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Exergaming as a Viable Therapeutic Tool to Improve Static and Dynamic Balance among Older Adults and People with Idiopathic Parkinson's Disease: A Systematic Review and Meta-Analysis.

Harris DM, Rantalainen T, Muthalib M, Johnson L, Teo WP - Front Aging Neurosci (2015)

Bottom Line: Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups.The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults.Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599).

View Article: PubMed Central - PubMed

Affiliation: Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University , Burwood, VIC , Australia.

ABSTRACT
The use of virtual reality games (known as "exergaming") as a neurorehabilitation tool is gaining interest. Therefore, we aim to collate evidence for the effects of exergaming on the balance and postural control of older adults and people with idiopathic Parkinson's disease (IPD). Six electronic databases were searched, from inception to April 2015, to identify relevant studies. Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups. I (2) statistics were used to determine levels of heterogeneity. 325 older adults and 56 people with IPD who were assessed across 11 -studies. The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults. Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599). Our findings suggest that exergaming might be an appropriate therapeutic tool for improving balance and postural control in older adults, but more -large-scale trials are needed to determine if the same is true for people with IPD.

No MeSH data available.


Related in: MedlinePlus

PRISMA flow chart for the selection of studies included in this meta-analyses.
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Figure 1: PRISMA flow chart for the selection of studies included in this meta-analyses.

Mentions: This review has been informed by the PRISMA statement. The following electronic databases were searched from their inception to April 2015: PubMed, MEDLINE, PsycINFO, Embase, Google Scholar, and Scopus. The following keywords were used in combinations: Parkinson, Parkinson’s disease, Parkinsonism, exergaming, gaming, virtual reality gaming, series gaming, gait, balance, aged, and elderly. Additionally, the reference lists of the included studies were also searched. Figure 1 shows a flow diagram of the processing of search results from initial searches to the final included studies.


Exergaming as a Viable Therapeutic Tool to Improve Static and Dynamic Balance among Older Adults and People with Idiopathic Parkinson's Disease: A Systematic Review and Meta-Analysis.

Harris DM, Rantalainen T, Muthalib M, Johnson L, Teo WP - Front Aging Neurosci (2015)

PRISMA flow chart for the selection of studies included in this meta-analyses.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4561514&req=5

Figure 1: PRISMA flow chart for the selection of studies included in this meta-analyses.
Mentions: This review has been informed by the PRISMA statement. The following electronic databases were searched from their inception to April 2015: PubMed, MEDLINE, PsycINFO, Embase, Google Scholar, and Scopus. The following keywords were used in combinations: Parkinson, Parkinson’s disease, Parkinsonism, exergaming, gaming, virtual reality gaming, series gaming, gait, balance, aged, and elderly. Additionally, the reference lists of the included studies were also searched. Figure 1 shows a flow diagram of the processing of search results from initial searches to the final included studies.

Bottom Line: Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups.The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults.Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599).

View Article: PubMed Central - PubMed

Affiliation: Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University , Burwood, VIC , Australia.

ABSTRACT
The use of virtual reality games (known as "exergaming") as a neurorehabilitation tool is gaining interest. Therefore, we aim to collate evidence for the effects of exergaming on the balance and postural control of older adults and people with idiopathic Parkinson's disease (IPD). Six electronic databases were searched, from inception to April 2015, to identify relevant studies. Standardized mean differences (SMDs) and 95% confidence intervals (CI) were used to calculate effect sizes between experimental and control groups. I (2) statistics were used to determine levels of heterogeneity. 325 older adults and 56 people with IPD who were assessed across 11 -studies. The results showed that exergaming improved static balance (SMD 1.069, 95% CI 0.563-1.576), postural control (SMD 0.826, 95% CI 0.481-1.170), and dynamic balance (SMD -0.808, 95% CI -1.192 to -0.424) in healthy older adults. Two IPD studies showed an improvement in static balance (SMD 0.124, 95% CI -0.581 to 0.828) and postural control (SMD 2.576, 95% CI 1.534-3.599). Our findings suggest that exergaming might be an appropriate therapeutic tool for improving balance and postural control in older adults, but more -large-scale trials are needed to determine if the same is true for people with IPD.

No MeSH data available.


Related in: MedlinePlus