Comparison of the Effect of Active Video Games and Transcranial Direct Current Stimulation on Executive Functions of the Elderly: A Randomized Clinical Trial Study.

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Title: Comparison of the Effect of Active Video Games and Transcranial Direct Current Stimulation on Executive Functions of the Elderly: A Randomized Clinical Trial Study.
Authors: Kianimotlagh, Isa, Abedanzadeh, Rasool, Hashemi, Ayoub
Source: Experimental Aging Research. Oct-Dec2025, Vol. 51 Issue 5, p610-626. 17p.
Subjects: Data analysis, Research funding, Executive function, Statistical sampling, Randomized controlled trials, Descriptive statistics, Multivariate analysis, Pre-tests & post-tests, Aging, Analysis of variance, Neuropsychological tests, Statistics, Transcranial direct current stimulation, Data analysis software, Short-term memory, Comparative studies, Video games, Wisconsin Card Sorting Test, Cognition
Abstract: Objectives: Among the changes related to aging in the elderly, a decline in executive functions is notable. The present study aimed to investigate the comparative impact of active video games (AVG) and transcranial direct current stimulation (tDCS) on executive functions in elderly individuals in Khuzestan province, Iran. Methods: This research employed a randomized controlled trial with a pretest-posttest design, including a control group and follow-up. The statistical population comprised all elderly residents of Khuzestan province. Sixty elderly participants (60 years and above) were selected using convenience sampling and randomly assigned to three experimental groups (tDCS, AVG, tDCS + AVG) and one control group. They received interventions for 5 weeks (2 sessions per week). Data were collected using the N-back, Stroop, and Wisconsin Card Sorting tests. Data analysis was performed using mixed-ANOVA with SPSS version 25, and significance was set at p <.05. Results: The results of the study demonstrated that AVG and tDCS significantly improved working memory and cognitive flexibility in the elderly. Comparison between the two intervention groups indicated a greater effect of tDCS compared to AVG (p <.05). Additionally, the combined group showed better performance in posttest and memory follow-up compared to the other groups, although no significant difference was found in the attention component (p >.05). Conclusion: Engaging in AVG and tDCS can contribute to improving executive functions in the elderly. Therefore, it is recommended that these therapeutic techniques be utilized in elderly care centers to enhance the executive performance of these individuals. [ABSTRACT FROM AUTHOR]
Copyright of Experimental Aging Research is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Comparison of the Effect of Active Video Games and Transcranial Direct Current Stimulation on Executive Functions of the Elderly: A Randomized Clinical Trial Study.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Experimental+Aging+Research%22&quot;&gt;Experimental Aging Research&lt;/searchLink&gt;. Oct-Dec2025, Vol. 51 Issue 5, p610-626. 17p.
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  Data: Objectives: Among the changes related to aging in the elderly, a decline in executive functions is notable. The present study aimed to investigate the comparative impact of active video games (AVG) and transcranial direct current stimulation (tDCS) on executive functions in elderly individuals in Khuzestan province, Iran. Methods: This research employed a randomized controlled trial with a pretest-posttest design, including a control group and follow-up. The statistical population comprised all elderly residents of Khuzestan province. Sixty elderly participants (60 years and above) were selected using convenience sampling and randomly assigned to three experimental groups (tDCS, AVG, tDCS + AVG) and one control group. They received interventions for 5 weeks (2 sessions per week). Data were collected using the N-back, Stroop, and Wisconsin Card Sorting tests. Data analysis was performed using mixed-ANOVA with SPSS version 25, and significance was set at p &lt;.05. Results: The results of the study demonstrated that AVG and tDCS significantly improved working memory and cognitive flexibility in the elderly. Comparison between the two intervention groups indicated a greater effect of tDCS compared to AVG (p &lt;.05). Additionally, the combined group showed better performance in posttest and memory follow-up compared to the other groups, although no significant difference was found in the attention component (p &gt;.05). Conclusion: Engaging in AVG and tDCS can contribute to improving executive functions in the elderly. Therefore, it is recommended that these therapeutic techniques be utilized in elderly care centers to enhance the executive performance of these individuals. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Experimental Aging Research is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/0361073X.2025.2468103
    Languages:
      – Code: eng
        Text: English
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        PageCount: 17
        StartPage: 610
    Subjects:
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Executive function
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Aging
        Type: general
      – SubjectFull: Analysis of variance
        Type: general
      – SubjectFull: Neuropsychological tests
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Transcranial direct current stimulation
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Short-term memory
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Video games
        Type: general
      – SubjectFull: Wisconsin Card Sorting Test
        Type: general
      – SubjectFull: Cognition
        Type: general
    Titles:
      – TitleFull: Comparison of the Effect of Active Video Games and Transcranial Direct Current Stimulation on Executive Functions of the Elderly: A Randomized Clinical Trial Study.
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            NameFull: Kianimotlagh, Isa
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            NameFull: Abedanzadeh, Rasool
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            NameFull: Hashemi, Ayoub
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            – D: 01
              M: 10
              Text: Oct-Dec2025
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              Y: 2025
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              Value: 51
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