Human aging is associated with structural and functional brain deteriorations and a corresponding cognitive decline. Exergaming (i.e., physically active video-gaming) has been supposed to attenuate age-related brain deteriorations and may even improve cognitive functions in healthy older adults. Effects of exergaming, however, vary largely across studies. Moreover, the underlying neurophysiological mechanisms by which exergaming may affect cognitive and brain function are still poorly understood. Therefore, we systematically reviewed the effects of exergame interventions on cognitive outcomes and neurophysiological correlates in healthy older adults (>60 years). After screening 2709 studies (Cochrane Library, PsycINFO, Pubmed, Scopus), we found 15 eligible studies, four of which comprised neurophysiological measures. Most studies reported within group improvements in exergamers and favorable interaction effects compared to passive controls. Fewer studies found superior effects of exergaming over physically active control groups and, if so, solely for executive functions. Regarding individual cognitive domains, results showed no consistence. Positive effects on neurophysiological outcomes were present in all respective studies. In summary, exergaming seems to be equally or slightly more effective than other physical interventions on cognitive functions in healthy older adults. Tailored interventions using well-considered exergames and intervention designs, however, may result in more distinct effects on cognitive functions.

Les Interfaces Cerveau-Ordinateur basées sur l’Imagerie Mentale (IM-ICO) permettent auxutilisateurs d’interagir uniquement via leur activité cérébrale, grâce à la réalisation de tâchesd’imagerie mentale. Cette thèse se veut contribuer à l’amélioration des IM-ICO dans le but deles rendre plus utilisables. Les IM-ICO sont extrêmement prometteuses dans de nombreuxdomaines allant de la rééducation post-AVC aux jeux-vidéo. Malheureusement, leurdéveloppement est freiné par le fait que 15 à 30% des utilisateurs seraient incapables de lescontrôler. Nombre de travaux se sont focalisés sur l’amélioration des algorithmes de traitementdu signal. Par contre, l’impact de l’entraînement des utilisateurs sur leur performance estsouvent négligé. Contrôler une IM-ICO nécessite l’acquisition de compétences et donc unentraînement approprié. Or, malgré le fait qu’il ait été suggéré que les protocolesd’entraînement actuels sont théoriquement inappropriés, peu d’efforts sont mis en oeuvre pourles améliorer. Notre principal objectif est de comprendre et améliorer l’apprentissage des IMICO.Ainsi, nous cherchons d’abord à acquérir une meilleure compréhension des processussous-tendant cet apprentissage avant de proposer une amélioration des protocolesd’entraînement afin qu’ils prennent en compte les facteurs cognitifs et psychologiquespertinents et qu’ils respectent les principes issus de l’ingénierie pédagogique. Nous avonsainsi défini 3 axes de recherche visant à investiguer l’impact (1) de facteurs cognitifs, (2) de lapersonnalité et (3) du feedback sur la performance. Pour chacun de ces axes, nous décrivonsd’abord les études nous ayant permis de déterminer les facteurs impactant la performance ;nous présentons ensuite le design et la validation de nouvelles approches d’entraînementavant de proposer des perspectives de travaux futurs. Enfin, nous proposons une solution quipermettrait d’étudier l’apprentissage de manière mutli-factorielle et dynamique : un systèmetutoriel intelligent. / Mental-imagery based brain-computer interfaces (MI-BCIs) enable users to interact with theirenvironment using their brain-activity alone, by performing mental-imagery tasks. This thesisaims to contribute to the improvement of MI-BCIs in order to render them more usable. MIBCIsare bringing innovative prospects in many fields, ranging from stroke rehabilitation tovideo games. Unfortunately, most of the promising MI-BCI based applications are not yetavailable on the public market since an estimated 15 to 30% of users seem unable to controlthem. A lot of research has focused on the improvement of signal processing algorithms.However, the potential role of user training in MI-BCI performance seems to be mostlyneglected. Controlling an MI-BCI requires the acquisition of specific skills, and thus anappropriate training procedure. Yet, although current training protocols have been shown tobe theoretically inappropriate, very little research is done towards their improvement. Our mainobject is to understand and improve MI-BCI user-training. Thus, first we aim to acquire a betterunderstanding of the processes underlying MI-BCI user-training. Next, based on thisunderstanding, we aim at improving MI-BCI user-training so that it takes into account therelevant psychological and cognitive factors and complies with the principles of instructionaldesign. Therefore, we defined 3 research axes which consisted in investigating the impact of(1) cognitive factors, (2) personality and (3) feedback on MI-BCI performance. For each axis,we first describe the studies that enabled us to determine which factors impact MI-BCIperformance; second, we describe the design and validation of new training approaches; thethird part is dedicated to future work. Finally, we propose a solution that could enable theinvestigation of MI-BCI user-training using a multifactorial and dynamic approach: an IntelligentTutoring System.