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Exploring Mixed-Reality Exergames for Sports Rehabilitation: Design Insights and Evaluation Findings
Furthermore, exergames can have positive effects on cognitive functions, such as executive functions, attention, and visual-spatial skills [32-37] as well as physical activity levels, energy expenditure, and heart rate. By immersing players in an audiovisual, narrative-based game scenario, exergames shift their cognitive and emotional focus to the playful experience, facilitating engagement in physically challenging training [38,39].
JMIR Serious Games 2025;13:e68431
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These games, which also belong to exergames, are increasingly being explored for their potential in rehabilitation, such as fall prevention and improving balance and mobility [8,9]. However, despite advancements in BMCVG hardware, rehabilitation task design often fails to integrate mechanisms that sustain engagement, leading to poor subjective experiences [10].
JMIR Serious Games 2025;13:e76278
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Other meta-analyses have focused on the benefits of exergames in school settings, specifically regarding PE learning. In particular, they have shown that exergames can improve performance in PE education and suggest using exergames in small classes, limiting the implementation cycle to 1‐2 months, and selecting games according to different age groups [31].
JMIR Pediatr Parent 2025;8:e71416
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SGWALK integrates 3 core functionalities: (a) physical activity promotion through exergames such as Fruit Ninja and Piano Step, aligned with Singapore’s national exercise guidelines for older adults; (b) nutrition tracking with goal-setting features focused on hydration, dairy intake, and balanced meals; and (c) mental well-being monitoring using validated psychological assessment tools.
JMIR Form Res 2025;9:e68937
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In this review, VR refers to interactive, digital systems that simulate task-oriented environments to encourage physical rehabilitation, which includes platforms such as sensor-enabled gaming platforms, exergames, and nonimmersive VR [29,30]. This definition incorporates motion-tracking systems that do not require the use of head-mounted displays but require real-time feedback and user engagement through physical movement, which are commonly used in VR-based rehabilitation interventions [31].
JMIR Serious Games 2025;13:e67146
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A novel therapy modality that has proven effects on motivation is exergames for rehabilitation. Exergames combine exercise with the motivational aspect of interactive video games [16]. In older adults, it was found that exergames have a positive effect on physical function [17]. Additionally, Rytterström et al [18] reviewed the feasibility and practical implications of exergames in this population and reported that older adults found exergaming physically and cognitively demanding, yet enjoyable.
JMIR Serious Games 2025;13:e69400
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An Exergames Program for Adolescents With Type 1 Diabetes: Qualitative Study of Acceptability
Using exergames and virtual reality, we provided a fun and interactive environment for participants to interact and engage in PA in our study. Pairing a video game or virtual reality with group activities in a virtual setting proved to be a viable approach to addressing some of the psychosocial challenges that adolescents with T1 D experience.
Participants attributed the Exer T1 D program to enhancing their diabetes knowledge and management skills, both overall and during PA.
JMIR Diabetes 2025;10:e65665
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During snowy or rainy conditions, people don’t feel like going out…Yeah, just stays in one place and wraps himself in a blanket all day… Virtual games(virtual reality exergames) can be played at home. There are simply more opportunities to exercise. Right?
Many interviewees believed that VR exergames could help them maintain their exercise routines. On one hand, the fun aspect of VR exergames might motivate them to keep exercising.
JMIR Serious Games 2025;13:e66998
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Reference 61: Virtual reality exergames for enhancing engagement in stroke rehabilitation: a narrativeexergames
JMIR Rehabil Assist Technol 2025;12:e64729
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Developing AR-based cognitive-motor exergames could offer an innovative and engaging approach for young patients, addressing both their physical and cognitive stimulation needs.
The development of an XR rehabilitation device is complex and involves multiple methodological steps [12,19,20] to ensure usability, acceptability, and effectiveness.
JMIR Rehabil Assist Technol 2025;12:e69205
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