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Table 5 Intervention details of included studies

From: The feasibility, acceptability and outcomes of exergaming among individuals with cancer: a systematic review

Author (Date) System Game(s) Intervention Comparison Group(s) Delivered by Outcome Measures (Method of assessment (Significant findings))
Betker, et al. [49] COP-controlled video game-based exercise tool with pressure mat. Under Pressure, Memory Match and Tic-Tac-Toe. 3 sessions/week for first two weeks, 2 sessions/week during third week. 45 min per session. 3 week duration. None Physiotherapist Feasibility/Acceptability: (Custom questionnaire)
Balance: Fall count, COP excursion limits and COP sway path (Pressure mat).
Emotions/Cognition: (Custom questionnaire).
Hoffman, et al. [44, 45] Nintendo Wii Wii Fit Plus: Downhill skiing, soccer, golf and video game activities. Walking: 5 sessions/week, 5 min per session during week one, increase by 5 min per day each week if perceived self-efficacy > 70%.
Balance: 5 sessions/week. 16 week duration.
None Nurse Feasibility/Acceptability: Acceptability and adherence (Recruitment rate, adherence %, custom questionnaire).
Balance: Perceived balance self-efficacy (Activities-Specific Balance Confidence Scale)
Fatigue: Cancer-related fatigue severity (BFI), perceived fatigue self-management self-efficacy (PSEFSM).
Physical Activity: Perceived walking duration self-efficacy (Self-efficacy for Walking Duration Instrument), daily Steps (pedometer).
House, et al. [47] BrightArm Duo Rehabilitation System Breakout 3D, Card Island, Remember that Card, Musical Drums, Xylophone, Pick & Place, Arm Slalom, Avalanche and Treasure Hunt. 2 sessions/week, progressed from 20 to 50 min per session. 8 weeks duration. Table tilt progressively increased each session from 0° to 20°. None Occupational Therapist Feasibility/Acceptability: Acceptability and adherence (Custom questionnaire).
Function: Arm movements and hand grasp repetitions (BrightArm system), UE ROM (mechanical goniometer (Pre- to post-training: Affected shoulder internal rotation (p = 0.05). Pre-training to follow-up: Affected shoulder adduction (p = 0.05), external rotation (p = 0.04), internal rotation (p = 0.01), affected elbow pronation (p = 0.03) and unaffected shoulder adduction (p = 0.04)), UE function (FMA, CAHAI-9, UEFI-20 (Post-training to follow-up p = 0.004), JHFT).
Strength: Grasp strength (Hand grip, two finger pinch, three finger pinch), shoulder strength (wrist weights (Pre- to post-training: Anterior and lateral deltoid affected arm strength (p = 0.05). Post-training to follow-up: Lateral deltoid unaffected arm strength (p = 0.03)).
Emotions: (BDI-II, NAB, HVLT-R, BVMT-R, TMT (Pre- to post-training: BDI-II (p = 0.04), BVMT-R (p = 0.007))).
Pain: (NRS).
Jahn, et al. [26] Nintendo Wii Wii Sports, Family Trainer, Sports Island and Family Ski & Snowboard. ≥5 sessions/week, ≥30 min per session. 1 week duration. None Research Staff Feasibility/Acceptability: Applicability and acceptability (Semi-structured interview).
Emotions: Enjoyment and emotions (Semi-structured interview)
Sajid, et al. [46] Nintendo Wii Wii Fit (Game(s) not specified). Similar mode, intensity and duration as EXCAP with balance addition. 12 week duration. 1) EXCAP
≥5 sessions/week. Walking: 60–70% HR reserve and RPE of 3–5. Increase daily steps by 5–20%.
Resistance Bands: RPE of 3–5. Increase intensity by switching to higher resistance band.
2) Usual Care.
Exercise Physiologist Balance: (SPPB* (Wii (p = 0.015), EXCAP v usual care (p = 0.038))).
Function: (SPPB),
Physical Activity: Steps per day (pedometer (EXCAP v usual care (p = 0.006)), 6MWT.
Strength: Muscle strength and muscle mass (SPPB, hand grip, chest press, DEXA body composition (Wii lean muscle atrophy (p = 0.045)),
Tsuda, et al. [48] Nintendo Wii Wii Fit with Balance Board; Hula Hoop and Basic Step. 5 session/week, ≈20 min per session. Until hospital discharge. Median length of follow-up of 23.5 days. None Physiotherapist Feasibility/Acceptability: Adherence (Adherence %), safety (CTCAE version 3.0).
Balance: (One-leg stand time).
Function: (Barthel Index, TUG, IADL).
Strength: (Grip strength, knee-extension strength).
Emotions: Psychosocial functioning (HADS).
Yoon, et al. [20] IREX System Birds & Balls, Conveyor, Drums, Juggler, Coconuts and Soccer. 3 sessions/week, 30 min per session, alongside COT 2 sessions/week, 30 min per session. 3 weeks duration. 1) COT.
5 sessions/week, 30 min per session. 3 weeks duration.
Occupational Therapist Function: UE function (Modified Ashworth scale, MFT (Intervention (p < 0.001), intervention v control in SEF (p = 0.007). Control v intervention in hand function (p = 0.01)), BBT (Intervention (p < 0.001), intervention v control (p = 0.044)), FMA (Intervention total score (p = 0.0014) and SEF section (p = 0.048). Intervention v control during SEF (p = 0.012). Control v intervention during hand function (p = 0.046))), activities of daily living (K-MBI (Intervention (p = 0.005))).
  1. COP Centre of pressure, BFI Brief Fatigue Inventory, PSEFSM Perceived Self-efficacy for Fatigue Self-management, UE Upper extremity, ROM Range of motion, FMA Fugl-Meyer Assessment, CAHAI-9 Chedokee Arm and Hand Activity Inventory-9, UEFI-20 Upper Extremity Function Index 20, JHFT Jebsen Hand Function Test, BDI-II Beck Depression Inventory, Second Edition, NAB Neuropsychological Assessment Battery, HVLT-R Hopkins Verbal Learning Test, Revised, BVMT-R Brief Visuospatial Memory Test, Revised, TMT Trail Making Test, NRS Numeric Pain Rating Sale, EXCAP Home-based walking and resistance intervention, HR Heart rate, RPE Rating of perceived exertion, SPPB Short Physical Performance Battery, DEXA Dual-energy x-ray absorptiometry, 6MWT 6-min walk test, CTCAE Common Terminology Criteria for Adverse Events, TUG Timed up and go test, IADL Instrumental Activities of Daily Living, HADS Hospital Anxiety and Depression Scale, IREX Interactive Rehabilitation and Exercise, COT Conventional occupational therapy, MFT Manual Function test, SEF Shoulder/elbow/forearm, BBT Box and Block test, K-MBI Korean version of Modified Barthel Index
  2. *Results of the SPPB weren’t segregated into the three separate categories