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A Systematic Literature Review of Extended Reality Exercise Games for the Elderly

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Biomedical Engineering Systems and Technologies (BIOSTEC 2022)

Abstract

In recent years, with the rise of the ageing population worldwide, the health of the elderly has attracted increasing attention. This study explored existing extended reality (XR) game applications aiming at physical exercise for the elderly. Through the review of 1847 papers from the Scopus database, 17 articles were included. Based on these papers, we explored the existing contributions of exercise XR games for the elderly, the development opportunities and challenges of such games, and their special considerations in adapting to the characteristics and requirements of the target user. The results were organized into several perspectives: publication information and keywords, immersive technologies and game concepts, teamwork and social games, evaluation, opportunities and challenges, and adapting designs. We found the elderly interested in and accepted using XR games. The reported research results proved positive effects on such games’ physical and mental health. XR exercise games for the elderly should considerately adapt to the elder’s cognition, behaviour, and demand. Although problems existed, such as simulator sickness, safety risks, device problems, and cost, there were opportunities and space for research and future developments. Researchers and developers could refer to this paper for XR exercise games for the elderly and create or enhance future XR applications by learning from existing work.

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References

  1. Arlati, S., et al.: A social virtual reality-based application for the physical and cognitive training of the elderly at home. Sensors 19(2), 261 (2019)

    Article  Google Scholar 

  2. Arns, L.L., Cerney, M.M.: The relationship between age and incidence of cybersickness among immersive environment users. In: 2005 IEEE Proceedings of Virtual Reality, VR 2005, pp. 267–268. IEEE (2005)

    Google Scholar 

  3. Bellei, E.A., Biduski, D., Lisboa, H.R.K., De Marchi, A.C.B.: Development and assessment of a mobile health application for monitoring the linkage among treatment factors of type 1 diabetes mellitus. Telemed. e-Health 26(2), 205–217 (2020)

    Article  Google Scholar 

  4. Biduski, D., Bellei, E.A., Rodriguez, J.P.M., Zaina, L.A.M., De Marchi, A.C.B.: Assessing long-term user experience on a mobile health application through an in-app embedded conversation-based questionnaire. Comput. Hum. Behav. 104, 106169 (2020)

    Google Scholar 

  5. Bruun-Pedersen, J.R., Serafin, S., Kofoed, L.B.: Motivating elderly to exercise-recreational virtual environment for indoor biking. In: 2016 IEEE International Conference on Serious Games and Applications for Health (SeGAH), pp. 1–9. IEEE (2016)

    Google Scholar 

  6. Buckers, T., Gong, B., Eisemann, E., Lukosch, S.: VRabl: stimulating physical activities through a multiplayer augmented reality sports game. In: Proceedings of the First Superhuman Sports Design Challenge: First International Symposium on Amplifying Capabilities and Competing in Mixed Realities, pp. 1–5 (2018)

    Google Scholar 

  7. Cadore, E.L., et al.: Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age 36(2), 773–785 (2014)

    Article  Google Scholar 

  8. Campbell, E., et al.: The effect of exercise on quality of life and activities of daily life in frail older adults: a systematic review of randomised control trials. Exp. Gerontol. 111287 (2021)

    Google Scholar 

  9. Campbell, T., Ngo, B., Fogarty, J.: Game design principles in everyday fitness applications. In: Proceedings of the 2008 ACM Conference on Computer Supported Cooperative Work, CSCW 2008, pp. 249–252. Association for Computing Machinery, New York (2008). https://doi.org/10.1145/1460563.1460603

  10. Campo-Prieto, P., Cancela, J.M., Rodríguez-Fuentes, G.: Immersive virtual reality as physical therapy in older adults: present or future (systematic review). Virtual Reality 1–17 (2021)

    Google Scholar 

  11. Ceccacci, S., Germani, M., Mengoni, M.: User centred approach for home environment designing. In: Proceedings of the 5th International Conference on PErvasive Technologies Related to Assistive Environments, pp. 1–8 (2012)

    Google Scholar 

  12. Chau, P.H., et al.: Feasibility, acceptability, and efficacy of virtual reality training for older adults and people with disabilities: single-arm pre-post study. J. Med. Internet Res. 23(5), e27640 (2021)

    Google Scholar 

  13. Colcombe, S.J., et al.: Aerobic fitness reduces brain tissue loss in aging humans. J. Gerontol. A Biol. Sci. Med. Sci. 58(2), M176–M180 (2003)

    Google Scholar 

  14. Colder Carras, M., et al.: Commercial video games as therapy: a new research agenda to unlock the potential of a global pastime. Front. Psych. 8, 300 (2018)

    Article  Google Scholar 

  15. Çöltekin, A., et al.: Extended reality in spatial sciences: a review of research challenges and future directions. ISPRS Int. J. Geo Inf. 9(7), 439 (2020)

    Article  Google Scholar 

  16. Daskalopoulou, C., Stubbs, B., Kralj, C., Koukounari, A., Prince, M., Prina, A.M.: Physical activity and healthy ageing: a systematic review and meta-analysis of longitudinal cohort studies. Ageing Res. Rev. 38, 6–17 (2017)

    Article  Google Scholar 

  17. Dent, E., Kowal, P., Hoogendijk, E.O.: Frailty measurement in research and clinical practice: a review. Eur. J. Intern. Med. 31, 3–10 (2016)

    Article  Google Scholar 

  18. Deterding, S., Dixon, D., Khaled, R., Nacke, L.: From game design elements to gamefulness: defining “gamification”. In: Proceedings of the 15th International Academic MindTrek Conference: Envisioning Future Media Environments, pp. 9–15 (2011)

    Google Scholar 

  19. Devereux, N., Ellis, G., Dobie, L., Baughan, P., Monaghan, T.: Testing a proactive approach to frailty identification: the electronic frailty index. BMJ Open Qual. 8(3), e000682 (2019)

    Google Scholar 

  20. Djaouti, D., Alvarez, J., Jessel, J.P.: Classifying serious games: the G/P/S model (PDF) (2015). http://www.ludoscience.com/files/ressources/classifying_serious_games.pdf. Accessed 05 Jan 2019

  21. Ferreira, M., Kowal, P.: A minimum data set on ageing and older persons in sub-Saharan Africa: process and outcome. Afr. Popul. Stud. 21(1) (2006)

    Google Scholar 

  22. Fu, Y., Hu, Y., Sundstedt, V.: A systematic literature review of virtual, augmented, and mixed reality game applications in healthcare. ACM Trans. Comput. Healthc. (HEALTH) 3(2), 1–27 (2022)

    Article  Google Scholar 

  23. Fu, Y., Hu, Y., Sundstedt, V., Fagerstrom, C.: A survey of possibilities and challenges with AR/VR/MR and gamification usage in healthcare. In: 14th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC)/14th International Conference on Bio-inspired Systems and Signal Processing (BIOSIGNALS)/14th International Conference on Biomedical Electronics and Devices (BIODEVICES), pp. 733–740. SciTePress (2021)

    Google Scholar 

  24. Fu, Y., Hu, Y., Sundstedt, V., Forsell, Y.: A review of extended reality exercise games for elderly. In: 15th International Conference on Health Informatics (HEALTHINF) held as part of 15th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC), Virtual, Online, 09–11 February 2022, pp. 201–210. No. 15th International Conference on Health Informatics (HEALTHINF) held as part of 15th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC), SciTePress (2021)

    Google Scholar 

  25. Fu, Y., Hu, Y., Sundstedt, V., Forsell, Y.: Conceptual design of an extended reality exercise game for the elderly. Appl. Sci. 12(13), 6436 (2022)

    Article  Google Scholar 

  26. Fu, Y., Hu, Y., Sundstedt, V., Forsell, Y.: A review of extended reality exercise games for elderly. In: Proceedings of the 15th International Joint Conference on Biomedical Engineering Systems and Technologies - HEALTHINF, pp. 201–210. INSTICC, SciTePress (2022). https://doi.org/10.5220/0010907800003123

  27. Goršič, M., Cikajlo, I., Novak, D.: Competitive and cooperative arm rehabilitation games played by a patient and unimpaired person: effects on motivation and exercise intensity. J. Neuroeng. Rehabil. 14(1), 1–18 (2017)

    Article  Google Scholar 

  28. Grani, F., Bruun-Pedersen, J.R.: Giro: better biking in virtual reality. In: 2017 IEEE 3rd Workshop on Everyday Virtual Reality (WEVR), pp. 1–5. IEEE (2017)

    Google Scholar 

  29. Hauk, N., Hüffmeier, J., Krumm, S.: Ready to be a silver surfer? A meta-analysis on the relationship between chronological age and technology acceptance. Comput. Hum. Behav. 84, 304–319 (2018)

    Article  Google Scholar 

  30. Henrique, P.P., Colussi, E.L., De Marchi, A.C.: Effects of exergame on patients’ balance and upper limb motor function after stroke: a randomized controlled trial. J. Stroke Cerebrovasc. Dis. 28(8), 2351–2357 (2019)

    Article  Google Scholar 

  31. Ijaz, K., Wang, Y., Milne, D., Calvo, R.A.: VR-rides: interactive VR games for health. In: Marsh, T., Ma, M., Oliveira, M.F., Baalsrud Hauge, J., Göbel, S. (eds.) JCSG 2016. LNCS, vol. 9894, pp. 289–292. Springer, Cham (2016). https://doi.org/10.1007/978-3-319-45841-0_33

    Chapter  Google Scholar 

  32. Inokuchi, S., Matsusaka, N., Hayashi, T., Shindo, H.: Feasibility and effectiveness of a nurse-led community exercise programme for prevention of falls among frail elderly people: a multi-centre controlled trial. J. Rehabil. Med. 39(6), 479–485 (2007)

    Article  Google Scholar 

  33. Jeon, S., Kim, J.: Effects of augmented-reality-based exercise on muscle parameters, physical performance, and exercise self-efficacy for older adults. Int. J. Environ. Res. Public Health 17(9), 3260 (2020)

    Article  Google Scholar 

  34. Júnior, J.L.A.D.S., et al.: A bowling exergame to improve functional capacity in older adults: co-design, development, and testing to compare the progress of playing alone versus playing with peers. JMIR Ser. Games 9(1), e23423 (2021)

    Google Scholar 

  35. Juul, J.: Half-Real: Video Games Between Real Rules and Fictional Worlds. MIT Press, Cambridge (2011)

    Google Scholar 

  36. Karaosmanoglu, S., Kruse, L., Rings, S., Steinicke, F.: Canoe VR: an immersive exergame to support cognitive and physical exercises of older adults. In: CHI Conference on Human Factors in Computing Systems Extended Abstracts, pp. 1–7 (2022)

    Google Scholar 

  37. Keele, S., et al.: Guidelines for performing systematic literature reviews in software engineering. Technical report, Ver. 2.3 EBSE Technical Report. EBSE (2007)

    Google Scholar 

  38. Kowal, P., Dowd, J.E.: Definition of an older person. proposed working definition of an older person in Africa for the MDS project. World Health Organization, Geneva (2001). https://doi.org/10.13140/2.1.5188.9286

  39. Lee, N., Choi, W., Lee, S.: Development of an 360-degree virtual reality video-based immersive cycle training system for physical enhancement in older adults: a feasibility study. BMC Geriatr. 21(1) (2021). https://doi.org/10.1186/s12877-021-02263-1

  40. Lee, N., Choi, W., Lee, S.: Development of an 360-degree virtual reality video-based immersive cycle training system for physical enhancement in older adults: a feasibility study. BMC Geriatr. 21(1), 1–10 (2021)

    Article  Google Scholar 

  41. Lee, Y., Kozar, K.A., Larsen, K.R.: The technology acceptance model: past, present, and future. Commun. Assoc. Inf. Syst. 12(1), 50 (2003)

    Google Scholar 

  42. Leonardi, C., Mennecozzi, C., Not, E., Pianesi, F., Zancanaro, M.: Designing a familiar technology for elderly people. Gerontechnology 7(2), 151 (2008)

    Article  Google Scholar 

  43. Li, T., et al.: Cognitive training can reduce the rate of cognitive aging: a neuroimaging cohort study. BMC Geriatr. 16(1), 1–12 (2016)

    Article  Google Scholar 

  44. Li, X., Niksirat, K.S., Chen, S., Weng, D., Sarcar, S., Ren, X.: The impact of a multitasking-based virtual reality motion video game on the cognitive and physical abilities of older adults. Sustainability 12(21), 9106 (2020)

    Article  Google Scholar 

  45. Lindsay-Smith, G., Eime, R., O’Sullivan, G., Harvey, J., van Uffelen, J.G.: A mixed-methods case study exploring the impact of participation in community activity groups for older adults on physical activity, health and wellbeing. BMC Geriatr. 19(1), 1–15 (2019)

    Article  Google Scholar 

  46. Mehra, S., et al.: Attitudes of older adults in a group-based exercise program toward a blended intervention; a focus-group study. Front. Psychol. 7, 1827 (2016)

    Article  Google Scholar 

  47. Milgram, P., Kishino, F.: A taxonomy of mixed reality visual displays. IEICE Trans. Inf. Syst. 77(12), 1321–1329 (1994)

    Google Scholar 

  48. Miller, K.J., Adair, B.S., Pearce, A.J., Said, C.M., Ozanne, E., Morris, M.M.: Effectiveness and feasibility of virtual reality and gaming system use at home by older adults for enabling physical activity to improve health-related domains: a systematic review. Age Ageing 43(2), 188–195 (2014)

    Article  Google Scholar 

  49. Moschny, A., Platen, P., Klaaßen-Mielke, R., Trampisch, U., Hinrichs, T.: Barriers to physical activity in older adults in Germany: a cross-sectional study. Int. J. Behav. Nutr. Phys. Act. 8(1), 1–10 (2011)

    Article  Google Scholar 

  50. Muñoz, G.F., Cardenas, R.A.M., Pla, F.: A kinect-based interactive system for home-assisted active aging. Sensors 21(2), 417 (2021)

    Article  Google Scholar 

  51. Nishchyk, A., Geentjens, W., Medina, A., Klein, M., Chen, W.: An augmented reality game for helping elderly to perform physical exercises at home. In: Miesenberger, K., Manduchi, R., Covarrubias Rodriguez, M., Peňáz, P. (eds.) ICCHP 2020. LNCS, vol. 12376, pp. 233–241. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-58796-3_28

    Chapter  Google Scholar 

  52. Pedroli, E., et al.: Characteristics, usability, and users experience of a system combining cognitive and physical therapy in a virtual environment: positive bike. Sensors 18(7), 2343 (2018)

    Article  Google Scholar 

  53. PERKINSCOIE, Association, X.: 2021 augmented and virtual reality survey report (2021)

    Google Scholar 

  54. Pisan, Y., Marin, J.G., Navarro, K.F.: Improving lives: using Microsoft kinect to predict the loss of balance for elderly users under cognitive load. In: Proceedings of The 9th Australasian Conference on Interactive Entertainment: Matters of Life and Death, pp. 1–4 (2013)

    Google Scholar 

  55. Rebenitsch, L., Owen, C.: Review on cybersickness in applications and visual displays. Virtual Reality 20(2), 101–125 (2016). https://doi.org/10.1007/s10055-016-0285-9

    Article  Google Scholar 

  56. Sakhare, A.R., Yang, V., Stradford, J., Tsang, I., Ravichandran, R., Pa, J.: Cycling and spatial navigation in an enriched, immersive 3D virtual park environment: a feasibility study in younger and older adults. Front. Aging Neurosci. 11, 218 (2019)

    Article  Google Scholar 

  57. Sauvé, L., Renaud, L., Kaufman, D., Dupláa, E.: Can digital games help seniors improve their quality of life? pp. 179–192 (2017). https://doi.org/10.1007/978-3-319-63184-4_10

  58. Shah, S.H.H., Hameed, I.A., Karlsen, A.S.T., Solberg, M.: Towards a social VR-based exergame for elderly users: an exploratory study of acceptance, experiences and design principles. In: Chen, J.Y.C., Fragomeni, G. (eds.) HCII 2022. LNCS, vol. 13317, pp. 495–504. Springer, Cham (2022). https://doi.org/10.1007/978-3-031-05939-1_34

    Chapter  Google Scholar 

  59. Slater, M., Sanchez-Vives, M.V.: Enhancing our lives with immersive virtual reality. Front. Robot. AI 3, 74 (2016)

    Article  Google Scholar 

  60. Taylor, L., Kerse, N., Klenk, J., Borotkanics, R., Maddison, R.: Exergames to improve the mobility of long-term care residents: a cluster randomized controlled trial. Games Health J. 7(1), 37–42 (2018)

    Article  Google Scholar 

  61. Valenzuela, M., Sachdev, P.: Can cognitive exercise prevent the onset of dementia? Systematic review of randomized clinical trials with longitudinal follow-up. Am. J. Geriatr. Psychiatry 17(3), 179–187 (2009)

    Article  Google Scholar 

  62. Watanabe, Y., Tanimoto, M., Ohgane, A., Sanada, K., Miyachi, M., Ishii, N.: Increased muscle size and strength from slow-movement, low-intensity resistance exercise and tonic force generation. J. Aging Phys. Act. 21(1), 71–84 (2013)

    Article  Google Scholar 

  63. WHO: Active ageing a policy framework (2002)

    Google Scholar 

  64. WHO: Ageing and health (2019)

    Google Scholar 

  65. Wilkinson, P.: A brief history of serious games. Entertainment computing and serious games, pp. 17–41 (2016)

    Google Scholar 

  66. Yu Fu, Yan Hu, V.S.: A survey on AR/VR games for mental and physical public health. In: eTELEMED 2021, The Thirteenth International Conference on eHealth, Telemedicine, and Social Medicine. ThinkMind (2021)

    Google Scholar 

  67. Zhang, H., Shen, Z., Lin, J., Chen, Y., Miao, Y.: Familiarity design in exercise games for elderly. Int. J. Inf. Technol. 22, 1–19 (2016)

    Google Scholar 

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Acknowledgement

This research was funded partly by the Knowledge Foundation, Sweden, through the Human-Centered Intelligent Realities (HINTS) Profile Project (contract 20220068).

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Fu, Y., Hu, Y., Sundstedt, V., Forsell, Y. (2023). A Systematic Literature Review of Extended Reality Exercise Games for the Elderly. In: Roque, A.C.A., et al. Biomedical Engineering Systems and Technologies. BIOSTEC 2022. Communications in Computer and Information Science, vol 1814. Springer, Cham. https://doi.org/10.1007/978-3-031-38854-5_17

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