Background exergaming-based interventions (EbIs) have been proposed to improve older adults’ mobility and balance performance. However, the effectiveness of such interventions for older adults with Parkinson’s disease (OAPD) remains unclear. Methods seven databases (Web of Science, Medline, Academic Search Premier, CINAHL Complete, PsycINFO, PsychARTICLE and PubMed) were searched up to 7 April 2022. We assessed mobility and balance performance between EbIs groups and control groups or traditional physical training interventions (TPTIs) groups by comparing the outcomes of the Timed Up and Go (TUG), 6-Minute Walk Test (6MWT), Berg Balance Scale (BBS), gait velocity, stride length and Functional Gait Assessment (FGA). Results we scanned 1,190 articles and meta-analysed 19 trials (sample size = 781). In general, the results revealed statistical differences between EbIs groups and TPTIs groups in the TUG [mean difference (MD) = −1.030 s; 95% confidence interval (CI) = −2.029 to −0.031; P = 0.043; high quality of evidence], 6MWT (MD = 63.483 m; 95% CI = 9.542 to 117.425; P = 0.021; moderate quality of evidence), BBS (MD = 2.129; 95% CI = −1.293 to 2.965; P < 0.001; high quality of evidence) and FGA (MD = 2.099 95% CI = −0.306 to 3.893; P = 0.022; moderate quality of evidence). No significant difference was discovered between EbIs groups and TPTIs groups in enhancing gait velocity and stride length. Conclusions EbIs are statistically better than TPTIs in improving OAPD’s performance in TUG, 6MWT, BBS and FGA, whereas only the change between EbIs and TPTIs in 6MWT can reach the value of minimal clinically important difference. Further studies are needed to better assess the effectiveness of exergaming-based interventions.

中文翻译：

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基于运动游戏的干预措施对患有帕金森病的老年人的活动能力和平衡能力的有效性：随机对照试验的系统评价和荟萃分析

已提出基于运动游戏的背景干预 (EbIs) 来改善老年人的活动能力和平衡能力。然而，此类干预措施对患有帕金森病 (OAPD) 的老年人的有效性仍不清楚。方法 搜索截至 2022 年 4 月 7 日的七个数据库（Web of Science、Medline、Academic Search Premier、CINAHL Complete、PsycINFO、PsychARTICLE 和 PubMed）。我们评估了 EbIs 组和对照组或传统体育训练干预（TPTIs）之间的活动性和平衡性能) 通过比较计时起步 (TUG)、6 分钟步行测试 (6MWT)、Berg 平衡量表 (BBS)、步态速度、步幅长度和功能步态评估 (FGA) 的结果进行分组。结果我们扫描了 1,190 篇文章并对 19 项试验进行了荟萃分析（样本量 = 781）。一般来说，结果揭示了 TUG 中 EbIs 组和 TPTIs 组之间的统计差异 [平均差 (MD) = −1.030 s；95% 置信区间 (CI) = −2.029 至 −0.031；P = 0.043；高质量证据]，6MWT（MD = 63.483 m；95% CI = 9.542 至 117.425；P = 0.021；证据质量中等），BBS（MD = 2.129；95% CI = −1.293 至 2.965；P < 0.001 ；证据质量高）和 FGA（MD = 2.099 95% CI = −0.306 至 3.893；P = 0.022；证据质量中等）。EbIs 组和 TPTIs 组在提高步态速度和步幅方面没有发现显着差异。结论 EbIs 在改善 TUG、6MWT、BBS 和 FGA 中 OAPD 性能方面在统计学上优于 TPTIs，而只有 EbIs 和 TPTIs 在 6MWT 中的变化才能达到最小临床重要差异值。