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. 2022 Oct 27;15(6):629–636. doi: 10.1007/s12178-022-09797-w

Table 1.

Descriptive data from the studies included

Reference Population Intervention Results
Marley et al. [11•] 71 patients after arthroscopic shoulder surgery

2 groups - 12 weeks of intervention

1st group - conventional physical therapy

2nd group - exercises with Kinect MIRA System

Results were similar in both groups. Exergames may be effectively employed in the rehabilitation of these patients. The treatment with exergames is innovative and reduces the overload in the routine of the physical therapist.
Carvalho et al. [12•] 35 women with fibromyalgia

2 groups - 20 sessions

1st group - Wii (virtual rehabilitation)

2nd group - control (stretching exercises)

Exergames improved the range of joints motion, flexibility, and reduced tender points; however, no improvement was observed in static balance.
Villafaina et al. [13•] 55 women with fibromyalgia

2 groups - 24 weeks (120 min/week, in 2 sessions of 60 min)

1st group - exergames focused on mobility, postural control, coordination, aerobic fitness, and strength

2nd group - control, kept usual activities

Exergames contributed to the improvement of perceived health status and pain, as well as quality of life.
Pekyavas et al. [14•] 30 patients with subacromial impingement syndrome

2 groups

1st group - home exercises

2nd group - exergames (Wii)

Virtual reality exergaming programs were more effective than home exercise programs in the short term in subjects with subacromial impingement syndrome.
Villafaina et al. [15•] 55 women with fibromyalgia

2 groups - 24 weeks (120 min/week, in 2 sessions of 60 min)

1st group - exergames focused on mobility, postural control, coordination, aerobic fitness, and strength

2nd group - control, kept usual activities

The exergames group improved cardiovascular fitness and muscle strength in lower limbs.
Martín-Martínez et al. [16•] 55 women with fibromyalgia

2 groups - 24 weeks (120 min/week, in 2 sessions of 60 min)

1st group - exergame Virtual Ex-FM focused on mobility, postural control, coordination, aerobic fitness, and strength

2nd group - control, kept usual activities

The exergames group improved cardiovascular fitness in single- and dual-task conditions.
De Carvalho et al. [17•] 35 women with fibromyalgia

2 groups - 7 weeks, 3 weekly sessions of 1 h

1st group - exergames (Wii)

2nd group - control, stretching exercises

Exergames improved exercise capacity and pain threshold, and reduced fatigue and the overall impact of the disease.
Villafaina et al. [18•] 55 women with fibromyalgia

2 groups - 24 weeks (120 min/week, in 2 sessions of 60 min)

1st group - exergame Virtual Ex-FM focused on mobility, postural control, coordination, aerobic fitness, and strength

2nd group - control, kept usual activities

Exergames group improved the autonomic control (heart rate variability) of the patients.
Collado-Mateo et al. [19•] 83 women with fibromyalgia

2 groups - 8 weeks (120 min/week, in 2 sessions of 60 min)

1st group - exergame virtual Ex-FM using Kinect, focused on mobility, postural control, coordination, aerobic fitness, and strength

2nd group - control, kept usual activities

The exergame-based program was an effective intervention for reducing pain and increasing health-related quality of life.
Afzal et al. [20•] 84 patients with chronic low back pain

2 groups - 4 weeks (3 sessions/week)

1st group - exergames using Kinect and conventional physical therapy

2nd group - conventional physical therapy

Virtual reality exercises combined with physical therapy promoted more improvements that physical therapy alone regarding pain and disability.
Collado-Mateo et al. [21•] 76 women with fibromyalgia

2 groups - 8 weeks (2 sessions/week, 1 h/session)

1st group - exergame virtual Ex-FM using Kinect, focused on the improvement of physical condition and activities of daily living

2nd group - control, kept usual activities

The exergame intervention was effective in improving mobility, balance, and reducing fear of falling.
Ambrosino et al. [22•] 40 patients with a rheumatoid arthritis RA

All subjects underwent traditional in-hospital 4-week-twice/daily 60-min session comprehensive rehabilitation program, defined as a multidisciplinary treatment (Nintendo Wii Fit).

At discharge, subjects were randomized in 2 groups:

1st group - subjects who continued the same Wii Fit training at home for additional 8 weeks

2nd control - kept usual activities

Home exergaming may be an effective additional rehabilitative tool in RA since it allows the maintenance of the benefits obtained in traditional multidisciplinary rehabilitation.
Manlapaz et al. [23•] 12 participants with knee OA and history of falling Single-group pre-post experimental study design: eight weeks of usual care followed by eight weeks of an exergaming program (Nintendo Wii Fit™). This was followed by semi-structured focus groups The study found that it was feasible and acceptable to use Nintendo Wii Fit as an exergaming tool to improve balance and decrease the risk of falling in adults with knee OA.
Then et al. [24•] 19 patients undergoing rehabilitation after metacarpal fracture

2 groups: 8 weeks program

1st group - conventional physical therapy

2nd group - gamification (mobile game app simulating composite range of motion exercises)

Gamification with a mobile device was an inexpensive and safe alternative to conventional physical therapy for hand rehabilitation, serving as a guide for future development of cost-effective technology-enhanced therapies.
Matheve et al. [25•] 84 individuals with low back pain

A single session of exercise:

1st group - exercise with non-immersive virtual reality game (wireless motion sensor Valedo Pro)

2nd group - control, same exercises without games

The effect of the distraction induced hypoalgesia was observed, suggesting that non-immersive games can be used to reduce pain during exercise in patients with chronic nonspecific low back pain.
Stamm et al. [26•] 10 elderly participants with chronic back pain Testing session of a virtual reality game User-friendly virtual reality exergames motivate elderly patients with chronic back pain to perform exercises regularly.
Clausen et al. [27•] 26 patients with history of anterior cruciate ligament reconstruction

2 groups:

1st game training with GenuSport device

2nd conventional rehabilitation

The implementation of an app-based active muscle training program in the early postoperative therapy scheme was associated with greater improvement in maximal strength than conventional rehabilitation.

RA rheumatoid arthritis, OA osteoarthitis, min minutes, h hour