Rüth Marco, Schmelzer Mona, Burtniak Kateryna, Kaspar Kai
Department of Psychology, University of Cologne, Cologne, Germany.
Front Psychol. 2023 Jun 2;14:1155569. doi: 10.3389/fpsyg.2023.1155569. eCollection 2023.
Commercial exergames are widely available tools that can support physical rehabilitation at home. However, the effects of the unsupervised use of commercial exergames in home environments are not yet clear. Hence, we provide a systematic review on the effects of unsupervised commercial exergaming at home on adults' physical health (RQ1) and quality of life (RQ2). We also scrutinize adults' experiences with exergaming at home regarding participant support, adherence, and adverse outcomes (RQ3).
We searched Web of Science, PsycINFO, PubMed, Embase, and CINAHL for peer-reviewed randomized controlled trials with adults in need of rehabilitation. Overall, 20 studies (1,558 participants, 1,368 analyzed) met our inclusion criteria. The quality of evidence was assessed with the Cochrane risk of bias tool.
Effects of unsupervised commercial exergaming at home on physical health were higher in seven studies and similar in five studies regarding the respective comparison or control conditions; eight studies reported non-significant findings. Of the 15 studies that also examined effects on quality of life, improvements were higher in seven studies and similar in two studies regarding the respective comparison or control conditions; results were non-significant in six studies. Participant support consisted of setup of the exergaming system, instructions, training, and contact with participants. Adherence was high in eight studies, moderate in six studies, and low in one study. Adverse outcomes related to exergaming were found in four studies and were at most moderate. Concerning the quality of evidence, six studies were related to a high risk of bias due to outcome reporting bias or ceiling effects in the primary outcome. Additionally, 10 studies yielded some concerns, and four studies were related to a low risk of bias.
This systematic review summarizes promising evidence that the unsupervised use of commercial exergames can support and complement rehabilitation measures in home environments. Still, future studies based on larger samples and using more recent commercial exergames are needed to obtain more high-quality evidence on the effects of different exercise prescriptions. Overall, considering the necessary precautions, the unsupervised use of commercial exergames at home can improve the physical health and quality of life in adults with needs for physical rehabilitation.
https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022341189, identifier: PROSPERO, Registration number: CRD42022341189.
商业健身游戏是广泛可用的工具，可支持家庭中的身体康复。然而，在家庭环境中无监督使用商业健身游戏的效果尚不清楚。因此，我们对在家中无监督使用商业健身游戏对成年人身体健康（研究问题1）和生活质量（研究问题2）的影响进行了系统综述。我们还仔细研究了成年人在家中进行健身游戏时在参与者支持、依从性和不良后果方面的体验（研究问题3）。
我们在Web of Science、PsycINFO、PubMed、Embase和CINAHL中搜索了针对有康复需求的成年人的同行评审随机对照试验。总体而言，20项研究（1558名参与者，1368名进行分析）符合我们的纳入标准。使用Cochrane偏倚风险工具评估证据质量。
在七项研究中，在家中无监督使用商业健身游戏对身体健康的影响更高，在五项研究中与各自的比较或对照条件相似；八项研究报告了无显著结果。在还研究了对生活质量影响的15项研究中，七项研究中改善更高，两项研究中与各自的比较或对照条件相似；六项研究结果无显著差异。参与者支持包括健身游戏系统的设置、指导、培训以及与参与者的联系。八项研究中的依从性较高，六项研究中的依从性中等，一项研究中的依从性较低。四项研究中发现了与健身游戏相关的不良后果，且至多为中等程度。关于证据质量，六项研究因主要结局中的结局报告偏倚或天花板效应而存在高偏倚风险。此外，10项研究存在一些担忧，四项研究存在低偏倚风险。
本系统综述总结了有前景的证据，即无监督使用商业健身游戏可以支持和补充家庭环境中的康复措施。不过，仍需要基于更大样本并使用更新的商业健身游戏的未来研究，以获得关于不同运动处方效果的更多高质量证据。总体而言，考虑到必要的预防措施，在家中无监督使用商业健身游戏可以改善有身体康复需求的成年人的身体健康和生活质量。
