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. 2022 Oct 31;8:20552076221132099. doi: 10.1177/20552076221132099

Appendix D.

The reviewed studies and information.

Study Setting QoL domains Functions Participants Apparatus Outcomes
1 140 Training Physical (multimodal, physical–cognitive) Not specific 22 healthy older adults Non-immersive VR-based bicycle training The VR with cognitive exercise (solving simple puzzles and hitting targets based on the answer) can break the negative link between perception of time spent exercising and performance.
2 125 Training Cognitive Memory, attention, and categorization 12 older adults Tabletop-based AR (mini-games) The prototype proved able to provide a pleasant social cognitive training because of its simplicity.
3 124 Training Cognitive Attention reducing cognitive load 12 older drivers, & 12 younger drivers In-car AR simulator system—AR-based windshield display Significant reduction in navigation errors and distraction-related measures compared to a typical in-car navigation display for older drivers.
4 141 Training Cognitive Spatial abilities (Wayfinding) 32 older adults 5 and 30 younger adults. Immersive VR system
projection-based VR
Participants exhibited significantly more successes in a VR environment with more wayfinding cues.
5 123 Rehabilitation Physical Muscular strength
movements
5 older adults and 16 younger adults. Handheld VR mobile games, bowling and penguin toss
iPad – iPhone gesture-based games
The mobile games are an effective means for performing range of physical exercises for older adult and more enjoyable.
6 126 Training Cognitive Attention concentration, processing speed
memory
43 older adults Desktop VR based game The use of videogames leads to the improvement of cognitive functioning and quality of life of elderly people.
7 127 Rehabilitation Cognitive Daily living activities 10 older adults Non-immersive VR system VR with learning methods hold promise for improving the performance of everyday actions in both healthy elderly and Alzheimer's disease patients.
8 142 Rehabilitation Physical Not specific 19 older adults Motion-based exergame Physical activity was significantly greater for all game conditions compared with the rest.
9 81 Training Physical
psychological
Gait
balance
falls efficacy (confidence)
21 older adults AR-based physical exercise AR-based Otago exercise is effective for improving balance, gait, and falls efficacy of elderly women.
10 82 Training Cognitive Attention
(driving performance)

24 individuals
18 to 75 years of age
In-car AR simulator system  The in-car AR system was useful in helping older adults to avoid collision, and more effective for older than younger drivers to encourage safe driving.
11 83 Training Cognitive Attention (driving performance) 20 older adults In-car AR simulator system The in-car AR system cues show promise for improving elderly driver safety by increasing hazard detection.
12 84 Training Physical
cognitive
(multimodal, physical–cognitive)
Balance cognitive load 57 older adults Motion-based exergame For users who are at risk of falling, the slowing down in reaction time due to cognitive load is much larger than for users who are not at risk of falling.
13 108 Rehabilitation Physical Balance
confidence
60 older adults Immersive VR exergame
HMD (BRU)
Microsoft-Kinect
BRU-training is an effective intervention to improve balance, increase confidence, and prevent falls in the elderly.
14 85 Training Physical Balance One male 67 years of age Motion-based exergame VR-based training program system is much helpful to the improvement of balance ability, and certainly to the prevention of falling.
15 118 Healthcare Social Interaction 5 older adults AR assistive Technology AR assistive technology makes the usage of a medical drug dispenser (pillbox) easier for elderly people
16 86 Training Cognitive Attention 64 older adults In-car AR simulator
system
In-car (AR) system have positive impact for elderly drivers with gap estimation.
17 107 Rehabilitation Physical
psychological
Mobility
balance
confidence
17 older adults Desktop VR-based game PC based VR exergames have the potential to improve mobility and increase confidence, thus, exergames can potentially reduce the risk of falling in older adults.
18 87 Training Physical Balance
muscular strength
24 older adults Motion-based exergame
motion detection sensor
VR exergame developed in this study was effective in improving muscular strength of lower extremities, not the balance.
19 128 Healthcare Social Interaction 48 older adults AR assistive technology AR assistive technology & tablet have the potential to promote social interaction and QoL.
20 135 Rehabilitation Physical Balance
Mobility
18 older adults AR-based 3D system This system can enhance balance and mobility in healthy elderly people.
21 109 Rehabilitation Physical
psychological social
Balance
gait
depression
interpersonal relationship
40 older adults Motion-based exergame VR training effectively improved balance, gait abilities, depression, and interpersonal relationships among stroke patients.
22 88 Training Physical Balance
gait
30 older adults Motion-based exergame VR game exercise may improve the balance and gait of elderly individuals in communities.
23 89 Training Physical Balance
gait
muscular strength
57 older adults Motion-based exergame motion detection sensor Kinect-based exergame is effective in improving walking, muscular strength, and balance in elderly people.
24 90 Training Cognitive
psychological
Mental rotation ability
enjoyment
28 older adults AR-based 3D system
hologram
AR-3D training system improved the mental rotation ability. Almost all said that the training was enjoyable.
25 117 Healthcare Cognitive Cognitive health screening 13 older adults Handheld AR game Handheld AR game is a promising tool for cognitive health screening.
26 116 Rehabilitation Psychological Falls efficacy (confidence) 16 older adults Immersive VR exergame
HMD
VR therapy is an effective treatment for fear of falling syndrome.
27 110 Rehabilitation Physical Balance 23 older adults Motion-based exergame Home-based VR balance training and conventional home balance training. equally effective in improving balance, walking, and quality of life among community-dwelling patients with PD.
28 91 Training Cognitive Memory
spatial abilities
 40 older adults Desktop VR-based game Desktop VR game can be an effective way of improving visuospatial, working memory, and episodic memory.
29 115 Rehabilitation Physical
(multimodal, physical
-cognitive)
Gait,
mobility
302 older adults Non-immersive VR-based treadmill training Treadmill training with VR has improve gait and mobility over treadmill training alone.
30 92 Training Physical
psychological
Balance
gait
enjoyment
20 older adults Motion-based exergame The exergames used in this study show promise to improve balance and gait.
All participants expressed high levels of enjoyment when playing both exergames.
31 103 Rehabilitation Physical
Psychological
Balance
muscular strength
confidence
30 older adults AR-based physical exercise AR-based Otago exercise
can improve muscle strength, balance, and physical functions in elderly women to prevent falls and stimulate confidence.
32 114 Rehabilitation Physical
(multimodal, physical
–cognitive)
Balance
gait
34 older adults Non-immersive VR-based treadmill training Treadmill training with VR,
can promote both physical and cognitive function that can transfer to daily living activities and promote health.
33 33 Rehabilitation Physical Balance
gait
30 older adults Motion-based exergame Both types of exercise, exergaming, and conventional were beneficial for older adults’ physical functioning.
34 119 Rehabilitation Physical Balance
gait
32 older adults Motion-based exergame VR video exergame console
with the Xbox Kinect improved knee proprioception in older men.
35 93 Training Physical
cognitive
(multimodal, physical–cognitive)
Balance
flexibility
muscular strength processing speed
executive functions
30 older adults Motion-based exergame VR video exergame improves physical
and cognitive functions.
36 111 Rehabilitation Cognitive Spatial abilities 20 older adults Non-immersive VR system VR-based training for patients with AD; has a significant improvement in long-term spatial memory.
37 104 Rehabilitation Physical
cognitive
(multimodal, physical–cognitive)
Balance
gait,
muscular strength
attention
concentration
46 older adults Motion-based exergame There were no significant differences between the two groups; both interventions provided positive effects on Physical, and cognitive functions of the elderly.
38 94 Training Cognitive Spatial abilities (navigation) 44 older adults & 22 younger people Developed handheld AR The potential of AR for older adults, as a possible aid tool to manage everyday tasks, such as navigation and planning.
39 95 Training Cognitive Spatial abilities (navigation) 18 older adults Designed handheld AR with glasses Navigation performance tends to be better with the auditory mode not AR.
40 101 Training Psychological social Happiness
emotions
interactions
63 older adults Immersive VR system
HMD
The VR system reported being less socially isolated, being less likely to show signs of depression, experiencing positive effects more frequently, and feeling better about their overall well-being.
41 96 Training Physical Balance
gait
23 older adults Motion-based exergame VR increases the possibilities of physical training and can improve balance and gait thus help reduce the risk of falls.
42 112 Rehabilitation Cognitive Daily living activities 79-year-old woman Non-immersive VR system The non-immersive VR successfully trained people with AD to relearn daily activities.
43 97 Training Physical Balance
mobility
gait
20 older adults Motion-based exergame VR video exergame console effectively improved balance, mobility, and gait speed of elderly female fallers.
44 105 Rehabilitation Cognitive Spatial abilities spatial mental rotation 22 older adults AR-based 3D system 3D AR system was effective in helping the participants observe and imagine spatial signals and improved their mental rotation skills.
45 113 Rehabilitation Cognitive Daily living activities 10 older adults AR-based 3D system
using HoloLens
The 3D AR system
had no clear positive effect on the patients’ performance.
46 106 Rehabilitation Cognitive Memory
flexibility
attention
25 older adults Desktop VR-based game Desktop VR based game
increases visual memory, attention, and cognitive flexibility.
47 121 Rehabilitation Physical Balance
gait
muscular strength
195 older adults Immersive VR exergame
HMD (BRU)
The potential use of VR as a practical alternative to improve balance training outcomes for reducing falls risk in older adults.
48 134 Rehabilitation Physical Balance
mobility
36 older adults AR-based 3D system The 3D-AR system can improve balance in the elderly more effectively.
49 120 Rehabilitation Physical Balance
gait
28 older adults Motion-based exergame VR rehabilitation resulted in a greater improvement in the balance and gait of individuals with PD when compared to conventional physical therapy.
50 98 Training Physical cognitive
(multimodal, physical–cognitive)
Physical activities
cognitive functions
Spatial abilities attention
38 older adults Motion-based exergame VR increased in the level of physical activity performed and revealed an improvement in the executive functioning.
51 99 Training Physical Muscular strength 60 older adults Motion-based exergame The muscular benefits for the VR games are unclear. However, the games could have other beneficial effects such as on cardiovascular health or well-being.
52 133 Rehabilitation Psychological Enjoyment
emotions
66 older adults Immersive VR system
HMD
Immersive VR increased positive emotions and decreased the negative emotions.
53 143 Rehabilitation Cognitive
physical
(multimodal, physical–cognitive)
Cognitive abilities
gait speed and mobility
 68 older adults Immersive VR exergame
HMD
Positive effect of immersive VR training on cognitive as well as physical function in older adults with MCI.
54 122 Rehabilitation Physical Muscular strength mobility  27 older adults AR-based physical exercise AR-based physical exercise
were significantly increased muscle parameters compared to the control group.
55 102 Training Psychological Happiness,
life satisfaction
60 older adults Immersive VR system + aromatherapy
HMD
The results are promising for the promotion of psychological health in institutionalized older adults.
56 59 Training Psychological Emotions 319 older adults Motion-based exergame Exergames could lead to increase in positive emotions and a decrease in negative emotions over time.
57 100 Training Physical cognitive Balance
gait
muscular strength
memory
attention
flexibility
31 older adults Motion-based exergame The findings indicate a positive influence of exergame training on executive functioning. No improvements in physical functions or brain volume were evident in this study.