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Active video games for improving physical performance measures in older people: a meta-analysis.

Taylor, Lynne M, Kerse, Ngaire, Frakking, Tara and Maddison, Ralph 2016, Active video games for improving physical performance measures in older people: a meta-analysis., Journal of geriatric physical therapy, In Press, pp. 1-16, doi: 10.1519/JPT.0000000000000078.

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Title Active video games for improving physical performance measures in older people: a meta-analysis.
Author(s) Taylor, Lynne M
Kerse, Ngaire
Frakking, Tara
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Journal name Journal of geriatric physical therapy
Season In Press
Start page 1
End page 16
Total pages 16
Publisher Wolters Kluwer
Place of publication Alphen aan den Rijn, The Netherlands
Publication date 2016-03-11
ISSN 2152-0895
Keyword(s) aged
exercise
older adult
video games
Summary BACKGROUND AND PURPOSE: Participation in regular physical activity is associated with better physical function in older people (>65 years); however, older people are the least active of all age groups. Exercise-based active video games (AVGs) offer an alternative to traditional exercise programs aimed at maintaining or enhancing physical performance measures in older people. This review systematically evaluated whether AVGs could improve measures of physical performance in older people. Secondary measures of safety, game appeal, and usability were also considered. METHODS: Electronic databases were searched for randomized controlled trials published up to April 2015. Included were trials with 2 or more arms that evaluated the effect of AVGs on outcome measures of physical performance in older people. RESULTS: Eighteen randomized controlled trials (n = 765) were included. Most trials limited inclusion to healthy community-dwelling older people. With the exception of 1 trial, all AVG programs were supervised. Using meta-analyses, AVGs were found to be more effective than conventional exercise (mean difference [MD], 4.33; 95% confidence intervals [CIs], 2.93-5.73) or no intervention (MD, 0.73; 95% CI, 0.17-1.29) for improving Berg Balance scores in community-dwelling older people. Active video games were also more effective than control for improving 30-second sit-to-stand scores (MD, 3.99; 95% CI, 1.92-6.05). No significant differences in Timed Up and Go scores were found when AVGs were compared with no intervention or with conventional exercise. CONCLUSIONS: Active video games can improve measures of mobility and balance in older people when used either on their own or as part of an exercise program. It is not yet clear whether AVGs are equally suitable for older people with significant cognitive impairments or balance or mobility limitations. Given the positive findings to date, consideration could be given to further development of age-appropriate AVGs for use by older people with balance or mobility limitations.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
Language eng
DOI 10.1519/JPT.0000000000000078
Field of Research 110699 Human Movement and Sports Science not elsewhere classified
Socio Economic Objective 920401 Behaviour and Health
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Wolters Kluwer
Persistent URL http://hdl.handle.net/10536/DRO/DU:30082471

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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