Exergames in people with major neurocognitive disorder: a systematic review.

Disability and Rehabilitation. Assistive Technology
Nathalie SwinnenDavy Vancampfort

Abstract

To systematically evaluate the efficacy of exergames in individuals with major neurocognitive disorder. PubMed, EMBASE and PEDro were systematically searched from inception until October 2019 for randomised and clinical controlled trials. Methodological quality of the trials was assessed with the PEDro rating scale or Risk of Bias in Nonrandomised Studies of Interventions-I (ROBINS-I), when appropriate. Grading of Recommendations Assessments, Development and Evaluation (GRADE) was used to assess the overall quality of the evidence. Eight trials, all of moderate to high methodological quality (i.e., PEDro score of 6 or higher or a Robins-I moderate quality score) were included. The overall quality of evidence was moderate to high according to the GRADE criteria. Improvements in gait, mobility and balance and beneficial effects on activities of daily living performance, cognitive function, fear of falls, quality of life and mood following exergaming were reported. Heterogeneity in outcome measures, intervention characteristics and included participants precluded a meta-analysis. The current literature is of moderate to high quality and demonstrates that exergames have a wide range of physical and mental benefits in people with ma...Continue Reading

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Sep 24, 2020·Disability and Rehabilitation·Nathalie SwinnenDavy Vancampfort

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