Sultana Munira, Bryant Dianne, Orange J B, Beedie Taylor, Montero-Odasso Manuel
Health and Rehabilitation Sciences, Western University, London, ON, Canada.
School of Physical Therapy and Schulich School of Medicine and Dentistry (Orthopaedic Surgery), Western University; Health Research Methods, Evidence and Impact, McMaster University; Lawson Health Research Institute, London, ON, Canada.
J Alzheimers Dis. 2020;75(3):817-826. doi: 10.3233/JAD-191301.
Exercise is beneficial to maintain balance. Wii Fit©, a video game-based exercise, offers an enjoyable way to exercise and is feasible for older adults with neurocognitive disorders (NCD).
To evaluate the effects of Wii Fit© exercise training on the balance of older adults with NCD.
Systematic review and meta-analysis of randomized control trials using Cochrane collaboration tools. The participants were older adults (60 years and over) with NCD. Balance was measured with Berg Balance Scale (BBS) and Timed Up and Go (TUG). Two reviewers independently searched, selected, extracted data, assessed risk of biases, and determined the quality of evidence. Outcomes were evaluated using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). A meta-analysis was performed.
The literature search identified 522 source documents of which titles and abstracts were reviewed for 428 after removing 94 duplicates. The reviewers selected five studies out of 50 after a full text review. The overall effect of Wii Fit© exercise training on BBS was moderate, significant, and clinically meaningful (standardized mean difference [SMD] = 0.5 standard deviation [SD] [95% confidence interval CI] 0.08, 0.84]). No effect was observed with TUG scores (SMD = 0.00 SD [95% CI -0.44, 0.44]). The GRADE quality of evidence was very low.
Wii Fit© exercise training has a positive effect on balance in older adults with NCD. However, further research with sufficient power is needed to evaluate its effectiveness.
运动有益于维持平衡。Wii Fit©是一款基于视频游戏的运动方式，为锻炼提供了一种有趣的途径，对于患有神经认知障碍（NCD）的老年人来说是可行的。
评估Wii Fit©运动训练对患有NCD的老年人平衡能力的影响。
使用Cochrane协作工具对随机对照试验进行系统评价和荟萃分析。参与者为60岁及以上患有NCD的老年人。采用伯格平衡量表（BBS）和计时起立行走测试（TUG）来测量平衡能力。两名评价者独立进行检索、筛选、提取数据、评估偏倚风险并确定证据质量。使用推荐分级的评估、制定与评价（GRADE）对结果进行评估。进行荟萃分析。
文献检索共识别出522篇来源文献，去除94篇重复文献后，对其中428篇文献的标题和摘要进行了审查。在全文审查后，评价者从50篇文献中选出了5项研究。Wii Fit©运动训练对BBS的总体影响为中度、显著且具有临床意义（标准化均数差[SMD]=0.5标准差[SD][95%置信区间CI 0.08, 0.84]）。TUG评分未观察到效果（SMD=0.00 SD[95%CI -0.44, 0.44]）。证据的GRADE质量非常低。
Wii Fit©运动训练对患有NCD的老年人的平衡能力有积极影响。然而，需要进一步开展有足够效力的研究来评估其有效性。
