Cai Xiaowan, Xu Liya, Zhang Hanyue, Sun Tingting, Yu Jingjing, Jia Xiao, Hou Xiao, Sun Ruizhe, Pang Jian
Faculty of Sports and Human Sciences, Beijing Sports University, Beijing, China.
Key Laboratory of Sports and Physical Health, Ministry of Education, Beijing, China.
Front Neurol. 2024 Jul 16;15:1424390. doi: 10.3389/fneur.2024.1424390. eCollection 2024.
Exergames are an innovative method that can promote neuroplasticity and improve the cognitive abilities of the elderly. This study aimed to compare the effects of single-task and multi-task exergames on the cognitive ability of the elderly with mild cognitive impairment (MCI).
Computerized literature search was performed using PubMed, Web of Science, EBSCO, Elsevier, ProQuest, China National Knowledge Infrastructure (CNKI), Wanfang and VIP database to identify relevant articles from the establishment of the database from inception to April 1, 2024. The inclusion criteria were: (i) participants aged 60 or older diagnosed with mild cognitive impairment, regardless of gender; (ii) use of randomized controlled trials (RCTs); (iii) interventions involving exergames with physical activity or as the primary variable; and (iv) outcome measures using standardized neuropsychological instruments to assess cognitive function, including statistical data on sample size, mean, and standard deviation. Finally, the included study comprised a total of 526 participants. Mean difference (MD) and 95% confidence interval (CI) were used to synthesize the effect size in the data.
11 studies were included. Due to the differences in the intervention methods, subgroup analysis was performed on the included research. Compared with the control group assessed by the Montreal Cognitive Assessment Scale, the single-task intervention improved the cognitive ability of the elderly with MCI (MD 3.40, 95% CI 2.43-4.37), the Mini-Mental State Examination Scale (MD 2.38, 95% CI -2.03 to 2.72), the Trail Making Test (MD -3.89, 95% CI -6.45 to -1.33), and the Digit Span Forward test (MD 1.16, 95% CI 0.73-1.60).
This meta-analysis supports that exergames could be an effective cognitive rehabilitation method for MCI patients. Our study recommends that patients implement a customized exergames program and adhere to it for a long time. It is necessary to pay attention to the exercise guidelines and provide evidence from clinicians.
(1) This meta-analysis supports that exergames could be an effective cognitive rehabilitation method for MCI patients. Our study recommends that patients implement a customized exergames program and adhere to it for a long time. It is necessary to pay attention to the exercise guidelines and provide evidence from clinicians. (2) This research provides preliminary evidence for the clinical utility of VR tasks developed for mild cognitive impairment. (3) In this paper, only relevant studies in Chinese and English were searched, and no studies in other languages were searched.
运动游戏是一种能够促进神经可塑性并提高老年人认知能力的创新方法。本研究旨在比较单任务和多任务运动游戏对轻度认知障碍（MCI）老年人认知能力的影响。
使用PubMed、科学网、EBSCO、爱思唯尔、ProQuest、中国知网、万方和维普数据库进行计算机化文献检索，以识别从数据库建立之初到2024年4月1日的相关文章。纳入标准为：（i）年龄在60岁及以上且被诊断为轻度认知障碍的参与者，不分性别；（ii）使用随机对照试验（RCT）；（iii）涉及以身体活动或运动游戏为主要变量的干预措施；（iv）使用标准化神经心理学工具评估认知功能的结果指标，包括样本量、均值和标准差的统计数据。最后，纳入的研究共有526名参与者。使用均值差（MD）和95%置信区间（CI）来综合数据中的效应量。
纳入11项研究。由于干预方法存在差异，对纳入的研究进行了亚组分析。与通过蒙特利尔认知评估量表评估的对照组相比，单任务干预提高了MCI老年人的认知能力（MD 3.40，95% CI 2.43 - 4.37）、简易精神状态检查表（MD 2.38，95% CI -2.03至2.72）、连线测验（MD -3.89，95% CI -6.45至 -1.33）以及数字广度顺背测验（MD 1.16，95% CI 0.73 - 1.60）。
这项荟萃分析支持运动游戏可能是MCI患者有效的认知康复方法。我们的研究建议患者实施定制的运动游戏计划并长期坚持。有必要关注运动指南并提供临床医生的证据。
（1）这项荟萃分析支持运动游戏可能是MCI患者有效的认知康复方法。我们 的研究建议患者实施定制的运动游戏计划并长期坚持。有必要关注运动指南并提供临床医生的证据。（2）本研究为针对轻度认知障碍开发的虚拟现实任务的临床实用性提供了初步证据。（3）在本文中，仅检索了中文和英文的相关研究，未检索其他语言的研究。
