Digital and analog learning media for improving fundamental movement skills in elementary school students: a prisma-guided systematic literature review

Abstract

Fundamental Movement Skills (FMS) are essential for children's physical development and lifelong participation in physical activity. However, many elementary school students still demonstrate low levels of locomotor, object-control, and stability skills. This systematic literature review examined the effectiveness of various learning media, including analog tools (e.g., flash cards and board games) and digital technologies (e.g., augmented reality, virtual reality, and mobile applications), in improving FMS among elementary school children. The review followed the PRISMA 2020 guidelines and used Scopus as the primary database. From 114 initially identified records, 10 studies met the final inclusion criteria and were analyzed in depth. Study quality was assessed using the FICO framework (Focus, Information, Context, Outcome). The findings indicate that game-based and flash-card learning media consistently improved locomotor skills, while augmented reality and mobile-based interventions produced equal or superior outcomes compared with conventional teaching methods. Adapted media, such as e-books and QR-code resources, also supported children with sensory or intellectual differences in developing FMS. Nevertheless, most studies employed small samples and single-group pretest–posttest designs, limiting the strength of causal inferences. Overall, learning media show considerable potential to enhance FMS development when systematically integrated into physical education programs. Future research should prioritize randomized controlled trials, longer intervention periods, and standardized reporting to strengthen the evidence base for educational practice and policy.

Keywords
  • Learning media, Fundamental movement skills, Elementary school students, Physical education, Systematic literature review
References
  1. Asriadi AM M., Mirawati M., Hopiani A., & Despriliani R. (2025). Future-ready instructional technology for early childhood education: a bibliometric and meta-synthesis analysis. *On the Horizon*. https://doi.org/10.1108/OTH-03-2025-0035
  2. Balikci A., May-Benson T.A., Sirma G.C., & Ilbay G. (2024). HEP® (Homeostasis-Enrichment-Plasticity) Approach Changes Sensory–Motor Development Trajectory and Improves Parental Goals: A Single Subject Study of an Infant with Hemiparetic Cerebral Palsy and Twin Anemia Polycythemia Sequence (TAPS). *Children*, 11(7), Article 876. https://doi.org/10.3390/children11070876
  3. Bell J., Decker B., Eichmann A., Palkovich C., & Reji C. (2024). Effectiveness of Virtual Reality for Upper Extremity Function and Motor Performance of Children With Cerebral Palsy: A Systematic Review. *American Journal of Occupational Therapy*, 78(2), Article 7802180180. https://doi.org/10.5014/ajot.2024.050374
  4. Bikalawan S.S., Al Ardha M.A., Indahwati N., Wijaya A., Nurhasan N., Ridwan M., & Yang C.B. (2024). Flash Card Learning Media in Physical Education Improves Students' Locomotor Movement Skills. *Retos*, 57, 80–87. https://doi.org/10.47197/retos.v57.105460
  5. Cahyani F.I., Padli, Komaini A., Kiram Y., Purnomo E., Marheni E., Akbar A., & Ockta Y. (2024). Parental concern: increasing involvement and support for early childhood movement learning activities. *Fizjoterapia Polska*, 2024(5), 155–161. https://doi.org/10.56984/8ZG020C4AW9
  6. Carcelén-Fraile M.C., & Aibar-Almazán A. (2026). Gamification Applied to Physical Education Teaching: A Systematic Review and Meta-Analysis. *International Journal of Serious Games*, 13(3), 61–91. https://doi.org/10.17083/ettqcm60
  7. Ciążyńska J., & Maciaszek J. (2025). Achieving Gameplay Independence in Virtual Reality Exergames for Individuals With Mild Intellectual Disabilities: Pilot Study. *JMIR Serious Games*, 13, Article e71823. https://doi.org/10.2196/71823
  8. Doğan H., Aydemιr İ., & Çinar V. (2024). Examining the Effect of 8-Week Educational Games on Gross Motor Skills in Children with Autism. *International Journal of Disabilities Sports and Health Sciences*, 7(2), 290–295. https://doi.org/10.33438/ijdshs.1370009
  9. Faruk M., Ali M., Susilana R., Dewi L., Alias N., Mahardika I.M.S.U., Syafi’i I., Huda M.S., Wahyudi A.R., Andriana L.M., & Pranoto A. (2025). The interventions of physical education by using augmented reality based mobile learning can significantly improve gross motor skills in elementary school students. *Retos*, 64, 201–210. https://doi.org/10.47197/retos.v64.111727
  10. Fears N.E., Templin T.N., Sherrod G.M., Bugnariu N.L., Patterson R.M., & Miller H.L. (2023). Autistic Children Use Less Efficient Goal-Directed Whole Body Movements Compared to Neurotypical Development. *Journal of Autism and Developmental Disorders*, 53(7), 2806–2817. https://doi.org/10.1007/s10803-022-05523-0
  11. Gehringer J.E., Fortin E., Surkar S.M., Hao J., Pleiss M., & Jensen-Willett S. (2023). Hand-Arm Bimanual Intensive Training in Virtual Reality: A Feasibility Study. *Pediatric Physical Therapy*, 35(1), 85–91. https://doi.org/10.1097/PEP.0000000000000975
  12. Gehringer J.E., Jameson A.W., Boyer H., Konieczny J., Thomas R., Pierce J., III, Cunha A., & Willett S. (2024). Feasibility of At-Home Hand Arm Bimanual Intensive Training in Virtual Reality: Case Study. *JMIR Formative Research*, 8, Article e57588. https://doi.org/10.2196/57588
  13. Grola N.R., Cerqueira H.S.C., Custódio R.J., Martinelli C.E., Jr., & Filho H.T. (2025). Effects of a physical exercise program using exergames on gross motor development in children with autism spectrum disorder. *Fisioterapia em Movimento*, 38, Article e38134. https://doi.org/10.1590/fm.2025.38134
  14. Gu X., Moss S., Zhang X., Zhang T., & Greer T.L. (2025). Effect of the Virtual Reality-Infused Movement and Activity Program (V-MAP) on Physical Activity and Cognition in Head Start Preschoolers. *Children*, 12(9), Article 1228. https://doi.org/10.3390/children12091228
  15. Hadyansah D., Dimyati D., Hermawan H.A., Fadillah H.M., & Mulyana F.R. (2024). Educational Game "Pusaran Ular Tangga" To Improve Fundamental Motor Skill (FMS) of Grade 3 Elementary School Students. *Retos*, 57, 502–508. https://doi.org/10.47197/retos.v57.101855
  16. Haris F., Alnedral, Taufan J., Aulia F., & Gusril (2023). The effect of Motor Coordination Learning (MCL) based on a combination of e-book and QR-Code media with sign language to improve Basic Movement Skill (BMS) in deaf children: An inclusion education research. *Journal of Physical Education and Sport*, 23(12), 3349–3355. https://doi.org/10.7752/jpes.2023.12383
  17. Hasriani, Salmah A.U., Masni, Moedjiono A.I., Hidayanty H., Wahiduddin, & Mallongi A. (2023). Analysis of Knowledge and Skills of Cadres in Early Detection of Stunting Toddler Development in Soppeng Regency, Indonesia. *Pharmacognosy Journal*, 15(5), 833–838. https://doi.org/10.5530/pj.2023.15.159
  18. Hocking D.R., Ardalan A., Abu-Rayya H.M., Farhat H., Andoni A., Lenroot R., & Kachnowski S. (2022). Feasibility of a virtual reality-based exercise intervention and low-cost motion tracking method for estimation of motor proficiency in youth with autism spectrum disorder. *Journal of NeuroEngineering and Rehabilitation*, 19(1), Article 1. https://doi.org/10.1186/s12984-021-00978-1
  19. Hwang Y., Boyd M., Naylor P.-J., Rhodes R.E., Liu S., Moldenhauer R., …Carson V. (2023). Piloting the Virtual PLAYshop Program: A Parent-Focused Physical Literacy Intervention for Early Childhood. *Children*, 10(4), Article 720. https://doi.org/10.3390/children10040720
  20. Javed S., Muniandy M., Lee C.K., Heng L.E., & Husni H. (2025). Enhancing neurodevelopment in children with dyslexia through haptic feedback: The HapticLearn 1.0 framework. *Computers in Human Behavior Reports*, 20, Article 100862. https://doi.org/10.1016/j.chbr.2025.100862
  21. Kesumawati S.A., Fikri A., Ardianto H., Sukmawati N., Hardiyono B., Fahritsani H., & Muslimin M. (2024). Fun Game Based Learning Model to Enhance Fundamental Movement Skills (FMS) Children with Mild Intellectual Disability. *International Journal of Disabilities Sports and Health Sciences*, 7(2), 396–407. https://doi.org/10.33438/ijdshs.1407873
  22. Kim W., Seong M., Kim K.-J., & Kim S. (2024). Engagnition: A multi-dimensional dataset for engagement recognition of children with autism spectrum disorder. *Scientific Data*, 11(1), Article 299. https://doi.org/10.1038/s41597-024-03132-3
  23. Kolezoi A., Lepoura A., Christakou A., Chrysagis N., Lalou P., & Sakellari V. (2025). The Use of a Virtual Reality Training System on Gross Motor Function and Balance in Children with Cerebral Palsy: A Multiple Single-Subject Experimental Report †. *Applied Sciences (Switzerland)*, 15(1), Article 443. https://doi.org/10.3390/app15010443
  24. Kolit Z., Kara K., & Şahin S. (2025). Effects of Virtual Reality Among Children With Developmental Coordination Disorder: An ICF-Based Randomized Controlled Study. *American Journal of Occupational Therapy*, 79(6), Article 7906205140. https://doi.org/10.5014/ajot.2025.051134
  25. Lee H.K., & Jin J. (2023). The effect of a virtual reality exergame on motor skills and physical activity levels of children with a developmental disability. *Research in Developmental Disabilities*, 132, Article 104386. https://doi.org/10.1016/j.ridd.2022.104386
  26. Li X., Huang Z., Lu T., Liang J., Guo H., Wang L., … Du Q. (2023). Effect of virtual reality combined with repetitive transcranial magnetic stimulation on musculoskeletal pain and motor development in children with spastic cerebral palsy: a protocol for a randomized controlled clinical trial. *BMC Neurology*, 23(1), Article 339. https://doi.org/10.1186/s12883-023-03359-4
  27. Lorås H., Sandseter E.B.H., Sando O.J., & Storli L. (2023). Distinct clusters of movement entropy in children’s exploration of a virtual reality balance beam. *Frontiers in Psychology*, 14, Article 1227469. https://doi.org/10.3389/fpsyg.2023.1227469
  28. Lorås H., & Haga M. (2025). Non-Linearity in Development of Dynamic Balance Repertoire in Middle Childhood. *Journal ofsand Motor Behavior*, 57(6), 699–713. https://doi.org/10.1080/00222895.2025.2546694
  29. Marsigliante S., My G., Mazzotta G., & Muscella A. (2024). The Effects of Exergames on Physical Fitness, Body Composition and Enjoyment in Children: A Six-Month Intervention Study. *Children*, 11(10), Article 1172. https://doi.org/10.3390/children11101172
  30. Marwan I., & Rohayati N. (2025). The Effect of Smart Kiddo Games on Fine and Gross Motor Skills in Early Childhood. *TEM Journal*, 14(1), 684–694. https://doi.org/10.18421/TEM141-61
  31. Monacis D., Colella D., & Limone P. (2022). Non-linear didactic technology-based intervention to enhance basic motor competencies with MOBAK-5: a pilot study in primary school. *Physical Activity Review*, 10(1), 22–30. https://doi.org/10.16926/PAR.2022.10.03
  32. Oliveira Neves A.D.S., Soares M.M., Marçal M.A., & de Souza Aarão T.L. (2026). The Impact of Using Non-Immersive Virtual Reality Exergames on the Motor Skills of Children with Autism Spectrum Disorder. *International Journal of Human-Computer Interaction*, 42(10), 6940–6958. https://doi.org/10.1080/10447318.2025.2555416
  33. Ortega Solís J., Reynard P., Spruyt K., Bécaud C., Ionescu E., & Thai-Van H. (2023). Developing a serious game for gaze stability rehabilitation in children with vestibular hypofunction. *Journal of NeuroEngineering and Rehabilitation*, 20(1), Article 128. https://doi.org/10.1186/s12984-023-01249-x
  34. Park S.-B., Ju Y., Kwon H., Youm H., Kim M.J., & Chung J. (2022). Effect of a Cognitive Function and Social Skills-Based Digital Exercise Therapy Using IoT on Motor Coordination in Children with Intellectual and Developmental Disability. *International Journal of Environmental Research and Public Health*, 19(24), Article 16499. https://doi.org/10.3390/ijerph192416499
  35. Susanto, S., Setyawan, H., Susanto, N., García-Jiménez, J.V., Latino, F., Tafuri, F., & Eken, Ö. (2024b). The influence of modified one-hole game media in improving fine motor skills in early childhood. *Sportske Nauke i Zdravlje*, 14(5), 151–156. https://doi.org/10.7251/SSH24V151S
  36. Sandseter E.B.H., Sando O.J., Lorås H., Kleppe R., Storli L., Brussoni M., … Little H. (2023). Virtual Risk Management-Exploring Effects of Childhood Risk Experiences through Innovative Methods (ViRMa) for Primary School Children in Norway: Study Protocol for the ViRMa Project. *JMIR Research Protocols*, 12, Article e45857. https://doi.org/10.2196/45857
  37. Satria M.H., Aliriad H., Nuzulia D., Mangngassai I.A.M., Junaidi I.A., & Zainuddin M. (2024). Game-based physical education learning to improve basic manipulative movement skills in primary school children. *Edelweiss Applied Science and Technology*, 8(6), 8117–8125. https://doi.org/10.55214/25768484.v8i6.3756
  38. Sepehri Bonab H., & Ebrahimi Sani S. (2025). Virtual Reality Improves Predictive Internal Modeling and Object Control Skills in DCD Children. *Journal of Motor Behavior*, 57(5), 627–640. https://doi.org/10.1080/00222895.2025.2536832
  39. Serra M.V.G.B., Hiraga C.Y., Brunherotti M.A.A., & Tonello M.G.M. (2025). Wii-based exercise program in persons with intellectual disabilities: technological perspective to improve motor performance. *Motriz. Revista de Educacao Fisica*, 31(1), Article e10248761. https://doi.org/10.5016/s1980-6574e10248761
  40. Storli L., Sandseter E.B.H., & Lorås H. (2024). Individual differences in children's movement variability in a virtual reality playground task. *Human Movement Science*, 93, Article 103171. https://doi.org/10.1016/j.humov.2023.103171
  41. Storli L., & Lorås H. (2025). Movement Variability and Perceived Motor Competence in Children with High or Low Risk Willingness in a Virtual Playground. *Children*, 12(6), Article 796. https://doi.org/10.3390/children12060796
  42. Storli L., & Lorås H. (2026). The Association Between 7-To-10-year-old Children’s Leisure-time Physical Activities and Their Motor Behavior in a Virtual Playground Environment. *Perceptual and Motor Skills*, 133(1), 57–85. https://doi.org/10.1177/00315125251347987
  43. Susanto, S., Setyawan, H., García-Jiménez, J.V., Pavlovic, R., Nowak, A.M., & Susanto, N. (2024a). Analysis of one-hole game tools in developing fine motor skills in early childhood. *Sportske Nauke i Zdravlje*, 14(5), 135–139. https://doi.org/10.7251/SSH24V135S
  44. Tan X., Zhang L., Wang D., & Wu X. (2026). Effects of physical activity on fundamental motor skills and body composition in children and adolescents with intellectual and developmental disabilities: a systematic review and meta-analysis. *PeerJ*, Article e20946. https://doi.org/10.7717/peerj.20946
  45. Valencia-Jimenez N.J., Ramirez-Duque A.A., Rodriguez-Timana L.C., Castillo-Garcia J.F., Silveira M.L., Luz S.D., … Frizera-Neto A. (2023). Effect of an Intervention Based on Multisensory Environment for Proprioception Assessment in Children With Down Syndrome: Case Study. *IEEE Access*, 11, 9326–9338. https://doi.org/10.1109/ACCESS.2023.3239589
  46. Vibhuti V., Kumar N., Kataria C., Sankhyan N., Saini L., & Mehta A. (2025). Efficacy analysis of psychomotor impairment using virtual reality-based exergames for rehabilitation of congenital hemiplegic cerebral palsy children. *Virtual Reality*, 29(2), Article 81. https://doi.org/10.1007/s10055-025-01152-x
  47. Wu X., Liang J., Dong Y., Ou Q., Chen J., Zou L., … Lu C. (2025). Effects of VR-Based Serious Games on Gross Motor Skills in Chinese Children with Autism Spectrum Disorder in Special Education: A Pilot Study. *Journal of Autism and Developmental Disorders*. https://doi.org/10.1007/s10803-025-06810-2
  48. Yenilmez O., & Altug F. (2026). Effect of Adding Virtual Reality to Individualized Exercise Therapy on Gross Motor Function, Balance, and Functional Mobility in Children with Hemiparetic Cerebral Palsy: A Randomized Single-Blinded Controlled Trial. *Clinical Pediatrics*, 65(1), 46–52. https://doi.org/10.1177/00099228251375527
  49. Ziccardi S., Timanus S., Ashrafzadehkian G., Guy S.J., & Hawe R.L. (2024). Characterization of bilateral reaching development using augmented reality games. *Human Movement Science*, 96, Article 103254. https://doi.org/10.1016/j.humov.2024.103254
  50. Çakto P., & Akin S. (2024). The Effect of The Situated Game Teaching Model Through Set-Plays on Motor Development. *Retos*, 57, 64–71. https://doi.org/10.47197/retos.v57.104840