Exergames in Older Adult Community Centers and Nursing Homes to Improve Balance and Minimize the Risk of Falls in Older Adults: A Systematic Review and Meta-Analysis

Author:

Leal José Carlos12,Belo Vinícius Silva1ORCID,Santos Ingrid Morselli3,Ferreira Rodrigo Vinícius12,de Melo Saulo Nascimento1ORCID,da Silva Eduardo Sérgio1ORCID

Affiliation:

1. Graduate Program in Health Sciences, Federal University of São João Del Rei, CCO Campus, Divinópolis 35501-296, Minas Gerais, Brazil

2. Physical Education Course, University Center of Formiga, Formiga 35574-530, Minas Gerais, Brazil

3. Medicine Course, Federal University of São João Del Rei, CCO Campus, Divinópolis 35501-296, Minas Gerais, Brazil

Abstract

There is a substantial gap in our knowledge regarding the efficacy of exergames on the reduction of fall risk in older adults. This systematic review analyzes the findings of clinical trials describing the efficacy of exergames to improve balance or reduce the risk of falls in individuals above 60 years of age who are residents in community centers or nursing homes. We searched Google Scholar, PubMed, and Embase up to January 2023. Initially, 52,294 records were screened. After applying the inclusion and exclusion criteria, 20 studies were included in this systematic review. Meta-analyses revealed statistically significant reductions in the risk of falls and improvements in balance. Exergaming tended to produce positive benefits according to the results obtained using different instruments (TUG, PPA, BBS, and others), control groups, and times of intervention. Nevertheless, a substantial proportion of studies exhibited a high risk of bias and only one had a long follow-up period. Although a large body of evidence supports the view that exergaming is suitable for reducing fall risk and improving balance in older adults, some gaps remain in our knowledge about such benefits.

Funder

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil

Federal University of São João del Rei

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

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