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

2026-06Artigo científico Acesso aberto
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorTomé, Ana
dc.contributor.authorCastro, Silvia
dc.contributor.authorRosa, Marlene
dc.contributor.authorTomás, Maria Teresa
dc.contributor.authorFontes, Ana Paula
dc.contributor.authorPais, Sandra
dc.date.accessioned2026-07-09T08:38:27Z
dc.date.available2026-07-09T08:38:27Z
dc.date.issued2026-06
dc.descriptionThis work was funded by national funds through FCT – Fundação para a Ciência e a Tecnologia, I.P., Centro de Inovação em Tecnologias e Cuidados de Saúde (Citechare) under the reference UID/05704/2025, DOI: 10.54499/UID/05704/2025.
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 research.eng
dc.description.sponsorshipThis work was supported by FCT - Fundação para a Ciência e Tecnologia, I.P. by project reference "UID/05704/2025" and DOI identifier https://doi.org/10.54499/UID/05704/2025.
dc.identifier.citationTomé A, Castro S, Rosa M, Tomás MT, Fontes AP, Pais S. Game-based balance training in older adults: systematic review and meta-analysis. Int J Serious Games. 2026;13(3):93-122.
dc.identifier.doi10.17083/w2h3h873
dc.identifier.issn2384-8766
dc.identifier.urihttp://hdl.handle.net/10400.21/22966
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSerious Games Society
dc.relation.hasversionhttps://journal.seriousgamessociety.org/index.php/IJSG/article/view/1333
dc.relation.ispartofInternational Journal of Serious Games
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectPhysiotherapy
dc.subjectRehabilitation
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.endPage122
oaire.citation.issue3
oaire.citation.startPage93
oaire.citation.titleInternational Journal of Serious Games
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameTomás
person.givenNameMaria Teresa
person.identifier438585
person.identifier.ciencia-id3010-19D6-C7A5
person.identifier.orcid0000-0003-0491-8903
person.identifier.ridN-1940-2013
person.identifier.scopus-author-id36700434200
relation.isAuthorOfPublication64ad74a4-4cd4-426e-a1ee-2ec846fdc6dd
relation.isAuthorOfPublication.latestForDiscovery64ad74a4-4cd4-426e-a1ee-2ec846fdc6dd

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