The effectiveness of exergames on fear of falling in community-dwelling older adults: a systematic review

Ge, Lanying; Su, Tai-Te; An, Yu; Mejía, Shannon T.

doi:10.1080/13607863.2021.1950615

Cited by 17 publications

(13 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The non-significant results of Keogh et al (2012) may be explained by the fact that it was one of the two included studies without fixed exergaming sessions, resulting in an average playing time of only 28 min per week. These findings are similar to those of a systematic review of the efficacy of exergames on fear of falling in community-dwelling older adults ( Ge et al, 2021 ). It was noted that 15 of the 23 studies reported statistically significant changes in fear of falling.…”

Section: Discussionsupporting

confidence: 87%

Effectiveness and Acceptability of e- and m-Health Interventions to Promote Physical Activity and Prevent Falls in Nursing Homes—A Systematic Review

et al. 2022

View full text Add to dashboard Cite

Age-related decreases in physical activity (PA) and a decline in physical functioning lead to increased fall risk. As falls are a major cause of accidental deaths and hospitalization in older adults, PA promotion and fall prevention are important measures, especially in nursing homes (NH). With advances in information and communication technology, e- and m-health solutions have been developed to positively influence various health-related factors. To date, only little research exists on the implementation of these technologies to promote health in NH. Therefore, the objective of this systematic review was to provide an overview of the effectiveness, acceptability, and feasibility of e- and m-health interventions aimed at promoting PA and preventing falls in NH. Additionally, the effectiveness of such interventions regarding the secondary outcomes physical function, cognitive function, neuropsychiatric symptoms, and psychosocial status was examined. A systematic literature search was performed in five databases and studies published until 15 November 2021, were considered for inclusion. All studies that examined the effectiveness and/or the acceptability and feasibility of e- or m-health interventions in promoting PA and preventing falls in NH, without restriction on language or date of publication, were included in the final synthesis. Of the 1,358 records retrieved, 28 studies were included in this systematic review. Twenty-four studies contained digital exergaming as an intervention or as a part of the intervention, the four additional studies on e-health interventions only examined a small number of outcomes. No m-health intervention study was identified. Data synthesis indicates that exergaming may be effective in reducing the number of falls and fall risk in NH residents. Several significant improvements were also reported regarding secondary outcomes albeit not consistent across studies. No conclusion can be drawn about the effects of exergaming and other e-health interventions on PA, as data is scarce. E-health interventions were mostly reported as feasible and well accepted by NH residents. However, these findings may not be applicable to NH residents with advanced physical and/or cognitive impairments, since they were excluded in many studies. Therefore, more research examining other digital solutions besides exergaming to promote PA in this specific population is critical.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/, identifier CRD42021289488

show abstract

Section: Discussionsupporting

confidence: 87%

Effectiveness and Acceptability of e- and m-Health Interventions to Promote Physical Activity and Prevent Falls in Nursing Homes—A Systematic Review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…In the future, this tool could serve as DT spatial navigation support including various cognitive tasks evaluation (reaction time, working memory, and mental flexibility) for the early diagnosis of cognitive disorders. In parallel, our exergame should also be assessed as training support in other populations in which we found exergaming ( Gallou-Guyot et al, 2020c ) realized at home ( Perrochon et al, 2019 ; Dalmazane et al, 2021 ; Gallou-Guyot et al, 2022b ) effective for the improvement of varied cognitive and motor outcomes. Our solution was proposed directly in community dwellings and would only require a slight adaptation of the living space at home.…”

Section: Discussionmentioning

confidence: 99%

“…Although they allow delivering DT and have been considered a special form of DT training for a long, a recent study distinguished exergames from DT trainings (Temprado and Torre, 2022) based on their different effects. Indeed, exergames have been widely studied in older adults and are considered by many authors to be efficient for the improvement of cognitive functions (Soares et al, 2021;Temprado and Torre, 2022), but their effects on motor functions are more discussed (Pacheco et al, 2020;Chen et al, 2021;Ge et al, 2021). Moreover, the effects of exergames on DT functions are still less studied (Gallou-Guyot et al, 2020a).…”

Section: Introductionmentioning

confidence: 99%

Feasibility and potential cognitive impact of a cognitive-motor dual-task training program using a custom exergame in older adults: A pilot study

Gallou-Guyot

Mandigout

Marie³

et al. 2023

Front. Aging Neurosci.

View full text Add to dashboard Cite

IntroductionDual-task training may be relevant and efficient in the context of active aging. An issue in training programs lies in enhancing the adherence of participants. This can potentially be improved using games as support. We designed and developed a custom interactive exergame in this way. The objective of this pilot study was to explore the potential use of this exergame and the feasibility of our intervention, including the level of safety and adherence. The result’s trends on cognitive and motor capacities, as well as on the level of motivation for physical activity, fear of falling, and quality of life of participants, were also explored.MethodsOlder adults aged 65 years or older were recruited and realized 30 min of supervised training in groups of 4, 2–3 times a week for 12 weeks. Exercises consisted of incorporated cognitive and motor dual tasks, with an increased difficulty over the weeks. Our program’s safety, engagement, attendance, and completion levels were evaluated. Participants’ postural control in single-task and dual-task conditions, as well as their performances in mental inhibition, flexibility, working memory, mobility, and postural control, and their levels of motivation for physical activity, fear of falling, and quality of life were also assessed. We realized a per protocol statistical analysis with a p-value set at 0.05.ResultsThirty-nine participants (aged 84.6 ± 8.5 years) were recruited. No adverse events, and 89% adherence, 88% attendance, and 87% completion rates were observed. A potentially significant effect of our exergame on working memory in single-task conditions and on the cognitive aspect of dual-task conditions was also observed. We observed no differences in other parameters.DiscussionOur exergame seemed feasible and safe and was enjoyed by participants, mainly due to the gamification of our training program. Moreover, our exergame may be efficient for cognitive training in older adults, as well as for the maintenance of motor functions, motivation for physical activity, fear of falling, and quality of life levels. This constitutes the first step for our solution with interesting results that need to be further studied.

show abstract

“…Considering the complicated association between falls and FOF, it is important to figure out their independent and combined effects on functional limitations to improve disability interventions for maximal impact. However, previous studies only separately investigated the influence of falls or FOF on functional limitations ( 8 , 10 , 11 , 18 , 19 ), whether falls and FOF combinedly predict functional limitations remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal associations of concurrent falls and fear of falling with functional limitations differ by living alone or not

Liu

Peng

Song

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

BackgroundFalls and fear of falling (FOF) are independent risk factors for functional limitations in older adults. However, the combined effect of falls and FOF on functional limitations and the moderating role of living alone or not is unclear. We aimed to examine (1) the independent and combined effect of falls and FOF on functional limitations in older adults and (2) whether living alone moderates these associations.MethodsWe used data from the National Health and Aging Trends Study (NHATS) and included 5,950 U.S. community-dwelling older adults aged 65 and older from Round 1 (Year 2011) and Round 2 (Year 2012). Falls and FOF were ascertained by asking participants whether they had any falls in the last year and whether they had worried about falling in the previous month at R1. Assessed functional limitations included any difficulties with mobility, self-care, or household activities at R2. Poisson regression models were used to examine the longitudinal associations of falls and FOF with functional limitations and the moderation effects of baseline living alone.ResultsOf the 5,950 participants, 16.3% had falls only; 14.3% had FOF only; 14.3% had both, and 55.1% had neither at baseline. In the adjusted model, those who experienced concurrent falls and FOF in R1 had a higher risk of functional limitations at R2 than those with neither (Mobility: Incidence risk ratio [IRR] = 1.34, 95% CI: 1.24–1.45; Self-care: IRR = 1.18, 95% CI: 1.11–1.26; Household: IRR = 1.20, 95% CI: 1.11–1.30). Moreover, living alone significantly moderated the longitudinal associations of concurrent falls and FOF with mobility activity limitations.ConclusionThe findings suggest that strategies to improve falls and FOF together could potentially help prevent functional limitations. Older adults who live with others and have falls or FOF should receive interventions to promote their mobility activities.

show abstract

The effectiveness of exergames on fear of falling in community-dwelling older adults: a systematic review

Cited by 17 publications

References 57 publications

Effectiveness and Acceptability of e- and m-Health Interventions to Promote Physical Activity and Prevent Falls in Nursing Homes—A Systematic Review

Effectiveness and Acceptability of e- and m-Health Interventions to Promote Physical Activity and Prevent Falls in Nursing Homes—A Systematic Review

Feasibility and potential cognitive impact of a cognitive-motor dual-task training program using a custom exergame in older adults: A pilot study

Longitudinal associations of concurrent falls and fear of falling with functional limitations differ by living alone or not

Contact Info

Product

Resources

About