may be distinguished based on the specific characteristics of the cognitive task. If successfully solving the cognitive task is not a relevant prerequisite to complete the motor-cognitive task, we would consider this type of training as (IIa) motor-cognitive training with additional cognitive task. In contrast, in ecologically more valid (IIb) motor cognitive training with incorporated cognitive task, the cognitive tasks are a relevant prerequisite to solve the motor-cognitive task. We speculate that incorporating cognitive tasks into motor tasks, rather than separate training of mental and physical functions, is the most promising approach to efficiently enhance cognitive reserve. Further research investigating the influence of motor(-cognitive) exercises with different quantitative and qualitative characteristics on cognitive performance is urgently needed.

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“…Not only because this technology is also considered lowcost (16,17), it is also relatively simple to install and operate. Furthermore, although Nintendo Wii or other exergames with computers and/or virtual reality might not always contribute to better outcomes in PA or physical performance (15,18), it is clear that using exergames provides a positive motivational aspect for PA (15,17).…”

Section: Introductionmentioning

confidence: 99%

Use of a Technology-based System to Motivate Aged Persons in Performing Physical Activity: A Feasibility Study

Knippenberg

Timmermans

Palmaers

et al. 2020

Preprint

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BackgroundMaintaining or initiating regular physical activity (PA) is important for successful aging. Technology-based systems may support and stimulate aged persons to initiate and persevere in performing PA. The aim of the current study was to assess to which extent a customised Kinect system is 1) a credible tool to increase PA in aged persons, 2) motivating to perform PA by aged persons, and 3) easy to be used in aged persons. MethodsA mixed-method cross-sectional feasibility study was performed in 5 aged care facilities in Flanders, Belgium. Aged participants were asked to perform a 20-30 minute test with the intelligent Activity-based Client-centred Training (i-ACT) system. After the test, the ‘Credibility and Expectancy Questionnaire’ (CEQ), the ‘Intrinsic Motivation Inventory’(IMI), the System Usability Scale (SUS), and semi-structured interviews were conducted in the aged participants. Feedback was gathered using the thinking aloud method in both aged participants and supervisors. ResultsA total of 48 aged persons (20 males and 28 females, mean age=81.19 (SD=8.10)), were included. The scores pertaining to system credibility and expectancy, system usability, and motivation towards use were moderate to good. Participants reported that they liked using the i-ACT system, but that the context could be more attractive by adding more visualisations. Twelve supervisors gave feedback regarding the i-ACT systems itself, the use and motivational aspects. ConclusionsThis study indicates that i-ACT is a useful and motivational system to engage aged persons to perform PA and therefore supports successful aging. Furthermore, i-ACT is a low-cost, easy to use and controller/wire-free system, which makes i-ACT a suitable tool for use in the home environment. Further development and future research is necessary to adapt the i-ACT system towards the wishes and needs of the aged population at home and in care facilities. Future research should include the effect of using a client-centred task-oriented approach in combination with technology-supported systems to engage aged persons to perform PA. Trial registrationClinicalTrial.gov ID NCT04489563, 23 July 2020 - Retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000A39C&selectaction=Edit&uid=U0003E6F&ts=37&cx=2jhfvs

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Exergames and elderly: A non-systematic review of the literature

Cited by 21 publications

References 11 publications

A Systematic Review on the Cognitive Benefits and Neurophysiological Correlates of Exergaming in Healthy Older Adults

A Systematic Review on the Cognitive Benefits and Neurophysiological Correlates of Exergaming in Healthy Older Adults

Thinking While Moving or Moving While Thinking – Concepts of Motor-Cognitive Training for Cognitive Performance Enhancement

Use of a Technology-based System to Motivate Aged Persons in Performing Physical Activity: A Feasibility Study

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