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Game-based balance training in older adults: systematic review and meta-analysis

2026-06-15Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
datacite.subject.sdg10:Reduzir as Desigualdades
dc.contributor.authorTome, Ana Maria
dc.contributor.authorCastro, Sílvia
dc.contributor.authorRosa, Marlene
dc.contributor.authorTomás, Maria Teresa
dc.contributor.authorde Almeida Fontes, Ana Paula
dc.contributor.authorPais, Sandra
dc.date.accessioned2026-07-06T10:25:14Z
dc.date.available2026-07-06T10:25:14Z
dc.date.issued2026-06-15en_US
dc.date.updated2026-07-04T14:44:55Z
dc.description.abstractFunctional decline in older adults is a major contributor to both falls and increased fall risk. Nevertheless, such decline may be mitigated through multidimensional interventions. Game-based and gamified interventions have emerged as promising alternative strategies. This study aimed to evaluate the effectiveness of these approaches in improving balance and reducing fall risk among community-dwelling adults aged 65 years and over. The research question was: Do serious games and gamification improve balance and reduce fall risk in community-dwelling older adults, compared with exercise programmes, non-gamified interventions, or control conditions? A systematic search of randomised controlled trials was conducted in accordance with PRISMA guidelines, resulting in the inclusion of nine studies from 634 records screened. Meta-analysis demonstrated significant improvements in the Functional Reach Test and the Berg Balance Scale. However, no significant overall effects were observed for the Timed Up and Go Test or the Single-Leg Stance Test. Although game-based interventions may improve specific dimensions of balance in community-dwelling older adults, the findings should be interpreted with caution. The limited number of studies, small sample sizes, heterogeneity of interventions, and reliance on balance-related surrogate outcomes rather than direct measures of fall incidence highlight the need for further high-quality researcheng
dc.description.sponsorshipUID/05704/2025
dc.description.versionN/A
dc.identifier.doi10.17083/w2h3h873en_US
dc.identifier.issn2384-8766
dc.identifier.slugcv-prod-5064890
dc.identifier.urihttp://hdl.handle.net/10400.1/29213
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSerious Games Society
dc.relation.ispartofseries93; 122
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectOlder adults
dc.subjectGames
dc.subjectFall prevention
dc.subjectPlayful interventions
dc.subjectGamification
dc.subjectBalance
dc.titleGame-based balance training in older adults: systematic review and meta-analysiseng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue3
oaire.citation.titleInternational Journal of Serious Gamesen_US
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTome
person.familyNameCastro
person.familyNamede Almeida Fontes
person.givenNameAna Maria
person.givenNameSílvia
person.givenNameAna Paula
person.identifier.ciencia-id6E12-B4BA-87AF
person.identifier.orcid0000-0003-0122-8579
person.identifier.orcid0000-0003-0265-7789
person.identifier.orcid0000-0002-4431-5229
rcaap.cv.cienciaid6E12-B4BA-87AF | Ana Paula de Almeida Fontes
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublication6f1a232d-9ce1-4c5f-80e5-64ade2dabaaa
relation.isAuthorOfPublication07e612d9-3f00-4b11-8fb3-75b567a9709b
relation.isAuthorOfPublication00fe72a3-c82a-4726-bd5d-efeb7fb59650
relation.isAuthorOfPublication.latestForDiscovery6f1a232d-9ce1-4c5f-80e5-64ade2dabaaa

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