Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis

Chen, Yan; Zhang, Yuan; Guo, Zhenxiang; Bao, Dapeng; Zhou, Junhong

doi:10.1186/s12984-021-00917-0

Journal of NeuroEngineering and Rehabilitation

Table 2 Characteristics of the interventional protocol

From: Comparison between the effects of exergame intervention and traditional physical training on improving balance and fall prevention in healthy older adults: a systematic review and meta-analysis

Study	Intervention	Dosage of intervention	Types of control	Measured outcomes	Effects of intervention
Bacha [33]	Adventures game	60 min/day, 2/week, 7 week	Physical therapy exercises	BA: Mini-BESTest PIA: Mini-BESTest FUA (4-week): Mini-BESTest	Mini-BESTest→→
Bateni [22]	Balance game	3 games/day, 3/week, 4 week	Physical therapy training	BA: BBS DA (2-week): BBS PIA: BBS	BBS→
Bateni [22]	Physical therapy training	3 games/day, 3/week, 4 week	Physical therapy training	BA: BBS DA (2-week): BBS PIA: BBS	BBS→
Bateni [22]	Balance game	3 games/d, 3/wk, 4wk	Physical therapy training	BA: BBS DA (2-week): BBS PIA: BBS	BBS→
Chen [23]	Selected Tai-Chi movements	30 min/d, 3/wk, 8wk	Traditional Tai-Chi exercise	BA: BBS, TUG, FRT PIA: BBS, TUG, FRT	BBS↑ TUG↑ FRT↑
Eggenberger [39]	Dance game	60 min/d, 2/wk, 26wk	Treadmill walking S&B training	BA: FF, FES-I, OLS DA (3-month): FES-I, OLS PIA: FF, FES-I, OLS FUA1 (6-month, 1-year): FF FUA2 (1-year): FES-I, OLS	FF→↑→ FES-I→→ OLS→→
Eggenberger [39]	S&B training	60 min/d, 2/wk, 26wk	Treadmill walking S&B training		FF→↑→ FES-I→→ OLS→→
Franco [40]	Balance game	10–15 min, 2/wk, 3wk	Matter of Balance Program	BA: BBS, TB PIA: BBS, TB	BBS→ TB→
Franco [40]	Home exercises	10–15 min, 2/wk, 3wk	Matter of Balance Program	BA: BBS, TB PIA: BBS, TB	BBS→ TB→
Htut [42]	Video game	30 min, 3/wk, 8wk	Physical exercises	BA: BBS, TUG, FES-I PIA: BBS, TUG, FES-I	BBS→ TUG→ FES-I↑
Jung [28]	Sport game	30 min, 2/wk, 8 wk	Lumbar stabilization exercises	BA: BBS, FRT, TUG PIA: BBS, FRT, TUG	BBS↓ FRT↓ TUG→
Karahan [34]	Sport game	30 min, 5/wk, 6 wk	Home exercise	BA: BBS, TUG PIA: BBS, TUG	BBS↑ TUG→
Ku [29]	Customized game	30 min, 3/wk, 4 wk	S & B training	BA: BBS, TUG PIA: BBS, TUG	BBS↑ TUG↑
Li [35]	Balance training	32 min, 10/month, 12 wk	One-leg standing exercise	BA: TUG, SL PIA: TUG, SL	TUG↑ SL↑
Park [30]	Balance game/program	30 min, 3/wk, 8 wk	Ball exercise	BA: TUG, SL, SS PIA: TUG, SL, SS	TUG↑ SL↑ SS→
Park [36]	Kayak program	50 min, 2/wk, 6 wk	Conventional exercise	BA: PC standing PIA: PC standing	PC standing↑ PC sitting↑
Park [36]	Conventional exercise	50 min, 2/wk, 6 wk	Conventional exercise	BA: PC standing PIA: PC standing	PC standing↑ PC sitting↑
Pichierri [37]	Resistance training Balance training	50–55 min, 2/wk, 12 wk	Resistance and balance training	BA: FES-I PIA: FES-I	FES-I→
Pichierri [37]	Dance game	50–55 min, 2/wk, 12 wk	Resistance and balance training	BA: FES-I PIA: FES-I	FES-I→
Pluchino [41]	Balance game	60 min, 2/wk, 8wk	Standardized balance exercise program	BA: FES, TUG, OLS, FRT, TB, SL PIA: FES, TUG, OLS, FRT, TB, SL	FES→ TUG→ OLS→ FRT→ TB→ SL→
Pluchino [41]	Balance game	60 min, 2/wk, 8 wk	Tai Chi	BA: FES, TUG, OLS, FRT, TB, SL PIA: FES, TUG, OLS, FRT, TB, SL	FES→ TUG→ OLS→ FRT→ TB→ SL→
Reed-Jones [31]	Agility training Visual training	90 min, 2/wk, 12 wk	ACSM exercises for elderly	BA: FRT, TUG DA (6-week): FRT, TUG PIA: FRT, TUG	FRT→ TUG→
Reed-Jones [31]	ACSM exercises for elderly	90 min, 2/wk, 12 wk	ACSM exercises for elderly	BA: FRT, TUG DA (6-week): FRT, TUG PIA: FRT, TUG	FRT→ TUG→
Reed-Jones [31]	Agility training Visual training	90 min, 2/wk, 12 wk	ACSM exercises for elderly Agility training	BA: FRT, TUG DA (6-week): FRT, TUG PIA: FRT, TUG	FRT→ TUG→
Reed-Jones [31]	ACSM exercises for elderly	90 min, 2/wk, 12 wk	ACSM exercises for elderly Agility training	BA: FRT, TUG DA (6-week): FRT, TUG PIA: FRT, TUG	FRT→ TUG→
Schoene [32]	Stepping game	20 min, 3/wk, 16 wk	Home exercise	BA: Icon-FES, TUG PIA: Icon-FES, TUG FUA (6-month): number of fallers	Number of fallers→ Icon-FES↑ TUG↑
Stanmore [21]	Exergame	30 min, 3/wk, 12 wk	S & B exercises	BA: BBS, FES-I, TUG PIA: BBS, FES-I, TUG FUA (3-month): FI (includes the number of falls and fallers)	BBS↑ FES-I↑ TUG→ FI↑
Stanmore [21]	S & B exercise	30 min, 3/wk, 12 wk	S & B exercises		BBS↑ FES-I↑ TUG→ FI↑
Toulotte [43]	Sport game	60 min, 1/wk, 20 wk	Adapted physical training	BA: UT, TB, COG PIA: UT, TB, COG	UT↓ TB↓ COG↑
Toulotte [43]	Adapted physical activities Sport game	60 min, 1/wk, 20 wk	Adapted physical training	BA: UT, TB, COG PIA: UT, TB, COG	UT↓ TB↓ COG↑
Yang [38]	Exergame	45 min, 2/wk, 5 wk	Balance training	BA: TUG, FRT, OLS PIA: TUG, FRT, OLS	TUG→ FRT↑ OLS→
Yeşilyaprak [4]	Balance exercise	35–45 min, 3/wk, 6 wk	Balance exercises	BA: BBS, TUG, OLS, FES-I PIA: BBS, TUG, OLS, FES-I	BBS→ TUG→ OLS→ FES-I→

ACSM The American College of Sports Medicine, S & B strength and balance, min minute(s), d day(s), wk week(s), BA baseline assessment, DA during assessment, PIA post-intervention assessment, FUA follow-up assessment, FES-I The Falls Efficacy Scale International, FES Falls Efficacy Scale, BBS Berg Balance Scale, TUG timed up and go, OLS one-leg stance, FF fall frequency, FI fall incidence, FRT functional reach test, TB Tinetti balance, SL sway length, SS sway speed

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ISSN: 1743-0003

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