Feasibility, safety, acceptability, and functional outcomes of playing Nintendo Wii Fit PlusTM for frail older adults: A randomized feasibility clinical trial

Gomes, Grace Angélica de Oliveira; Simões, Maria do Socorro; Lin, Sumika Mori; Bacha, Jéssica Maria Ribeiro; Viveiro, Larissa Alamino Pereira de; Varise, Eliana Maria; Carvas, Nelson; Lange, Belinda; Filho, Wilson Jacob; Pompeu, José Eduardo

doi:10.1016/j.maturitas.2018.10.002

Cited by 59 publications

(78 citation statements)

References 37 publications

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“…Regarding the exergame type, most studies used the commercial non-immersive Nintendo Wii ® system (1,(29)(30)(31)(32)(33)(34)(35)(36). The remaining studies used the following serious games: the Balance Rehabilitation Unit (BRU TM ) -a customized rehabilitation program that contains a immersive environment in which the user interact through three dimensional glasses (37); the LegSys™ (BioSensics LLC, MA, USA) -an interactive exergame interface with five wearable joint angle and position sensors (30); and two studies used Kinect-based exergames -the iStoppfalls system (38), and the exergame program with the following serious games: apple game, tightrope standing, balloon popping and one-leg stand (39).…”

Section: Participants and Intervention Characteristicsmentioning

confidence: 99%

Effectiveness of exergames for improving mobility and balance in older adults: A systematic review and meta-analysis.

Pacheco

Medeiros

Oliveira

et al. 2020

Preprint

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Background: Exergaming is a fun, engaging, and interactive form of exercising and it may help overcome some of the traditional exercise barriers and help improve adherence by older adults providing therapeutic applications for balance recovery and functional mobility. The purpose of this systematic review is to summarize the effects of exergames in older adults’ mobility and balance. Methods: The PRISMA guidelines for systematic reviews were followed. The following databases were searched from inception to August 2019: Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, PEDro, CINAHL and INSPEC. We selected randomized controlled trials that assessed the effects of exergames on balance or mobility of older adults without neurological conditions, in comparison to no intervention or health education. Two review authors independently screened the trials titles and abstracts and identified trials for inclusion according to the eligibility criteria. Trial selection presented an almost perfect agreement between the authors regarding the interrater reliability (kappa = 0.84; p<0,001). Then, a descriptive analysis of the quantitative data was performed to summarize the evidence. Meta-analysis was carried using Revman. Random effects model was used to compute the pooled prevalence at 95% confidence interval. Results: After screening 822 trials, twelve trials comparing exergames with no intervention were included. A total of 1520 older adults participated in the studies, with mean age of 76±6 years for the experimental group and 76±5 years for the control group. Three studies found significant improvements in balance based on center of pressure sway and Berg Balance Scale scores. Three studies found improved mobility based on the timed up and go, 30-second chair stand, and 8-foot up and go test. Conclusions: Exergames improved balance and mobility in older adults without neurological disorders. High quality studies with standardized assessment protocols are necessary to improve evidence.

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Section: Participants and Intervention Characteristicsmentioning

confidence: 99%

Effectiveness of exergames for improving mobility and balance in older adults: A systematic review and meta-analysis.

Pacheco

Medeiros

Oliveira

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Dessa forma, aliar um programa com intervenções convencionais e novas tecnologias, pode produzir efeitos positivos na adesão ao tratamento e proporcionar ganhos funcionais e cognitivos (Burdea, 2003;Monteiro et al, 2011, Massetti et al, 2018. Entre as novas intervenções, estudos vêm mostrando efeitos positivos dos videogames interativos nos desfechos clínicos de pacientes pós AVC (Laver et al, 2017), PC (Chen et al, 2018); doença de Parkinson (Dockx et al, 2016), idosos frágeis (Gomes et al, 2018) entre outros. Em sua maioria os estudos são com AVC, seguidos por PC e Lesão Medular Encefálica (LME) respectivamente, dentre outras patologias, resultado da incidência destas patologias e maior dificuldade no recrutamento de populações, dada a heterogeneidade do comprometimento de funções que esses grupos apresentam (Massetti et al, 2018).…”

Section: Reabilitação Virtual Nas Doenças Neurológicasunclassified

“…A aceitabilidade foi avaliada por meio de questionário elaborado pelos pesquisadores com base no estudo de (Bacha et al, 2017;Gomes et al, 2018) (IWABE et al, 2008).…”

Section: Avaliaçõesunclassified

“…Diferentes intervenções têm sido utilizadas na reabilitação de pacientes neurológicos com o objetivo de melhorar a adesão aos programas, e proporcionar ganhos funcionais e cognitivos (Burdea, 2003, Monteiro et al, 2011Massetti et al, 2018). Entre as novas intervenções, estudos demonstraram efeitos positivo dos videogames interativos nos desfechos clínicos de pacientes pós acidente vascular cerebral (AVC) (Laver et al, 2017), paralisia cerebral (PC) (Chen et al, 2018), doença de Parkinson (Dockx et al, 2016), idosos frágeis (Gomes et al, 2018) entre outros.…”

Section: Introductionunclassified

“…Por outro lado, os videogames interativos não foram desenvolvidos especificamente para as condições neurológicas e suas atividades podem ser desafiadoras e dificultar sua aplicabilidade (Bacha et al, 2017). No entanto, estudos mostraram que os videogames são aplicáveis e seguros na doença de Parkinson (Pompeu et al, 2012(Pompeu et al, , 2014 e idosos frágeis (Gomes et al, 2018).…”

Section: Introductionunclassified

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Efeitos do videogame interativo Nintendo® Wii Sports na função motora de membros superiores de indivíduos com síndrome pós poliomielite: ensaio clínico aleatorizado de aplicabilidade, segurança, aceitabilidade

Silva¹

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Effects of exergaming on cognitive functions and loneliness of older adults with cognitive frailty

Zhu

Lin

Yang

et al. 2023

Int J Geriat Psychiatry

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Objectives Cognitive frailty combines physical frailty and cognitive impairment in the absence of dementia. The prompt detection of cognitive frailty and early implementation of preventive interventions may reduce the incidence of dementia. However, intervention studies of exergaming in older adults with cognitive frailty are scant. Therefore, we aim to investigate the effectiveness of exergaming on cognitive functions and loneliness among older adults with cognitive frailty. Design Quasi‐experimental design. Methods Participants were recruited from four community settings. The experimental group participated in two 40‐min group exergaming sessions weekly for eight weeks; the control group received usual care. The outcome measures were the Montreal Cognitive Assessment (MoCA) and the Chinese Version of the Loneliness Scale. Analyses of covariance were conducted to analyze whether exergaming influenced participants' cognitive functions and loneliness. In addition, the effect size of the posttest of the experimental group relative to its baseline value was calculated to determine the effectiveness of the intervention. Result 69 older adults with cognitive frailty were included, and 35 and 34 were assigned to the experimental and control groups, respectively. The exergaming effectively improved the cognitive function of older adults with cognitive frailty. Conclusions Exergaming interventions can effectively improve the cognitive functions of older adults with cognitive frailty but do not positively affect loneliness. We provide evidence to healthcare workers to apply exergaming interventions for older adults with cognitive frailty to improve cognitive function.

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Feasibility, safety, acceptability, and functional outcomes of playing Nintendo Wii Fit PlusTM for frail older adults: A randomized feasibility clinical trial

Cited by 59 publications

References 37 publications

Effectiveness of exergames for improving mobility and balance in older adults: A systematic review and meta-analysis.

Effectiveness of exergames for improving mobility and balance in older adults: A systematic review and meta-analysis.

Efeitos do videogame interativo Nintendo® Wii Sports na função motora de membros superiores de indivíduos com síndrome pós poliomielite: ensaio clínico aleatorizado de aplicabilidade, segurança, aceitabilidade

Effects of exergaming on cognitive functions and loneliness of older adults with cognitive frailty

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