Exergame-based cognitive–motor integrated training: A novel approach to improving physical functions in older adults

Background: Aging is associated with declines in balance, gait, and cognitive functions, increasing fall risk and diminishing quality of life. Exergame training, which integrates cognitive and motor tasks, has emerged as a promising intervention to address these issues. Objective: The purpose of this study was to compare the effects of exergame-based training and conventional dual-task training on physical function in older adults. Methods: Thirty community-dwelling older adults aged 60–75 years were randomly assigned to an exergame group ([Formula: see text]) or a dual-task group (n = 15). Both groups completed 30[Formula: see text]min training sessions three times per week for 12 weeks. The exergame group performed interactive cognitive–motor stepping tasks with real-time visual and auditory feedback using the Dividat Senso platform, whereas the dual-task group performed conventional physical exercises combined with simultaneous cognitive tasks. Balance (surface area, weight distribution, and limit of stability) was assessed using a Physiosensing platform; gait (cadence, velocity, and stride length) was measured with a G-Walk sensor; and cognitive function was evaluated using the Korean version of the Montreal Cognitive Assessment (MoCA-K). Paired t-tests and analysis of covariance (ANCOVA) were used for statistical analysis. The study protocol was approved by the Sehan University Institutional Review Board (IRB No. SH-IRB 2025-006). Results: Both groups showed significant improvements across all measures ([Formula: see text]). The exergame group demonstrated greater gains in surface area, limit of stability, cadence, and velocity ([Formula: see text]), whereas weight distribution, stride length, and cognitive scores did not differ significantly between groups. Conclusion: A 12-week exergame program yielded superior improvements in dynamic balance and gait speed compared with dual-task training, supporting its use as an effective strategy for enhancing mobility and preventing falls in older adults.