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The use of commercial video games in rehabilitation

a systematic review

Bonnechère, Bruno; Jansen, Bart; Omelina, Lubos; Van Sint Jan, Serge

International Journal of Rehabilitation Research: December 2016 - Volume 39 - Issue 4 - p 277–290
doi: 10.1097/MRR.0000000000000190
Review article

The aim of this paper was to investigate the effect of commercial video games (VGs) in physical rehabilitation of motor functions. Several databases were screened (Medline, SAGE Journals Online, and ScienceDirect) using combinations of the following free-text terms: commercial games, video games, exergames, serious gaming, rehabilitation games, PlayStation, Nintendo, Wii, Wii Fit, Xbox, and Kinect. The search was limited to peer-reviewed English journals. The beginning of the search time frame was not restricted and the end of the search time frame was 31 December 2015. Only randomized controlled trial, cohort, and observational studies evaluating the effect of VGs on physical rehabilitation were included in the review. A total of 4728 abstracts were screened, 275 were fully reviewed, and 126 papers were eventually included. The following information was extracted from the selected studies: device type, number and type of patients, intervention, and main outcomes. The integration of VGs into physical rehabilitation has been tested for various pathological conditions, including stroke, cerebral palsy, Parkinson’s disease, balance training, weight loss, and aging. There was large variability in the protocols used (e.g. number of sessions, intervention duration, outcome measures, and sample size). The results of this review show that in most cases, the introduction of VG training in physical rehabilitation offered similar results as conventional therapy. Therefore, VGs could be added as an adjunct treatment in rehabilitation for various pathologies to stimulate patient motivation. VGs could also be used at home to maintain rehabilitation benefits.

aLaboratory of Anatomy, Biomechanics and Organogenesis (LABO), Université Libre de Bruxelles

bDepartment of Electronics and Informatics – ETRO, Vrije Universiteit Brussel, Brussels

cDepartment of Future Health, iMinds, Ghent, Belgium

dInstitute of Computer Science and Mathematics, Slovak University of Technology, Bratislava, Slovakia

Correspondence to Bruno Bonnechère, MSc, Laboratory of Anatomy, Biomechanics and Organogenesis (LABO), Université Libre de Bruxelles, Lennik Street 808, Brussels 1070, Belgium Tel: +32 25556262; fax +32 25556378 e-mail:

Received April 21, 2016

Accepted July 6, 2016

Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.