Abstract
OBJECTIVE: The purpose of this study was to systematically investigate the effects of Wii-Fit game training on children with developmental coordination disorder (DCD), specifically elucidating its impact on enhancing motor skills, balance, and agility capabilities. METHODS: The literature search was conducted from March 22 to June 12, 2025, encompassing the PubMed, Embase, Web of Science, and Cochrane Library databases. We systematically searched for randomized controlled trials (RCTs) published in databases from their inception through June 12, 2025, using predefined inclusion and exclusion criteria to perform study selection. The methodological quality (risk of bias 2.0) of the included studies was assessed using the Cochrane Risk of Bias tool. Statistical analyses were performed using RevMan software (version 5.4.1). Publication bias was evaluated using Stata software (version 16.0). RESULTS: This systematic review and meta-analysis included six RCTs with a total of 162 participants. The meta-analysis revealed that Wii-Fit game training may lead to improvement in motor skills (SMD = 0.54, 95% CI [0.06, 1.02], p = 0.03) and appears beneficial for balance (SMD = 0.69, 95% CI [0.36, 1.01], p < 0.0001). For agility, the effect size was borderline significant (SMD = 0.65, 95% CI [0.00, 1.30], p = 0.05), suggesting only a possible positive trend. CONCLUSION: Wii-Fit training may improve motor skills and balance in children with DCD, with a potential but inconclusive effect on agility. These results should be interpreted with caution due to small sample sizes, variability in outcome measures, and moderate methodological quality across the included studies. Further large-scale, rigorously designed RCTs are needed to confirm these preliminary findings. The study protocol was prospectively registered with PROSPERO (CRD420251073789).