Abstract
In recent years there has been significant interest in assessing the impact of exergames on the healthcare of older adults. This scoping review aims to present an overview of the current state and trends of clinical studies conducted to determine the benefits of using exergames for healthy aging between 2000 and 2019. We included original studies published in English that use exergames to address common diseases associated with subjects over 60 years. The search was conducted in major electronic databases (PubMed, IEEE Xplore Digital Library, Web of Science, ACM Digital Library, and Scopus). At least two reviewers analyzed articles independently based on the inclusion criteria and a pre-defined taxonomy to extract information. Abstracted information was summarized in tables and analyzed by publication date using temporal plots and thematic analysis. A total of 4502 potentially relevant studies were identified and assessed to select 130 articles for analysis. Most studies were randomized controlled trials (70) published in journals (119), in the medical or biological area (101), with the aim of treatment (118), addressing mobility-related conditions (87). Most studies used videogame consoles (56) and commercial games (81). We detected a change in the trend of research with an increasing interest in neurological or mental-related conditions after 2017, accompanied by reports of positive results. Consequently, this represents an important area to continue exploring. We found an opportunity to conduct further analysis and studies to support the benefit of exergaming on improving medical outcomes and their long-term effects.
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References
Afridi A, Malik AN, Ali S, Amjad I (2018) Effect of balance training in older adults using Wii fit plus. JPMA J Pak Med Assoc 68(3):480–483
Alankus G, Proffitt R, Kelleher C, Engsberg J (2011) Stroke therapy through motion-based games. ACM Trans Access Comput 4(1):1–35. https://doi.org/10.1145/2039339.2039342
Ali Mirza R, Yaqoob I (2018) Effects of combined aerobic and virtual reality-based cognitive training on 76 years old diabetic male with mild cognitive impairment. J Coll Physicians Surg Pak 28(09):S210–S212. https://doi.org/10.29271/jcpsp.2018.09.S210
Anderson-Hanley C, Arciero PJ, Brickman AM, Nimon JP, Okuma N, Westen SC, Zimmerman EA et al (2012a) Exergaming and older adult cognition. Am J Prev Med 42(2):109–119. https://doi.org/10.1016/j.amepre.2011.10.016
Anderson-Hanley C, Arciero PJ, Westen SC, Nimon J, Zimmerman E (2012b) Neuropsychological benefits of stationary bike exercise and a cybercycle exergame for older adults with diabetes: an exploratory analysis. J Diabetes Sci Technol 6(4):849–857. https://doi.org/10.1177/193229681200600416
Anderson-Hanley C, Arciero PJ, Barcelos N, Nimon J, Rocha T, Thurin M, Maloney M (2014) Executive function and self-regulated exergaming adherence among older adults. Front Hum Neurosci 8(989):10–3389. https://doi.org/10.3389/fnhum.2014.00989
Anderson-Hanley C, Barcelos NM, Zimmerman EA, Gillen RW, Dunnam M, Cohen BD, Kramer AF et al (2018) The aerobic and cognitive exercise study (ACES) for community-dwelling older adults with or at-risk for mild cognitive impairment (MCI): neuropsychological, neurobiological and neuroimaging outcomes of a randomized clinical trial. Front Aging Neurosci 10:76. https://doi.org/10.3389/fnagi.2018.00076
Anson E, Ma L, Meetam T, Thompson E, Rathore R, Dean V, Jeka J (2018) Trunk motion visual feedback during walking improves dynamic balance in older adults: assessor blinded randomized controlled trial. Gait Posture 62(June 2017):342–348. https://doi.org/10.1016/j.gaitpost.2018.03.044
Arksey H, O’Malley L (2005) Scoping studies: towards a methodological framework. Int J Soc Res Methodol 8(1):19–32. https://doi.org/10.1080/1364557032000119616
Azman N, Suzuki K, Suzuki T, Ono Y, Edanaka Y, Kunieda F, Watanabe K et al (2017) Effect of dance video game training on elderly’s cognitive function. Trans Jpn Soc Med Biol Eng 55(Proc):526–529. https://doi.org/10.11239/jsmbe.55Annual.526
Bacha JMR, Gomes GCV, de Freitas TB, Viveiro LAP, da Silva KG, Bueno GC, Pompeu JE et al (2018) Effects of kinect adventures games versus conventional physical therapy on postural control in elderly people: a randomized controlled trial. Games Health J 7(1):24–36. https://doi.org/10.1089/g4h.2017.0065
Bieryla K, Dold N (2013) Feasibility of Wii Fit training to improve clinical measures of balance in older adults. Clin Interv Aging 8(1):775. https://doi.org/10.2147/CIA.S46164
Bisson E, Contant B, Sveistrup H, Lajoie Y (2007) Functional balance and dual-task reaction times in older adults are improved by virtual reality and biofeedback training. Cyberpsychol Behav 10(1):16–23. https://doi.org/10.1089/cpb.2006.9997
Bonnechère B, Sholukha V, Omelina L, Van Vooren M, Jansen B, Van Sint Jan S (2017) Suitability of functional evaluation embedded in serious game rehabilitation exercises to assess motor development across lifespan. Gait Posture 57(May):35–39. https://doi.org/10.1016/j.gaitpost.2017.05.025
Brooke J (2013) SUS: a retrospective. J Usability Stud 8(2):29–40
Caspersen CJ, Powell KE, Christenson GM (1985) Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep (Washington, D.C.: 1974) 100(2):126–131
Centers for Disease Control and Prevention (n.d.) World population ageing 2020 highlights: living arrangements of older persons (ST/ESA/SER.A/451)
Chalé-Rush A, Guralnik JM, Walkup MP, Miller ME, Rejeski WJ, Katula JA, Fielding RA et al (2010) Relationship between physical functioning and physical activity in the lifestyle interventions and independence for elders pilot. J Am Geriatr Soc 58(10):1918–1924. https://doi.org/10.1111/j.1532-5415.2010.03008.x
Chan TC, Chan F, Shea YF, Lin OY, Luk JKH, Chan FHW (2012) Interactive virtual reality Wii in geriatric day hospital: a study to assess its feasibility, acceptability and efficacy. Geriatr Gerontol Int 12(4):714–721. https://doi.org/10.1111/j.1447-0594.2012.00848.x
Chao Y-Y, Scherer YK, Wu Y-W, Lucke KT, Montgomery CA (2013) The feasibility of an intervention combining self-efficacy theory and Wii Fit exergames in assisted living residents: a pilot study. Geriatr Nurs 34(5):377–382. https://doi.org/10.1016/j.gerinurse.2013.05.006
Chen C-C (2016) Improvement in the physiological function and standing stability based on kinect multimedia for older people. J Phys Ther Sci 28(4):1343–1348. https://doi.org/10.1589/jpts.28.1343
Chen P-Y, Wei S-H, Hsieh W-L, Cheen J-R, Chen L-K, Kao C-L (2012a) Lower limb power rehabilitation (LLPR) using interactive video game for improvement of balance function in older people. Arch Gerontol Geriatr 55(3):677–682. https://doi.org/10.1016/j.archger.2012.05.012
Chen S-T, Huang Y-GL, Chiang I-T (2012b) Using somatosensory video games to promote quality of life for the elderly with disabilities. In: IEEE fourth international conference on digital game and intelligent toy enhanced learning. IEEE, pp 258–262. https://doi.org/10.1109/DIGITEL.2012.68
Cho GH, Hwangbo G, Shin HS (2014) The effects of virtual reality-based balance training on balance of the elderly. J Phys Ther Sci 26(4):615–617. https://doi.org/10.1589/jpts.26.615
Choi SD, Guo L, Kang D, Xiong S (2017) Exergame technology and interactive interventions for elderly fall prevention: a systematic literature review. Appl Ergon 65:570–581. https://doi.org/10.1016/j.apergo.2016.10.013
Chuang L-Y, Hung H-Y, Huang C-J, Chang Y-K, Hung T-M (2015) A 3-month intervention of dance dance revolution improves interference control in elderly females: a preliminary investigation. Exp Brain Res 233(4):1181–1188. https://doi.org/10.1007/s00221-015-4196-x
Clark R, Kraemer T (2009) Clinical use of Nintendo Wii™ bowling simulation to decrease fall risk in an elderly resident of a nursing home. J Geriatr Phys Ther 32(4):174–180. https://doi.org/10.1519/00139143-200932040-00006
Cobo MJ, López-Herrera AG, Herrera-Viedma E, Herrera F (2011) An approach for detecting, quantifying, and visualizing the evolution of a research field: a practical application to the fuzzy sets theory field. J Informet 5(1):146–166. https://doi.org/10.1016/j.joi.2010.10.002
Corregidor-Sánchez AI, Segura-Fragoso A, Rodríguez-Hernández M, Criado-Alvarez JJ, González-Gonzalez J, Polonio-López B (2020) Can exergames contribute to improving walking capacity in older adults? A systematic review and meta-analysis. Maturitas 132(December 2019):40–48. https://doi.org/10.1016/j.maturitas.2019.12.006
Courtial E, Palestra G, Rebiai M (2017) A tailored serious game for preventing falls of the elderly. In: International conference on augmented reality, virtual reality and computer graphics, pp 230–239. https://doi.org/10.1007/978-3-319-60928-7_20
Daniel K (2012) Wii-Hab for pre-frail older adults. Rehabil Nurs 37(4):195–201. https://doi.org/10.1002/rnj.25
Davis FD (1989) Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q 13(3):319. https://doi.org/10.2307/249008
de Amorim JSC, Leite RC, Brizola R, Yonamine CY (2018) Virtual reality therapy for rehabilitation of balance in the elderly: a systematic review and META-analysis. Adv Rheumatol 58(1):18. https://doi.org/10.1186/s42358-018-0013-0
de Bruin ED, Patt N, Ringli L, Gennaro F (2019) Playing exergames facilitates central drive to the ankle dorsiflexors during gait in older adults; a quasi-experimental investigation. Front Aging Neurosci 11(September):1–13. https://doi.org/10.3389/fnagi.2019.00263
de Carvalho IF, Leme GLM, Scheicher ME (2018) The influence of video game training with and without subpatelar bandage in mobility and gait speed on elderly female fallers. J Aging Res 2018:1–6. https://doi.org/10.1155/2018/9415093
de Vries AW, Faber G, Jonkers I, Van Dieen JH, Verschueren SMP (2018) Virtual reality balance training for elderly: similar skiing games elicit different challenges in balance training. Gait Posture 59:111–116. https://doi.org/10.1016/j.gaitpost.2017.10.006
Delbroek T, Vermeylen W, Spildooren J (2017) The effect of cognitive-motor dual task training with the biorescue force platform on cognition, balance and dual task performance in institutionalized older adults: a randomized controlled trial. J Phys Ther Sci 29(7):1137–1143. https://doi.org/10.1589/jpts.29.1137
Donath L, Rössler R, Faude O (2016) Effects of virtual reality training (exergaming) compared to alternative exercise training and passive control on standing balance and functional mobility in healthy community-dwelling seniors: a meta-analytical review. Sports Med 46(9):1293–1309. https://doi.org/10.1007/s40279-016-0485-1
Drazich BF, LaFave S, Crane BM, Szanton SL, Carlson MC, Budhathoki C, Taylor JL (2020) Exergames and depressive symptoms in older adults: a systematic review. Games Health J 9(5):339–345. https://doi.org/10.1089/g4h.2019.0165
Duclos C, Miéville C, Gagnon D, Leclerc C (2012) Dynamic stability requirements during gait and standing exergames on the wii fit® system in the elderly. J Neuroeng Rehabil 9(1):28. https://doi.org/10.1186/1743-0003-9-28
Duque G, Boersma L-D, Hassan S, Geisinger D et al (2013) Effects of balance training using a virtual-reality system in older fallers. Clin Interv Aging 8:257. https://doi.org/10.2147/CIA.S41453
Eggenberger P, Wolf M, Schumann M, de Bruin ED (2016) Exergame and balance training modulate prefrontal brain activity during walking and enhance executive function in older adults. Front Aging Neurosci 8:66. https://doi.org/10.3389/fnagi.2016.00066
Ejupi A, Brodie M, Gschwind YJ, Schoene D, Lord S, Delbaere K (2014) Choice stepping reaction time test using exergame technology for fall risk assessment in older people. In: 36th annual international conference of the IEEE engineering in medicine and biology society. IEEE, pp 6957–6960. https://doi.org/10.1109/EMBC.2014.6945228
Feng H, Li C, Liu J, Wang L, Ma J, Li G, Wu Z et al (2019) Virtual Reality rehabilitation versus conventional physical therapy for improving balance and gait in Parkinson’s disease patients: a randomized controlled trial. Med Sci Monit 25:4186–4192. https://doi.org/10.12659/MSM.916455
Ferraz DD, Trippo KV, Duarte GP, Neto MG, Bernardes Santos KO, Filho JO (2018) The effects of functional training, bicycle exercise, and exergaming on walking capacity of elderly patients with Parkinson disease: a pilot randomized controlled single-blinded trial. Arch Phys Med Rehabil 99(5):826–833. https://doi.org/10.1016/j.apmr.2017.12.014
Gallo LH, Rodrigues EV, Filho JM, da Silva JB, Harris-Love MO, Gomes ARS (2019) Effects of virtual dance exercise on skeletal muscle architecture and function of community dwelling older women. J Musculoskelet Neuronal Interact 19(1):50–61
Gallou-Guyot M, Mandigout S, Bherer L, Perrochon A (2020) Effects of exergames and cognitive-motor dual-task training on cognitive, physical and dual-task functions in cognitively healthy older adults: an overview. Ageing Res Rev 63:101135. https://doi.org/10.1016/j.arr.2020.101135
Garcia JA, Schoene D, Lord SR, Delbaere K, Valenzuela T, Navarro KF (2016) A bespoke Kinect stepping exergame for improving physical and cognitive function in older people: a pilot study. Games Health J 5(6):382–388. https://doi.org/10.1089/g4h.2016.0070
Garn AC, Baker BL, Beasley EK, Solmon MA (2012) What are the benefits of a commercial exergaming platform for college students? Examining physical activity, enjoyment, and future intentions. J Phys Act Health 9(2):311–318. https://doi.org/10.1123/jpah.9.2.311
Gelijns AC (1990) Modern methods of clinical investigation. National Academies Press, Washington, D.C.. https://doi.org/10.17226/1550
Giotakos O, Tsirgogianni K, Tarnanas I (2007) A virtual reality exposure therapy (VRET) scenario for the reduction of fear of falling and balance rehabilitation training of elder adults with hip fracture history. In: Virtual rehabilitation, pp 155–158
Hall CD, Clevenger CK, Wolf RA, Lin JS, Johnson TM, Wolf SL (2016) Feasibility of a low-cost, interactive gaming system to assess balance in older women. J Aging Phys Act 24(1):111–118. https://doi.org/10.1123/japa.2014-0184
Henrique PPB, Colussi EL, De Marchi ACB (2019) Effects of exergame on patients’ balance and upper limb motor function after stroke: a randomized controlled trial. J Stroke Cerebrovasc Dis 28(8):2351–2357. https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.05.031
Hong S, Lee G (2019) Effects of an immersive virtual reality environment on muscle strength, proprioception, balance, and gait of a middle-aged woman who had total knee replacement: a case report. Am J Case Rep 20:1636–1642. https://doi.org/10.12659/AJCR.918521
Howick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, Thornton H et al (2011) The 2011 Oxford CEBM evidence levels of evidence (introductory document). Oxford Center for Evidence Based Medi-Cine
Hsieh C-C, Lin P-S, Hsu W-C, Wang J-S, Huang Y-C, Lim A-Y, Hsu Y-C (2018) The effectiveness of a virtual reality-based Tai Chi exercise on cognitive and physical function in older adults with cognitive impairment. Dement Geriatr Cogn Disord 46(5–6):358–370. https://doi.org/10.1159/000494659
Htut TZC, Hiengkaew V, Jalayondeja C, Vongsirinavarat M (2018) Effects of physical, virtual reality-based, and brain exercise on physical, cognition, and preference in older persons: a randomized controlled trial. Eur Rev Aging Phys Act 15(1):10. https://doi.org/10.1186/s11556-018-0199-5
Hutzler Y, Korsensky O, Laufer Y (2017) Rapid stepping test towards virtual visual objects: feasibility and convergent validity in older adults. Technol Health Care 25(1):49–58. https://doi.org/10.3233/THC-161251
Janssen S, Tange H, Arends R (2013) A preliminary study on the effectiveness of exergame Nintendo “Wii Fit Plus” on the balance of nursing home residents. Games fHealth J 2(2):89–95. https://doi.org/10.1089/g4h.2012.0074
Kamińska MS, Miller A, Rotter I, Szylińska A, Grochans E (2018) The effectiveness of virtual reality training in reducing the risk of falls among elderly people. Clin Interv Aging 13:2329–2338. https://doi.org/10.2147/CIA.S183502
Karssemeijer EGA, Aaronson JA, Bossers WJR, Donders R, Olde Rikkert MGM, Kessels RPC (2019a) The quest for synergy between physical exercise and cognitive stimulation via exergaming in people with dementia: a randomized controlled trial. Alzheimer’s Res Ther 11(1):3. https://doi.org/10.1186/s13195-018-0454-z
Karssemeijer EGA, Bossers WJR, Aaronson JA, Sanders LMJ, Kessels RPC, Olde Rikkert MGM (2019b) Exergaming as a physical exercise strategy reduces frailty in people with dementia: a randomized controlled trial. J Am Med Dir Assoc 20(12):1502-1508.e1. https://doi.org/10.1016/j.jamda.2019.06.026
Katajapuu N, Luimula M, Theng YL, Pham TP, Li J, Pyae A, Sato K (2017) Benefits of exergame exercise on physical functioning of elderly people. In: 8th IEEE international conference on cognitive infocommunications (CogInfoCom). IEEE, pp 000085–000090. https://doi.org/10.1109/CogInfoCom.2017.8268221
Kelly JA (1998) Scientific meeting abstracts: significance, access, and trends. Bull Med Libr Assoc 86(1):68–76
Keogh JWL, Power N, Wooller L, Lucas P, Whatman C (2014) Physical and psychosocial function in residential aged-care elders: effect of Nintendo Wii Sports Games. J Aging Phys Act 22(2):235–244. https://doi.org/10.1123/japa.2012-0272
Kim J, Son J, Ko N, Yoon B (2013) Unsupervised virtual reality-based exercise program improves hip muscle strength and balance control in older adults: a pilot study. Arch Phys Med Rehabil 94(5):937–943. https://doi.org/10.1016/j.apmr.2012.12.010
Kim K, Lee Y, Oh S (2015) “Paldokangsan 3”: a walking game for the elderly towards good memorization. Int J Multimed Ubiquitous Eng 10(1):227–238
Klompstra L, Jaarsma T, Strömberg A (2013) An in-depth, longitudinal examination of the daily physical activity of a patient with heart failure using a Nintendo Wii at home: a case report. J Rehabil Med 45(6):599–602. https://doi.org/10.2340/16501977-1151
Kooiman BJ, Sheehan DP (2015) Interacting with the past, present, and future of exergames: at the beginning of a new life cycle of video games? Soc Leisure 38(1):55–73. https://doi.org/10.1080/07053436.2015.1006960
Kubica J, Szymura J, Domagalik A, Golda S, Wiecek M, Fafrowicz M, Marek T, Pera J (2019) Systematic balance exercises influence cortical activation and serum BDNF levels in older adults. J Clin Med 8(11):1910. https://doi.org/10.3390/jcm8111910
Kubicki A, Bonnetblanc F, Petrement G, Mourey F (2014) Motor-prediction improvements after virtual rehabilitation in geriatrics: frail patients reveal different learning curves for movement and postural control. Clin Neurophysiol 44(1):109–118. https://doi.org/10.1016/j.neucli.2013.10.128
Lai C-H, Peng C-W, Chen Y-L, Huang C-P, Hsiao Y-L, Chen S-C (2013) Effects of interactive video-game based system exercise on the balance of the elderly. Gait Posture 37(4):511–515. https://doi.org/10.1016/j.gaitpost.2012.09.003
Lecouvey G, Morand A, Gonneaud J, Piolino P, Orriols E, Pélerin A, Desgranges B et al (2019) An impairment of prospective memory in mild Alzheimer’s disease: a ride in a virtual town. Front Psychol 10(Feb):1–12. https://doi.org/10.3389/fpsyg.2019.00241
Lee S, Shin S (2013) Effectiveness of virtual reality using video gaming technology in elderly adults with diabetes mellitus. Diabetes Technol Ther 15(6):489–496
Lee SW, Song CH (2012) Virtual reality exercise improves balance of elderly persons with type 2 diabetes: a randomized controlled trial. J Phys Ther Sci 24(3):261–265. https://doi.org/10.1589/jpts.24.261
Lee A, Biggan JR, Taylor W, Ray C (2014) The effects of a Nintendo Wii exercise intervention on gait in older adults. Act Adapt Aging 38(1):53–69. https://doi.org/10.1080/01924788.2013.878874
Lee Y, Choi W, Lee K, Song C, Lee S (2017) Virtual reality training with three-dimensional video games improves postural balance and lower extremity strength in community-dwelling older adults. J Aging Phys Act 25(4):621–627. https://doi.org/10.1123/japa.2015-0271
Leutwyler H, Hubbard EM, Dowling GA (2014) Adherence to a videogame-based physical activity program for older adults with schizophrenia. Games Health J 3(4):227–233. https://doi.org/10.1089/g4h.2014.0006
Li X, Li R, Han T (2019) Human aspects of IT for the aged population. Social media, games and assistive environments. In: Zhou J, Salvendy G (eds) International conference on human-computer interaction, vol 11593. Springer International Publishing, Cham. https://doi.org/10.1007/978-3-030-22015-0
Liao Y-Y, Chen I-H, Lin Y-J, Chen Y, Hsu W-C (2019) Effects of virtual reality-based physical and cognitive training on executive function and dual-task gait performance in older adults with mild cognitive impairment: a randomized control trial. Front Aging Neurosci 11(Jul):1–10. https://doi.org/10.3389/fnagi.2019.00162
Lim J, Cho J-J, Kim J, Kim Y, Yoon B (2017) Design of virtual reality training program for prevention of falling in the elderly: a pilot study on complex versus balance exercises. Eur J Integr Med 15(1):64–67. https://doi.org/10.1016/j.eujim.2017.09.008
López-García J, Colado JC, Guzmán JF (2019) Acute effects of aerobic exercise and active videogames on cognitive flexibility, reaction time, and perceived exertion in older adults. Games Health J 8(6):371–379. https://doi.org/10.1089/g4h.2018.0143
Maillot P, Perrot A, Hartley A (2012) Effects of interactive physical-activity video-game training on physical and cognitive function in older adults. Psychol Aging 27(3):589–600. https://doi.org/10.1037/a0026268
Maillot P, Perrot A, Hartley A, Do M-C (2014) The braking force in walking: age-related differences and improvement in older adults with exergame training. J Aging Phys Act 22(4):518–526. https://doi.org/10.1123/JAPA.2013-0001
McEwen D, Taillon-Hobson A, Bilodeau M, Sveistrup H, Finestone H (2014) Two-week virtual reality training for dementia: single case feasibility study. J Rehabil Res Dev 51(7):1069–1076. https://doi.org/10.1682/JRRD.2013.10.0231
Mendes FAS, Pompeu JE, Lobo AM, da Silva KG, Oliveira TP, Zomignani AP, Piemonte MEP (2012) Motor learning, retention and transfer after virtual-reality-based training in Parkinson’s disease – effect of motor and cognitive demands of games: a longitudinal, controlled clinical study. Physiotherapy 98(3):217–223. https://doi.org/10.1016/j.physio.2012.06.001
Micarelli A, Viziano A, Micarelli B, Augimeri I, Alessandrini M (2019) Vestibular rehabilitation in older adults with and without mild cognitive impairment: Effects of virtual reality using a head-mounted display. Arch Gerontol Geriatr 83(May):246–256. https://doi.org/10.1016/j.archger.2019.05.008
Mirelman A, Raphaely Beer N, Dorffman M, Brozgul M, Hausdorff J (2011) Treadmill training with virtual reality to decrease risk of falls in idiopathic fallers: a pilot study. In: International conference on virtual rehabilitation. IEEE, pp 1–4. https://doi.org/10.1109/ICVR.2011.5971846
Mirelman A, Rochester L, Maidan I, Del Din S, Alcock L, Nieuwhof F, Hausdorff JM et al (2016) Addition of a non-immersive virtual reality component to treadmill training to reduce fall risk in older adults (V-TIME): a randomised controlled trial. Lancet 388(10050):1170–1182. https://doi.org/10.1016/S0140-6736(16)31325-3
Moldovan IM, Tric L, Ursu R, Podar A, Calin AD, Cantea AC, Mihaiu CA et al (2017) Virtual rehabilitation programme using the MIRA platform, Kinect and leap motion sensors in an 81 years old patient with ischemic stroke. In: E-health and bioengineering conference (EHB). IEEE, pp 325–328. https://doi.org/10.1109/EHB.2017.7995427
Molina KI, Ricci N, de Moraes S, Perracini M (2014) Virtual reality using games for improving physical functioning in older adults: a systematic review. J Neuroeng Rehabil 11(1):156. https://doi.org/10.1186/1743-0003-11-156
Morone G, Paolucci T, Luziatelli S, Iosa M, Piermattei C, Zangrando F, Guidetti L et al (2016) Wii Fit is effective in women with bone loss condition associated with balance disorders: a randomized controlled trial. Aging Clin Exp Res 28(6):1187–1193. https://doi.org/10.1007/s40520-016-0578-6
Mrakic-Sposta S, Di Santo SG, Franchini F, Arlati S, Zangiacomi A, Greci L, Vezzoli A et al (2018) Effects of combined physical and cognitive virtual reality-based training on cognitive impairment and oxidative stress in MCI patients: a pilot study. Front Aging Neurosci 10:1–11. https://doi.org/10.3389/fnagi.2018.00282
Mugueta-Aguinaga I, Garcia-Zapirain B (2017) FRED: exergame to prevent dependence and functional deterioration associated with ageing. A pilot three-week randomized controlled clinical trial. Int J Environ Res Public Health 14(12):1439. https://doi.org/10.3390/ijerph14121439
Mugueta-Aguinaga I, Garcia-Zapirain B (2019) Frailty level monitoring and analysis after a pilot six-week randomized controlled clinical trial using the FRED exergame including biofeedback supervision in an elderly day care centre. Int J Environ Res Public Health 16(5):729. https://doi.org/10.3390/ijerph16050729
Mulholland K, Merilampi S (2019) Interactive modular tile physiotherapy exergame intervention for fall prevention in older adults. In: IEEE 7th international conference on serious games and applications for health (SeGAH). IEEE, pp 1–5. https://doi.org/10.1109/SeGAH.2019.8882465
Nagano Y, Ishida K, Tani T, Kawasaki M, Ikeuchi M (2016) Short and long-term effects of exergaming for the elderly. Springerplus 5(1):793. https://doi.org/10.1186/s40064-016-2379-y
Neri SG, Cardoso JR, Cruz L, Lima RM, de Oliveira RJ, Iversen MD, Carregaro RL (2017) Do virtual reality games improve mobility skills and balance measurements in community-dwelling older adults? Systematic review and meta-analysis. Clin Rehabilit 31(10):1292–1304. https://doi.org/10.1177/0269215517694677
Neugebauer EAM, Rath A, Antoine S-L, Eikermann M, Seidel D, Koenen C, Gluud C et al (2017) Specific barriers to the conduct of randomised clinical trials on medical devices. Trials 18(1):427. https://doi.org/10.1186/s13063-017-2168-0
Nienke M, Simone RC, Pieter-Jelle V, Lamoth CJC (2011) Exergaming: interactive balance training in healthy community-dwelling older adults. J Cyber Ther Rehabilit 4(3):399–407
Oesch P, Kool J, Fernandez-Luque L, Brox E, Evertsen G, Civit A, Bachmann S et al (2017) Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial. BMC Geriatr 17(1):77. https://doi.org/10.1186/s12877-017-0467-7
Oh Y, Yang SP (2010) Defining exergames & exergaming. Meaningful Play. http://meaningfulplay.msu.edu/proceedings2010/mp2010_paper_63.pdf
Ordnung M, Hoff M, Kaminski E, Villringer A, Ragert P (2017) No overt effects of a 6-week exergame training on sensorimotor and cognitive function in older adults. A preliminary investigation. Front Human Neurosci 11(April):1–17. https://doi.org/10.3389/fnhum.2017.00160
Padala KP, Padala PR, Lensing SY, Dennis RA, Bopp MM, Roberson PK, Sullivan DH (2017) Home-based exercise program improves balance and fear of falling in community-dwelling older adults with mild Alzheimer’s disease: a pilot study. J Alzheimer’s Dis 59(2):565–574. https://doi.org/10.3233/JAD-170120
Páez A, Rovers M, Hutchison K, Rogers W, Vasey B, McCulloch P (2022) Beyond the RCT: when are randomized trials unnecessary for new therapeutic devices, and what should we do instead? Ann Surg 275(2):324–331. https://doi.org/10.1097/SLA.0000000000005053
Parijat P, Lockhart TE (2011) Can virtual reality be used as a gait training tool for older adults? Proc Hum Factors Ergon Soc Annu Meet 55(1):157–161. https://doi.org/10.1177/1071181311551033
Parijat P, Lockhart TE, Liu J (2015a) Effects of perturbation-based slip training using a virtual reality environment on slip-induced falls. Ann Biomed Eng 43(4):958–967. https://doi.org/10.1007/s10439-014-1128-z
Parijat P, Lockhart TE, Liu J (2015b) EMG and kinematic responses to unexpected slips after slip training in virtual reality. IEEE Trans Biomed Eng 62(2):593–599. https://doi.org/10.1109/TBME.2014.2361324
Park J-H, Park J-H (2018) Does cognition-specific computer training have better clinical outcomes than non-specific computer training? A single-blind, randomized controlled trial. Clin Rehabil 32(2):213–222. https://doi.org/10.1177/0269215517719951
Park J, Yim J (2016) A new approach to improve cognition, muscle strength, and postural balance in community-dwelling elderly with a 3-D Virtual Reality Kayak Program. Tohoku J Exp Med 238(1):1–8. https://doi.org/10.1620/tjem.238.1
Park E, Yun B-J, Min Y-S, Lee Y-S, Moon S-J, Huh J-W, Jung T-D et al (2019) Effects of a mixed reality-based cognitive training system compared to a conventional computer-assisted cognitive training system on mild cognitive impairment: a pilot study. Cogn Behav Neurol 32(3):172–178. https://doi.org/10.1097/WNN.0000000000000197
Pelosin E, Cerulli C, Ogliastro C, Lagravinese G, Mori L, Bonassi G, Avanzino L et al (2019) A multimodal training modulates short afferent inhibition and improves complex walking in a cohort of faller older adults with an increased prevalence of Parkinson’s disease. J Gerontol Ser A 75(4):722–728. https://doi.org/10.1093/gerona/glz072
Phu S, Vogrin S, Al Saedi A, Duque G (2019) Balance training using virtual reality improves balance and physical performance in older adults at high risk of falls. Clin Interv Aging 14:1567–1577. https://doi.org/10.2147/CIA.S220890
Pichierri G, Murer K, de Bruin ED (2012) A cognitive-motor intervention using a dance video game to enhance foot placement accuracy and gait under dual task conditions in older adults: a randomized controlled trial. BMC Geriatr 12(1):74. https://doi.org/10.1186/1471-2318-12-74
Pitta A, Pereira G, Lara JPR, Beck JKM, Wolf R, Mayor JJV, Rodacki ALF et al (2020) The effects of different exergame intensity training on walking speed in older women. Games Health J 9(2):121–128. https://doi.org/10.1089/g4h.2019.0109
Pluchino A, Lee SY, Asfour S, Roos BA, Signorile JF (2012) Pilot study comparing changes in postural control after training using a video game balance board program and 2 standard activity-based balance intervention programs. Arch Phys Med Rehabil 93(7):1138–1146. https://doi.org/10.1016/j.apmr.2012.01.023
Portney LG (2020) Foundations of clinical research:applications to evidence-based practice
Prata MG, Scheicher ME (2015) Effects of strength and balance training on the mobility, fear of falling and grip strength of elderly female fallers. J Bodyw Mov Ther 19(4):646–650. https://doi.org/10.1016/j.jbmt.2014.11.013
Reis E, Postolache G, Teixeira L, Arriaga P, Lima ML, Postolache O (2019) Exergames for motor rehabilitation in older adults: an umbrella review. Phys Ther Rev 24(3–4):84–99. https://doi.org/10.1080/10833196.2019.1639012
Rendon AA, Lohman EB, Thorpe D, Johnson EG, Medina E, Bradley B (2012) The effect of virtual reality gaming on dynamic balance in older adults. Age Ageing 41(4):549–552. https://doi.org/10.1093/ageing/afs053
Richards CL, Malouin F, Lamontagne A, McFadyen BJ, Dumas F, Comeau F, Fung J et al (2018) Gait training after stroke on a self-paced treadmill with and without virtual environment scenarios: a proof-of-principle study. Physiother Can 70(3):221–230. https://doi.org/10.3138/ptc.2016-97
Rodrigues EV, Valderramas SR, Rossetin LL, Gomes ARS (2014) Effects of video game training on the musculoskeletal function of older adults. Top Geriatr Rehabilit 30(4):238–245. https://doi.org/10.1097/TGR.0000000000000040
Rodrigues EV, Gallo LH, Guimarães ATB, Melo Filho J, Luna BC, Gomes ARS (2018) Effects of dance exergaming on depressive symptoms, fear of falling, and musculoskeletal function in fallers and nonfallers community-dwelling older women. Rejuvenation Res 21(6):518–526. https://doi.org/10.1089/rej.2017.2041
Rogan S, Radlinger L, Baur H, Schmidtbleicher D, de Bie RA, de Bruin ED (2016) Sensory-motor training targeting motor dysfunction and muscle weakness in long-term care elderly combined with motivational strategies: a single blind randomized controlled study. Eur Rev Aging Phys Act 13(1):4. https://doi.org/10.1186/s11556-016-0164-0
Rogers Y, Sharp H, Preece J (2002) Interaction design: beyond human-computer interaction. Inc
Sacco G, Ben-Sadoun G, Bourgeois J, Fabre R, Manera V, Robert P (2019) Comparison between a paper-pencil version and computerized version for the realization of a neuropsychological test: the example of the trail making test. J Alzheimer’s Dis 68(4):1657–1666. https://doi.org/10.3233/JAD-180396
Sadeghi H, Hakim MN, Hamid TA, Amri SB, Razeghi M, Farazdaghi M, Shakoor E (2017) The effect of exergaming on knee proprioception in older men: a randomized controlled trial. Arch Gerontol Geriatr 69:144–150. https://doi.org/10.1016/j.archger.2016.11.009
Santos GOR, Wolf R, Silva MM, Rodacki ALF, Pereira G (2019) Does exercise intensity increment in exergame promote changes in strength, functional capacity and perceptual parameters in pre-frail older women? A randomized controlled trial. Exp Gerontol 116(October 2018):25–30. https://doi.org/10.1016/j.exger.2018.12.009
Sápi M, Domján A, Fehérné Kiss A, Pintér S (2019) Is kinect training superior to conventional balance training for healthy older adults to improve postural control? Games Health J 8(1):41–48. https://doi.org/10.1089/g4h.2018.0027
Schättin A, Arner R, Gennaro F, de Bruin ED (2016) Adaptations of prefrontal brain activity, executive functions, and gait in healthy elderly following exergame and balance training: a randomized-controlled study. Front Aging Neurosci 8:278. https://doi.org/10.3389/fnagi.2016.00278
Schättin A, Baier C, Mai D, Klamroth-Marganska V, Herter-Aeberli I, de Bruin ED (2019) Effects of exergame training combined with omega-3 fatty acids on the elderly brain: a randomized double-blind placebo-controlled trial. BMC Geriatr 19(1):81. https://doi.org/10.1186/s12877-019-1084-4
Schoene D, Lord SR, Verhoef P, Smith ST (2011) A novel video game-based device for measuring stepping performance and fall risk in older people. Arch Phys Med Rehabil 92(6):947–953. https://doi.org/10.1016/j.apmr.2011.01.012
Schoene D, Lord SR, Delbaere K, Severino C, Davies TA, Smith ST (2013) A randomized controlled pilot study of home-based step training in older people using videogame technology. PLoS ONE 8(3):e57734. https://doi.org/10.1371/journal.pone.0057734
Schoene D, Smith ST, Davies TA, Delbaere K, Lord SR (2014) A Stroop Stepping Test (SST) using low-cost computer game technology discriminates between older fallers and non-fallers. Age Ageing 43(2):285–289. https://doi.org/10.1093/ageing/aft157
Schwenk M, Grewal GS, Honarvar B, Schwenk S, Mohler J, Khalsa DS, Najafi B (2014) Interactive balance training integrating sensor-based visual feedback of movement performance: a pilot study in older adults. J Neuroeng Rehabil 11(1):164. https://doi.org/10.1186/1743-0003-11-164
Shang-Ti C, Chiang I-T, Liu EZ-F, Chang M (2012) Effects of improvement on selective attention: developing appropriate somatosensory video game interventions for institutional-dwelling elderly with disabilities. TOJET Turk Online J Educ Technol 11(4):409–417
Shema SR, Brozgol M, Dorfman M, Maidan I, Sharaby-Yeshayahu L, Malik-Kozuch H, Mirelman A et al (2014) Clinical experience using a 5-week treadmill training program with virtual reality to enhance gait in an ambulatory physical therapy service. Phys Ther 94(9):1319–1326. https://doi.org/10.2522/ptj.20130305
Skjæret N, Nawaz A, Ystmark K, Dahl Y, Helbostad JL, Svanæs D, Vereijken B (2015) Designing for movement quality in exergames: lessons learned from observing senior citizens playing stepping games. Gerontology 61(2):186–194. https://doi.org/10.1159/000365755
Skjæret N, Nawaz A, Morat T, Schoene D, Helbostad JL, Vereijken B (2016) Exercise and rehabilitation delivered through exergames in older adults: an integrative review of technologies, safety and efficacy. Int J Med Inform 85(1):1–16. https://doi.org/10.1016/j.ijmedinf.2015.10.008
Skjæret-Maroni N, Vonstad EK, Ihlen EAF, Tan X-C, Helbostad JL, Vereijken B (2016) Exergaming in older adults: movement characteristics while playing stepping games. Front Psychol 7(Jun):1–11. https://doi.org/10.3389/fpsyg.2016.00964
Smith ST, Sherrington C, Studenski S, Schoene D, Lord SR (2011) A novel Dance dance revolution (DDR) system for in-home training of stepping ability: basic parameters of system use by older adults. Br J Sports Med 45(5):441–445. https://doi.org/10.1136/bjsm.2009.066845
Sondell B, Nyberg L, Eriksson S, Engström B, Backman A, Holmlund K, Lundin-Olsson L et al (2005) Altered walking pattern in a virtual environment. Presence Teleoper Virtual Environ 14(2):191–197. https://doi.org/10.1162/1054746053967003
Staiano AE, Calvert SL (2011) The promise of exergames as tools to measure physical health. Entertain Comput 2(1):17–21. https://doi.org/10.1016/j.entcom.2011.03.008
Stojan R, Voelcker-Rehage C (2019) A systematic review on the cognitive benefits and neurophysiological correlates of exergaming in healthy older adults. J Clin Med 8(5):734. https://doi.org/10.3390/jcm8050734
Szanton SL, Walker RK, Lim JH, Fisher L, Zhan A, Gitlin LN, Terzis A et al (2016) Development of an exergame for urban-dwelling older adults with functional limitations: results and lessons learned. Prog Community Health Partnersh Res Educ Act 10(1):73–81. https://doi.org/10.1353/cpr.2016.0005
Szturm T, Betker AL, Moussavi Z, Desai A, Goodman V (2011) Effects of an Interactive computer game exercise regimen on balance impairment in frail community-dwelling older adults: a randomized controlled trial. Phys Ther 91(10):1449–1462. https://doi.org/10.2522/ptj.20090205
Tarricone R, Boscolo PR, Armeni P (2016) What type of clinical evidence is needed to assess medical devices? Eur Respir Rev 25(141):259–265. https://doi.org/10.1183/16000617.0016-2016
Taylor LM, Maddison R, Pfaeffli LA, Rawstorn JC, Gant N, Kerse NM (2012) Activity and energy expenditure in older people playing active video games. Arch Phys Med Rehabil 93(12):2281–2286. https://doi.org/10.1016/j.apmr.2012.03.034
Taylor LM, Kerse N, Klenk J, Borotkanics R, Maddison R (2018) Exergames to improve the mobility of long-term care residents: a cluster randomized controlled trial. Games Health J 7(1):37–42. https://doi.org/10.1089/g4h.2017.0084
Tsekleves E, Warland A, Kilbride C, Paraskevopoulos I, Skordoulis D (2014) The use of the nintendo wii in motor rehabilitation for virtual reality interventions: a literature review. In: Virtual, augmented reality and serious games for healthcare, vol 1. Springer, pp 321–344. https://doi.org/10.1007/978-3-642-54816-1_17
United Nations Department of Economic and Social Affairs, Population Division (n.d.-a) Physical Activity and health
United Nations Department of Economic and Social Affairs, Population Division (n.d.-b) World Population Prospects 2019b Press Release
Uzor S, Baillie L (2014) Investigating the long-term use of exergames in the home with elderly fallers. In: Proceedings of the SIGCHI conference on human factors in computing systems. ACM, New York, pp 2813–2822. https://doi.org/10.1145/2556288.2557160
Uzor S, Baillie L (2019) Recov-R. ACM Trans Comput Hum Interact 26(4):1–38. https://doi.org/10.1145/3325280
van Teijlingen E, Hundley V (2002) The importance of pilot studies. Nurs Stand 16(40):33–36. https://doi.org/10.7748/ns2002.06.16.40.33.c3214
van Diest M, Stegenga J, Wörtche HJ, Verkerke GJ, Postema K, Lamoth CJC (2016) Exergames for unsupervised balance training at home: a pilot study in healthy older adults. Gait Posture 44:161–167. https://doi.org/10.1016/j.gaitpost.2015.11.019
Vaziri DD, Aal K, Gschwind YJ, Delbaere K, Weibert A, Annegarn J, Wulf V et al (2017) Analysis of effects and usage indicators for a ICT-based fall prevention system in community dwelling older adults. Int J Hum Comput Stud 106(May):10–25. https://doi.org/10.1016/j.ijhcs.2017.05.004
Vázquez FL, Otero P, García-Casal JA, Blanco V, Torres ÁJ, Arrojo M (2018) Efficacy of video game-based interventions for active aging. A systematic literature review and meta-analysis. PLoS ONE 13(12):e0208192. https://doi.org/10.1371/journal.pone.0208192
Vourvopoulos A, Jorge C, Abreu R, Figueiredo P, Fernandes J-C, Bermúdez i Badia S (2019) Efficacy and brain imaging correlates of an immersive motor imagery BCI-driven VR system for upper limb motor rehabilitation: a clinical case report. Front Hum Neurosci 13(July):1–17. https://doi.org/10.3389/fnhum.2019.00244
Wall K, Stark J, Schillaci A, Saulnier E, McLaren E, Striegnitz K, Anderson-Hanley C et al (2018) The enhanced interactive physical and cognitive exercise system (iPACESTM v2.0): pilot clinical trial of an in-home iPad-based neuro-exergame for mild cognitive impairment (MCI). J Clin Med 7(9):249. https://doi.org/10.3390/jcm7090249
Werner C, Rosner R, Wiloth S, Lemke NC, Bauer JM, Hauer K (2018) Time course of changes in motor-cognitive exergame performances during task-specific training in patients with dementia: identification and predictors of early training response. J Neuroeng Rehabil 15(1):100. https://doi.org/10.1186/s12984-018-0433-4
Wiloth S, Werner C, Lemke NC, Bauer J, Hauer K (2018) Motor-cognitive effects of a computerized game-based training method in people with dementia: a randomized controlled trial. Aging Ment Health 22(9):1130–1141. https://doi.org/10.1080/13607863.2017.1348472
World Health Organization WHO (2018) Ageing and health
World Health Organization WHO (2020) Decade of healthy ageing: baseline report. World Health Organization
Wüest S, Borghese NA, Pirovano M, Mainetti R, van de Langenberg R, de Bruin ED (2014) Usability and effects of an exergame-based balance training program. Games Health J 3(2):106–114. https://doi.org/10.1089/g4h.2013.0093
Yeşilyaprak SS, Yıldırım MŞ, Tomruk M, Ertekin Ö, Algun ZC (2016) Comparison of the effects of virtual reality-based balance exercises and conventional exercises on balance and fall risk in older adults living in nursing homes in Turkey. Physiother Theory Pract 32(3):191–201. https://doi.org/10.3109/09593985.2015.1138009
Zheng L, Li G, Wang X, Yin H, Jia Y, Leng M, Chen L et al (2020) Effect of exergames on physical outcomes in frail elderly: a systematic review. Aging Clin Exp Res 32(11):2187–2200. https://doi.org/10.1007/s40520-019-01344-x
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López-Nava, I.H., Rodriguez, M.D., García-Vázquez, J.P. et al. Current state and trends of the research in exergames for the elderly and their impact on health outcomes: a scoping review. J Ambient Intell Human Comput 14, 10977–11009 (2023). https://doi.org/10.1007/s12652-022-04364-0
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DOI: https://doi.org/10.1007/s12652-022-04364-0