This systematic review with meta-analysis aimed to analyze the effects of exergaming (EXG) versus conventional therapies on muscle strength, balance, and fear of falling in healthy older people. A systematic literature search was conducted in six generic databases (PubMed, Medline, CINAHL Complete, Scopus, Cochrane Library, and Web of Science) with no start date restrictions until May 2025. The PRISMA, TESTEX, Rob 2 and GRADE tools were used to assess the methodological quality and certainty of evidence. The protocol was registered in PROSPERO (code: CRD420251037541). From 3224 records, 25 randomized controlled trials with 2078 participants (≥80% female) with a mean age of 71.5 ± 5.8 years were included. Seven overall and 10 subgroup meta-analysis revealed significant improvements (p 2 = 0.43; p = 0.02). In conclusion, EXG is an effective alternative for improving muscle strength and balance performance in healthy older people.
Hernandez-Martinez et al. (Sun,) studied this question.