The Effects of Virtual Reality Training on Cognition in Older Adults: A Systematic Review, Meta-Analysis, and Meta-Regression of Randomized Controlled Trials.

Autor: Kantola M; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Ilves O; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.; Department of Sports and Rehabilitation, South-Eastern Finland University of Applied Sciences, Savonlinna, Finland., Honkanen S; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Hakonen H; Jamk University of Applied Sciences, LIKES, Jyväskylä, Finland., Yli-Ikkelä R; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Köyhäjoki A; Central Ostrobothnia Well-Being Service County 'Soite', Kokkola, Finland., Anttila MR; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Rintala A; Physical Activity and Functional Capacity Research Group, Faculty of Health Care and Social Services, LAB University of Applied Sciences, Lahti, Finland., Korpi H; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.; Social and Healthcare Unit, Vaasa University of Applied Sciences, Vaasa, Finland.; Well-being and Culture Unit, Oulu University of Applied Sciences, Oulu, Finland., Sjögren T; Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland., Karvanen J; Faculty of Mathematics and Science, University of Jyväskylä, Jyväskylä, Finland., Aartolahti E; Institute of Rehabilitation, Jamk University of Applied Sciences, Jyväskylä, Finland.
Jazyk: angličtina
Zdroj: Journal of aging and physical activity [J Aging Phys Act] 2024 Jan 19; Vol. 32 (3), pp. 321-349. Date of Electronic Publication: 2024 Jan 19 (Print Publication: 2024).
DOI: 10.1123/japa.2023-0217
Abstrakt: The aim of this systematic review, meta-analysis, and meta-regression was to examine the effects of virtual reality-based training on global cognition and executive function compared with conventional training or information-based treatment in older adults, regardless of cognitive level. A systematic literature search was conducted using four databases. A total of 31 randomized controlled trials were identified. Pooled effect sizes were calculated, the risk of bias was assessed, and evidence was graded. The primary analyses showed a small but statistically significant effect of virtual reality-based training compared with control on global cognition (Hedges' g 0.42, 95% confidence interval [0.17, 0.68], I2 = 70.1%, n = 876, 20 randomized controlled trials, low evidence) and executive function (Hedges' g 0.35, 95% confidence interval [0.06, 0.65], I2 = 68.4%, n = 810, 16 randomized controlled trials, very low evidence). Meta-regression yielded inconclusive results. Virtual reality-based training may be more effective than control in improving cognition in older adults; however, more high-quality studies are needed.
Databáze: MEDLINE