Effects of Exergames and Conventional Physical Therapy on Functional Physical Performance in Older Adults: A Randomized Controlled Trial.

IF 2.2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Games for Health Journal Pub Date : 2023-10-01 Epub Date: 2023-08-16 DOI:10.1089/g4h.2022.0194
Francisco Guede-Rojas, María José Medel-Gutiérrez, Macarena Cárcamo-Vargas, Adolfo Soto-Martínez, Luis Javier Chirosa Ríos, Rodrigo Ramirez-Campillo, Cristian Álvarez, Daniel Jerez-Mayorga
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Abstract

Objective: To evaluate the effects of exergames added to a conventional physical therapy (CPT) program on functional fitness and dynamometric muscle performance for the sit-to-stand (STS) maneuver in older adults and to compare their results concerning a CPT-only intervention. Materials and Methods: Fifty independent older adults were randomly assigned to CPT and exergames (CPT+ExG group; n = 25; age = 71.8 ± 6.8 years) or CPT alone (CPT group; n = 25; age = 71.3 ± 7.4 years). CPT was performed twice a week (60 min/session) for 8 weeks. The CPT+ExG group added exergames for 30 minutes in each session. The Senior Fitness Test was applied, considering the 30-second chair stand test as the primary outcome. Additionally, dynamometric muscle performance during the STS maneuver was assessed. Results: The CPT+ExG group improved the 30-second chair stand (lower body strength), back scratch (upper body flexibility), and 8-foot up-and-go (agility/dynamic balance) tests (all P < 0.05). Both groups improved the kinetic dynamometric variables peak force, peak power, and total work (all P < 0.05). Also, both groups improved the 30-second arm curl test (upper body strength) (P < 0.05), although the increase was higher in the CPT+ExG group compared with the CPT group (time × group; P < 0.05). Conclusion: Adding exergames to a CPT program only significantly increases upper limb strength compared with CPT alone. The findings of this study have implications for the design of future exergame interventions focused on improving STS maneuver performance in older adults.

锻炼和常规物理治疗对老年人功能性身体表现的影响:一项随机对照试验。
目的:评估在传统物理治疗(CPT)计划中增加运动游戏对老年人坐-站(STS)动作的功能适应性和肌肉力量测量性能的影响,并比较仅使用CPT干预的结果。材料和方法:50名独立的老年人被随机分配到CPT和运动会(CPT+ExG组 = 25;年龄 = 71.8 ± 6.8年)或单独使用CPT(CPT组;n = 25;年龄 = 71.3 ± 7.4年)。CPT每周进行两次(60 分钟/次),持续8周。CPT+ExG组在每次训练中增加了30分钟的练习赛。采用了老年人体质测试,将30秒的椅子站立测试视为主要结果。此外,还评估了STS操作过程中的测力肌肉表现。结果:CPT+ExG组改善了30秒椅子站立(下半身力量)、背部抓挠(上半身灵活性)和8英尺上下(灵活性/动态平衡)测试(均P P P P 结论:与单独使用CPT相比,在CPT项目中增加运动会只会显著增加上肢力量。这项研究的结果对未来旨在改善老年人STS动作表现的运动干预措施的设计具有启示意义。
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来源期刊
CiteScore
6.70
自引率
11.40%
发文量
56
期刊介绍: Games for Health Journal is the first peer-reviewed journal dedicated to advancing the impact of game research, technologies, and applications on human health and well-being. This ground-breaking publication delivers original research that directly impacts this emerging, widely-recognized, and increasingly adopted area of healthcare. Games are rapidly becoming an important tool for improving health behaviors ranging from healthy lifestyle habits and behavior modification, to self-management of illness and chronic conditions to motivating and supporting physical activity. Games are also increasingly used to train healthcare professionals in methods for diagnosis, medical procedures, patient monitoring, as well as for responding to epidemics and natural disasters. Games for Health Journal is a must for anyone interested in the research and design of health games that integrate well-tested, evidence-based behavioral health strategies to help improve health behaviors and to support the delivery of care. Games for Health Journal coverage includes: -Nutrition, weight management, obesity -Disease prevention, self-management, and adherence -Cognitive, mental, emotional, and behavioral health -Games in home-to-clinic telehealth systems
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