Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: a feasibility trial

Laver, Kate; George, Stacey; Ratcliffe, Julie; Quinn, Stephen; Whitehead, Craig; Davies, Owen; Crotty, Maria

doi:10.3109/09638288.2012.662570

Cited by 78 publications

(135 citation statements)

References 17 publications

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“…Of the 29 studies that used a RCT or pre-posttest design, 21 studies included an exercise control intervention (9,13,32,33,38,43,44,47,49,53,55,57,60,64,65,67,69,72,73,80,81). The methodological quality of these 21 studies according to the PEDro classification scale is presented in Table 6.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…The methodological quality of these 21 studies according to the PEDro classification scale is presented in Table 6. The PEDro scores show that most of the studies had several methodological weaknesses, with only four studies achieving more than 5 of the 10 criteria (33,38,64,81). Most studies fulfilled the criteria "random allocation" and "point estimates and variability".…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Seven studies investigated the effect of gaming/VR exercise on gait parameters (63)(64)(65)(66)(67)(68)(69), and six studies examined the effectiveness with regard to different physical functions and associated fall risk (10,(70)(71)(72)(73)(74). The remaining 12 studies investigated the feasibility of using gaming/VR exercise to increase physical activity in healthy older adults (75)(76)(77)(78)(79), in hospitalized older adults (80,81), or in a patient population (82)(83)(84)(85)(86).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…For the 35 studies using Nintendo Wii, two studies used only the Wii Sports bowling game (34,55), while the remaining 33 studies used two or more games during the intervention. Furthermore, 11 of the Nintendo Wii studies used games that targeted balance only (11, 35, 37, 42-44, 47, 57, 58, 73, 82), while 16 used a combination of games that targeted different physical functions in addition to balance, such as strength, endurance, and mobility (10,13,32,40,45,49,52,56,60,69,70,74,77,80,81,86). For those studies that did not utilize Nintendo Wii, only three studies (51,79,84) aimed to have an effect on more than one physical function.…”

Section: Participant Characteristicsmentioning

confidence: 99%

“…None of the studies reported any serious adverse events during the intervention, but four studies informed about adverse events occurring outside the intervention. In these four studies participants either withdrew with complaints about pain or discomfort after playing (76,81,83), or had a fall between the initial screening session and the first group exercise session (58).…”

Section: Safety Measures and Adverse Eventsmentioning

confidence: 99%

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Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Skjæret

Nawaz

Morat

et al. 2016

International Journal of Medical Informatics

272

202

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Background: There has been a rapid increase in research on the use of virtual reality (VR) and gaming technology as a complementary tool in exercise and rehabilitation in the elderly population. Although a few recent studies have evaluated their efficacy, there is currently no in-depth description and discussion of different game technologies, physical functions targeted, and safety issues related to older adults playing exergames. Objectives: This integrative review provides an overview of the technologies and games used, progression, safety measurements and associated adverse events, adherence to exergaming, outcome measures used, and their effect on physical function. Methods: We undertook systematic searches of SCOPUS and PubMed databases. Key search terms included "game", "exercise", and "aged", and were adapted to each database. To be included, studies had to involve older adults aged 65 years or above, have a pre-post training or intervention design, include ICT-implemented games with weight-bearing exercises, and have outcome measures that included physical activity variables and/or clinical tests of physical function. Results: Sixty studies fulfilled the inclusion criteria. The studies had a broad range of aims and intervention designs and mostly focused on community-dwelling healthy older adults. The majority of the studies used commercially available gaming technologies that targeted a number of different physical functions. Most studies reported that they had used some form of safety measure during intervention. None of the studies reported serious adverse events. However, only 21 studies (35%) reported on whether adverse events occurred. Twenty-four studies reported on adherence, but only seven studies (12%) compared adherence to exergaming with other forms of exercise. Clinical measures of balance were the most frequently used outcome measures. PEDro scores indicated that most studies had several methodological problems, with only 4 studies fulfilling 6 or more criteria out of 10. Several studies found positive effects of exergaming on balance and gait, while none reported negative effects. 2 function in older adults, with few reported adverse events. As there is large variability between studies in terms of intervention protocols and outcome measures, as well as several methodological limitations, recommendations for both practice and further research are provided in order to successfully establish exergames as an exercise and rehabilitation tool for older adults.

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Section: Methodological Qualitymentioning

confidence: 99%

Section: Methodological Qualitymentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

Section: Safety Measures and Adverse Eventsmentioning

confidence: 99%

See 3 more Smart Citations

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Skjæret

Nawaz

Morat

et al. 2016

International Journal of Medical Informatics

272

202

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Association Between Mobility Measured During Hospitalization and Functional Outcomes in Older Adults With Acute Myocardial Infarction in the SILVER-AMI Study

et al. 2019

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IMPORTANCE Many older survivors of acute myocardial infarction (AMI) experience functional decline, an outcome of primary importance to older adults. Mobility impairment has been proposed as a risk factor for functional decline but has not been evaluated to date in older patients hospitalized for AMI. OBJECTIVE To examine the association of mobility impairment, measured during hospitalization, as a risk marker for functional decline among older patients with AMI. DESIGN, SETTING, AND PARTICIPANTS Prospective cohort study among 94 academic and community hospitals in the United States. Participants were 2587 hospitalized patients with AMI who were 75 years or older. The study dates were January 2013 to June 2017. MAIN OUTCOMES AND MEASURES Mobility was evaluated during AMI hospitalization using the Timed "Up and Go," with scores categorized as preserved mobility (Յ15 seconds to complete), mild impairment (>15 to Յ25 seconds to complete), moderate impairment (>25 seconds to complete), and severe impairment (unable to complete). Self-reported function in activities of daily living (ADLs) (bathing, dressing, transferring, and walking around the home) and walking 0.4 km (one-quarter mile) was assessed at baseline and 6 months after discharge. The primary outcomes were worsening of 1 or more ADLs and loss of ability to walk 0.4 km from baseline to 6 months after discharge. The association between mobility impairment and risk of functional decline was evaluated with multivariable-adjusted logistic regression. RESULTS Among 2587 hospitalized patients with AMI, the mean (SD) age was 81.4 (4.8) years, and 1462 (56.5%) were male. More than half of the cohort exhibited mobility impairment during AMI hospitalization (21.8% [564 of 2587] had mild impairment, 16.0% [414 of 2587] had moderate impairment, and 15.2% [391 of 2587] had severe impairment); 12.8% (332 of 2587) reported ADL decline, and 16.7% (431 of 2587) reported decline in 0.4-km mobility. Only 3.8% (30 of 800) of participants with preserved mobility experienced any ADL decline compared with 6.9% (39 of 564) of participants with mild impairment (adjusted odds ratio [aOR], 1.24; 95% CI, 0.74-2.09), 18.6% (77 of 414) of participants with moderate impairment (aOR, 2.67; 95% CI, 1.67-4.27), and 34.7% (136 of 391) of participants with severe impairment (aOR, 5.45; 95% CI, 3.29-9.01). Eleven percent (90 of 800) of participants with preserved mobility declined in ability to walk 0.4 km compared with 15.2% (85 of 558) of participants with mild impairment (aOR, 1.51; 95% CI, 1.04-2.20), 19.0% (78 of 411) of participants with moderate impairment (aOR, 2.03; 95% CI, 1.37-3.02), and 24.6% (95 of 386) of participants with severe impairment (aOR, 3.25; 95% CI, 2.02-5.23). CONCLUSIONS AND RELEVANCE This study's findings suggest that mobility impairment assessed during hospitalization may be a potent risk marker for functional decline in older survivors of AMI. These findings also suggest that brief, validated assessments of mobility should be part of the care of older hospitalized ...

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Understanding the Wii Exergames Use: Voices from Assisted Living Residents

et al. 2015

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Use of an interactive video gaming program compared with conventional physiotherapy for hospitalised older adults: a feasibility trial

Cited by 78 publications

References 17 publications

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Association Between Mobility Measured During Hospitalization and Functional Outcomes in Older Adults With Acute Myocardial Infarction in the SILVER-AMI Study

Understanding the Wii Exergames Use: Voices from Assisted Living Residents

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