Guede-Rojas Francisco, Andrades-Torres Bárbara, Aedo-Díaz Natalia, González-Koppen Constanza, Muñoz-Fuentes Mirkko, Enríquez-Enríquez Diego, Carvajal-Parodi Claudio, Mendoza Cristhian, Alvarez Cristian, Fuentes-Contreras Jorge
Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile.
School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Concepción, Chile.
Disabil Rehabil. 2025 Mar;47(5):1100-1113. doi: 10.1080/09638288.2024.2368057. Epub 2024 Jun 15.
To analyze the effects of exergames on rehabilitation outcomes in osteoarthritis (OA) patients.
A systematic review was reported according to the PRISMA statement. Randomized controlled trials (RCTs) were searched in Pubmed, Scopus, WoS, CINAHL, and PEDro (inception to November 2023). Studies that applied non-immersive exergames and assessed physical, functional, cognitive, pain, and psychosocial outcomes were included. Comparisons were other exercise modalities and non-intervention. Methodological quality was assessed with PEDro scale, and risk of bias (RoB) was assessed with Cochrane RoB-2 tool.
Eight studies were included (total of participants = 401). The mean PEDro score was 6.1, and seven studies had high RoB. Seven studies involved knee OA and one cervical OA. The most frequent duration for interventions was four weeks. Exergames were more effective than controls in at least one outcome in all studies. The outcomes for which exergames were most effective were functional disability, postural balance, muscle strength, proprioception, gait, range of motion, pain, quality of life, depression, and kinesiophobia.
Non-immersive exergames constitute an effective strategy for optimizing several relevant outcomes in rehabilitation. However, more RCTs with high methodological quality are required to deepen the knowledge about the multidimensional effects of exergames in OA patients.
分析运动游戏对骨关节炎（OA）患者康复结局的影响。
根据PRISMA声明进行系统综述。在Pubmed、Scopus、WoS、CINAHL和PEDro（创刊至2023年11月）中检索随机对照试验（RCT）。纳入应用非沉浸式运动游戏并评估身体、功能、认知、疼痛和心理社会结局的研究。对照为其他运动方式和无干预。采用PEDro量表评估方法学质量，用Cochrane RoB - 2工具评估偏倚风险（RoB）。
纳入八项研究（参与者总数 = 401）。PEDro平均得分为6.1，七项研究存在高RoB。七项研究涉及膝骨关节炎，一项涉及颈椎骨关节炎。干预的最常见时长为四周。在所有研究中，运动游戏在至少一项结局上比对照组更有效。运动游戏最有效的结局为功能障碍、姿势平衡、肌肉力量、本体感觉、步态、活动范围、疼痛、生活质量、抑郁和运动恐惧。
非沉浸式运动游戏是优化康复中多项相关结局的有效策略。然而，需要更多方法学质量高的随机对照试验来加深对运动游戏在骨关节炎患者中多维效应的认识。
