Effect of exergames on physical outcomes in frail elderly: a systematic review
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REVIEW
Effect of exergames on physical outcomes in frail elderly: a systematic review Lufang Zheng1 · Guichen Li1 · Xinxin Wang2 · Huiru Yin1 · Yong Jia1 · Minmin Leng1 · Hongyan Li2 · Li Chen1,3 Received: 1 April 2019 / Accepted: 30 August 2019 © Springer Nature Switzerland AG 2019
Abstract Aim The aim of this systematic review was to understand the exergames that can be applied to the pre-frail and frail elderly people, to evaluate whether these games have a positive impact on physical outcomes in pre-frail and frail older adults, and to explore userʼs subjective feelings and compliance. Methods PubMed, EMBASE, CINAHL, Web of Science, and the Cochrane Library were searched until January 15, 2019. Only randomized controlled trials published in English for human beings were eligible. The review included studies which examined the effects of exergames on physical outcomes, feasibility and/or subjective feelings of pre-frail and frail older adults. Two researchers assessed the risk bias of all articles independently using the Cochrane collaboration’s tool for assessing risk of bias. Results Seven randomized controlled trials with 243 pre-frail and frail older adults met inclusion criteria and were included in this review. Results of the studies were heterogeneous. Physical outcomes (included muscle strength, balance ability, mobility function, gait and falls), subjective feeling outcomes, feasibility, attendance and some other functional outcomes were reported. Conclusion Exergames improved balance and mobility function of frail elderly, and it showed a tendency to increase muscle strength when combined with resistance training. As far as the limited evidence was concerned, exergames were feasible and generally accepted by participants. Keywords Exergame · Frail elderly · Balance ability · Mobility function · Systematic review
Introduction Frailty is a complex geriatric syndrome resulting from the decline of multiple organ system function characterized by decreasing muscle strength, endurance and physiological
Lufang Zheng and Guichen Li contributed equally to this work. * Hongyan Li [email protected] * Li Chen [email protected] 1
School of Nursing, Jilin University, No. 965 Xinjiang Street, Changchun 130021, Jilin, China
2
The First Hospital of Jilin University, No. 71 Xinmin Street, Changchun 130021, Jilin, China
3
Department of Pharmacology, College of Basic Medical Sciences, Jilin University, Changchun, China
function [1]. Senior people in a state of frailty is vulnerable to increase the risk of adverse events such as fall, hospitalization, disability, even dying, when subjected to disturbance of internal and external environment [2, 3], threatening the quality of life of the elderly. As a result, it becomes an important public health concerns and undoubtedly places an additional burden on public health expenditure and caregivers [4]. Therefore, it is urgent to find efficacious, feasible, and economic interventions to prevent or retard frailty to avoid or reduce the adverse events and
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