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Do active video games improve motor function in people with developmental disabilities? A meta-analysis of randomized controlled trials
Hocking, Darren R. Farhat, Hassan Gavrila, Rebeca Caeyenberghs, Karen Shields, Nora
Hocking, Darren R.
Farhat, Hassan
Gavrila, Rebeca
Caeyenberghs, Karen
Shields, Nora
Abstract
Objective To conduct a meta-analysis to examine the effectiveness of active video games (AVGs) interventions on motor function in people with developmental disabilities. Data Sources An electronic search of 7 databases (PubMed, EbscoHost, Informit, Scopus, ScienceDirect, Proquest, PsychInfo) was conducted for randomized controlled trials (RCTs) evaluating AVGs to improve motor function in people with developmental disability, published through to May 2018. Study Selection Only articles in a peer-reviewed journal in English were selected and screened by 2 independent reviewers for RCTs that compared AVGs to conventional therapy. Twelve RCTs involving 370 people with developmental disabilities met the inclusion criteria for quantitative analysis. Data Extraction Two independent reviewers assessed risk of bias and study quality using the Egger’s R, grading of recommendation, assessment, development and evaluation, and Template for Intervention Description and Replication checklists. Data Synthesis Three meta-analyses revealed a large effect size for AVGs to improve gross motor skills (Hedges’ g=0.833, 95% confidence interval [95% CI]=0.247-1.420), small to medium effects for balance (g=0.458, 95% CI=0.023-0.948), and a small, nonsignificant effect for functional mobility (g=0.425, 95% CI= −0.03 to 0.881). Training frequency (ie, number of sessions per week) moderated the effect of AVGs on motor function in people with developmental disabilities. Conclusion We conclude that AVGs show task-specific effectiveness for gross motor skills but the effects are moderated by training intensity. However, because of the low number of trials, diverse diagnoses, variable dosage, and multiple outcome measures of the included trials, these results need to be interpreted with caution.
Keywords
developmental disabilities, exercise, gait, movement, posture, randomized controlled trial, rehabilitation
Date
2019
Type
Journal article
Journal
Archives of Physical Medicine and Rehabilitation
Book
Volume
100
Issue
4
Page Range
769-781
Article Number
ACU Department
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
File Access
Controlled