Effectiveness of Serious Games to Increase Physical Activity in Children With a Chronic Disease: Systematic Review With Meta-Analysis

Bossen, Daniël; Broekema, Aline; Visser, Bart; Brons, Annette; Timmerman, Annieck; Etten-Jamaludin, Faridi S. van; Braam, Katja I.; Engelbert, Raoul

doi:10.2196/14549

Cited by 32 publications

(21 citation statements)

References 49 publications

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“…A very recent systematic review did not evidence that SGs improve PA levels in children with chronic diseases, likely due to small sample sizes and marked heterogeneity in study designs. Therefore, future research is required to evaluate the effectiveness of SGs in enhancing PA and healthy movement behaviors, especially in children with asthma ( 52 ). In a context of social distancing, Active video games (AVGs) can be an interesting alternative to increase PA levels in children ( 53 ).…”

Section: Strategies For Supporting Physical Activity In Children With Asthma During the Pandemicmentioning

confidence: 99%

COVID-19 Pandemic and Reduced Physical Activity: Is There an Impact on Healthy and Asthmatic Children?

Ferrante

Mollicone

Cazzato³

et al. 2021

Front. Pediatr.

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Physical activity (PA) has been seen to improve asthma symptoms, lung function, and quality of life, as well as to reduce airway inflammation and bronchial responsiveness. As a consequence of the COVID-19 pandemic, the minimal amount of PA recommended by the World Health Organization—i.e., about 60 min/day of moderate-to-high intensity—is difficult to achieve for many children, particularly those living in urban areas. Short-term changes in PA because of the COVID-19 pandemic may become habitual, increasing the risk of adverse asthma outcomes in children. Indeed, prolonged home confinement during the COVID-19 pandemic reduces PA levels and increases sedentary behaviors, possibly impairing immune system function and increasing susceptibility to inflammatory diseases. However, there is limited evidence regarding the effects of lockdown due to COVID-19 on PA and sedentary behaviors in asthmatic children. Given that children stay longer indoors, indoor air pollution represents a major issue to consider during home confinement. This narrative review aims to summarize the available evidence about the impact of decreased PA and increased sedentary behaviors on children with asthma during the COVID-19 pandemic. In addition, strategies for supporting PA in children with asthma during the COVID-19 pandemic are suggested, also looking at the issue of indoor air quality.

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Section: Strategies For Supporting Physical Activity In Children With Asthma During the Pandemicmentioning

confidence: 99%

COVID-19 Pandemic and Reduced Physical Activity: Is There an Impact on Healthy and Asthmatic Children?

Ferrante

Mollicone

Cazzato³

et al. 2021

Front. Pediatr.

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“…In addition, AVGs rely on a technology that tracks body movement or reaction to the game in order to progress [18]. Previous studies have implemented serious games and AVGs in the educational context to increase PA levels from childhood to adolescence [19][20][21].…”

Section: Games and Gamificationmentioning

confidence: 99%

“…Five categories of search terms will be identified: (a) games (serious games and applied games and AVGs) and gamification, (b) physical activity, (c) school, (d) intervention, and (e) age. The terms for each category will be obtained by consulting other reviews, such as (a) serious games and AVG [19][20][21][46][47][48][49][50], gamification [26,40,51,52], (b) physical activity [53,54], and (c) intervention [55,56]. Regarding the high diversity of game-related terms used in the literature, the most used and standardized terms found in the scientific references will be included in the current review.…”

Section: Search Strategymentioning

confidence: 99%

School-Based Interventions for Promoting Physical Activity Using Games and Gamification: A Systematic Review Protocol

Saucedo-Araujo

Chillón

Pérez-López

et al. 2020

IJERPH

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Games and/or gamification seem to be a promising area for educational and health research. These strategies are being increasingly used for improving health indicators, even in educational settings; however, there is little information about these terms within the school to promote physical activity (PA). Objective: the aim of this study is to describe a systematic review protocol of school-based interventions for promoting PA in pre-schoolers, children, and adolescent students using games and gamification. Methods: This review protocol is registered in International prospective register of systematic reviews (PROSPERO) (CRD42019123521). Scientific databases include PubMed, Web of Science, SportDiscus, Cochrane Library, ERIC, and PsycINFO. A standardized procedure will be executed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol (PRISMA-P) checklist for conducting systematic review protocols and the PICOS (Population, Interventions, Comparators, Outcomes, and Study design) tool to address an appropriate search strategy. Detailed information will be extracted, including a quantitative assessment using effect sizes to compare the interventions and a qualitative assessment using the Evaluation of Public Health Practice Projects (EPHPP) tool. Conclusion: This systematic review protocol contributes to establishing future systematic reviews using games and gamification strategies in school settings in order to examine their effect on PA outcomes among youth. Additionally, an update and clarification on the different terms in the school context have been included.

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“…The impact of serious games on physical therapy has been studied in terms of effectiveness [ 4 - 6 ] and motivational determinants [ 7 , 8 ]. However, as a virtual guide replacing or complementing a real physician, exergaming systems tend to lack objective, clinically meaningful evaluation of patient performance.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation Exergames: Use of Motion Sensing and Machine Learning to Quantify Exercise Performance in Healthy Volunteers

Osgouei¹,

Soulsby²,

Bello³

2020

JMIR Rehabil Assist Technol

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Background Performing physiotherapy exercises in front of a physiotherapist yields qualitative assessment notes and immediate feedback. However, practicing the exercises at home lacks feedback on how well patients are performing the prescribed tasks. The absence of proper feedback might result in patients performing the exercises incorrectly, which could worsen their condition. We present an approach to generate performance scores to enable tracking the progress by both the patient at home and the physiotherapist in the clinic. Objective This study aims to propose the use of 2 machine learning algorithms, dynamic time warping (DTW) and hidden Markov model (HMM), to quantitatively assess the patient’s performance with respect to a reference. Methods Movement data were recorded using a motion sensor (Kinect V2), capable of detecting 25 joints in the human skeleton model, and were compared with those of a reference. A total of 16 participants were recruited to perform 4 different exercises: shoulder abduction, hip abduction, lunge, and sit-to-stand exercises. Their performance was compared with that of a physiotherapist as a reference. Results Both algorithms showed a similar trend in assessing participant performance. However, their sensitivity levels were different. Although DTW was more sensitive to small changes, HMM captured a general view of the performance, being less sensitive to the details. Conclusions The chosen algorithms demonstrated their capacity to objectively assess the performance of physical therapy. HMM may be more suitable in the early stages of a physiotherapy program to capture and report general performance, whereas DTW could be used later to focus on the details. The scores enable the patient to monitor their daily performance. They can also be reported back to the physiotherapist to track and assess patient progress, provide feedback, and adjust the exercise program if needed.

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Effectiveness of Serious Games to Increase Physical Activity in Children With a Chronic Disease: Systematic Review With Meta-Analysis

Cited by 32 publications

References 49 publications

COVID-19 Pandemic and Reduced Physical Activity: Is There an Impact on Healthy and Asthmatic Children?

COVID-19 Pandemic and Reduced Physical Activity: Is There an Impact on Healthy and Asthmatic Children?

School-Based Interventions for Promoting Physical Activity Using Games and Gamification: A Systematic Review Protocol

Rehabilitation Exergames: Use of Motion Sensing and Machine Learning to Quantify Exercise Performance in Healthy Volunteers

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