Journal of Korea Entertainment Industry Association (한국엔터테인먼트산업학회논문지)

The Korea Entertainment Industry Association (한국엔터테인먼트산업학회)
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The Analysis of the Health Related Physical Fitness and Mental Health in Individuals with Intellectual Disabilities on Virtual Reality Exercise Program by Game Bike - a pilot study

게임바이크를 이용한 가상현실 운동프로그램 적용이 지적장애인의 건강관련체력과 정신건강에 미치는 영향 - 탐색연구

  • Lee, Kyung-Hun (Department of Health, Graduate School, Sahmyook University, Eden Adventist Hospital) ;
  • Kim, Ju-Yeong (Department of Health & Human Performance, Sahmyook University) ;
  • Yoo, Jae-Hyun (Department of Health & Human Performance, Sahmyook University)
  • 이경훈 (삼육대학교 대학원 보건학과, 에덴요양병원) ;
  • 김주영 (삼육대학교 보건관리학과) ;
  • 유재현 (삼육대학교 보건관리학과)
  • Received : 2020.01.23
  • Accepted : 2020.02.25
  • Published : 2020.02.28
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Abstract

Intellectual disability affects all spheres of the lives of people can be who suffer from it. Unfortunately, modern medicine cannot cure intellectual disability. However, the quality of life improved by means of physical exercise. In this study, we compared the health-related physical fitness, metabolic syndrome index and mental health between a game biking group(5 participants) and a brisk walking group(4 participants). This study used a between-subject design and verified by non-parametric test. The participants performed an exercise program with warm up and resistance training for 12 weeks. A game bike was used for the physically impaired, where the individual looked at a screen and pedaled. The fasters he pedaled the faster the object on the screen movies. We measured health-related physical fitness, metabolic syndrome index and mental health. We also measured their perceived exertion and interest during the exercise by a visual analog scale. The results before and after the exercise program showed that health-related physical fitness, metabolic risk factors, mental health level were improved in both groups. As we hypothesized before the study, the game biking group showed a statistically significantly different level on the Rating of Perceived Exertion than the brisk walking group and a higher level on the Rating of Exercise Interest during the exercise program. Our results lead to a conclusion that an exercise program with the use of a game bike improve motivation for exercise participation in intellectually handicapped participants.

지적장애인은 인지기능과 조정기술의 손상, 낮은 운동능력 등으로 인해 신체활동수준이 부족하고 음식섭취 욕구가 강하여 생활습관질환의 이환율이 높아 삶의 전 영역에 영향을 미친다. 안타깝게도 현대의학으로는 지적장애인의 삶의 질을 개선시키기에는 많은 어려움이 있다. 하지만 규칙적인 신체활동은 이러한 문제점을 개선시키는 중요한 중재로 인정되고 있다. 본 연구는 유희성과 중독성이 있는 가상현실 게임프로그램을 통한 운동프로그램과 일반적인 빠르게 걷기 프로그램을 통해 건강관련체력과 정신건강수준 등을 비교하였다. 중도탈락자를 제외하고 가상현실 게임운동프로그램군 5명, 빠르게 걷기 운동프로그램군 4명을 대상으로 비모수검증을 통해 비교분석하였다. 가상현실 게임바이크운동프로그램군의 체중, 근지구력 요소에서 유의한 개선이 있었으며, 모든 집단의 중성지방, 유연성, 최대산소섭취량, 운동지속시간에서는 통계적으로 유의하지는 않았지만 개선되는 경향을 보였다. 운동프로그램 전·후 우울, 사회적 부적응, 정신건강에서는 빠르게 걷기 운동프로그램군에 비해 가상현실 게임바이크운동프로그램군에서 유의하지는 않지만 개선되는 경향을 보였으며, 운동 흥미도가 높고, 자각인지도는 낮게 나타났다. 이는 게임기를 이용한 가상현실 운동프로그램의 적용이 게임으로 인한 부정적인 측면보다 운동으로 인한 긍정적인 면이 크다는 것을 의미하므로 지적장애인의 운동프로그램을 계획하는 데 적극적으로 활용할 필요가 있다고 판단된다.

Keywords

Acknowledgement

이 논문은 2018년 삼육대학교 교내공모과제 연구비에 의해 씌여짐.

References

  1. P. Chiurazzi, & B. A. Oostra, Genetics of mental retardation, Current Opinion in Pediatrics, Vol. 12, No. 6, pp. 529-535, 2000. https://doi.org/10.1097/00008480-200012000-00003
  2. M. Dierssen, & G. J. A. Ramakers, Dendritic pathology in mental retardation: From molecular genetics to neurobiology, Genes, Brain and Behavior, Vol. 5, Sup. 2, pp. 48-60, 2006. https://doi.org/10.1111/j.1601-183X.2006.00224.x
  3. K. Dipla, A. Zafeiridis, S. Papadopoulos, M. Koskolou, N. Geladas, I. S. Vrabas, Reduced metaboreflex control of blood pressure during exercise in individuals with intellectual disability: A possible contributor to exercise intolerance, Research in Developmental Disabilities, Vol. 34, pp. 335-343, 2013. https://doi.org/10.1016/j.ridd.2012.08.020
  4. W. E. Kaufmann, & H. W. Moser, Dendritic anomalies in disorders associated with mental retardation, Cerebral Cortex, Vol. 10, No. 10, pp. 981-991. 2000. https://doi.org/10.1093/cercor/10.10.981
  5. K-T. Jeon, M-K. Han. Development of Assessment Standards for Health-Related Physical Fitness in Persons with Intellectual Disability, Journal of Intellectual Disabilities. Vol. 13, No. 4, pp. 271-286, 2011.
  6. K. H.Pitetti, & K. D. Campbell, Mentally-reatarded individuals-A population at risk, Medicine and Science in Sports and Exercise, Vol. 23, No. 5, pp. 586-593, 1991.
  7. J. Mikulovic, J. Vanhelst, J. Salleron., A. Marcellini, R. Compte, P. S. Fardy, G. Bui-Xuan, Overweight in intellectually-disabled population: Physical, behavioral and psychological characteristics, Research in Developmental Disabilities, Vol. 35, pp. 153-161, 2014. https://doi.org/10.1016/j.ridd.2013.10.012
  8. B. S. Nickerson, M. R. Esco, S. C.Bicard, A. R. Russell, H. N. Williford, G. Schaefer, Validity of the body adiposity index in adults with Down syndrome, Research in Developmental Disabilities, Vol. 38, pp. 92-96, 2015. https://doi.org/10.1016/j.ridd.2014.12.010
  9. A. Graham, & G. Reid, Physical fitness of adults with an intellectual disability: A 13-year follow-up study, Research Quarterly for Exercise and Sport, Vol. 71, No. 2, pp. 152-161, 2000. https://doi.org/10.1080/02701367.2000.10608893
  10. Korea Employment Agency for Persons with Disabilities, Statistics of disabled person in 2012, 2012.
  11. Y-S. Kang, Study on Physical Activity Level, Health-Related Fitness, Body Composition, Blood Pressure, and Blood Glucose in Adults with Intellectual Disability, Korean Journal of Adapted Physical Activity, Vol. 21, No. 4, pp. 13-26, 2013.
  12. S-H. Son, I-K. Lee, The Effects of Climbing as After-School Activity on the Body Composition of Obesity Students with Mental Retardation, Korean Journal of Adapted Physical Activity, Vol. 15, No. 2, pp. 71-95, 2007.
  13. M-S. Kim, Comparison of a degree of obesity of a mentally handicapped student by residence and a degree of a handicap, Unpublished MS's thesis, Yongin university, 2001.
  14. S-J. Park, N-Y, Hong, K-J. Oh, Health-Related Fitness Meta Analysis in Individuals with Intellectual Disabilities, Journal of Sport and Leisure Studies. Vol. 54, pp. 983-998, 2013. https://doi.org/10.51979/KSSLS.2013.12.54.983
  15. C. A. Podgorski, K. Kessler, B. Cacia, D. R. Peterson, & C. M. Henderson, Physical activity intervention for older adults with intellectual disability: Report on a pilot project, Mental Retardation, Vol. 42, pp. 272-283, 2004. https://doi.org/10.1352/0047-6765(2004)42<272:PAIFOA>2.0.CO;2
  16. B. Fernhall, K. H. Pitetti, J. H. Rimmer, J. A. McCubbin, P. Rintala, A. L. Millar, et al. Cardiorespiratory capacity of individuals with mental retardation including Down syndrome, Medicine and Science in Sports and Exercise, Vol. 28, No. 3, pp. 366-371, 1996. https://doi.org/10.1097/00005768-199603000-00012
  17. B. Fernhall, & K. H. Pitetti, Leg strength is related to endurance run performance in children and adolescents with mental retardation, Pediatric Exercise Science, Vol. 12, No. 3, pp. 324-333, 2000. https://doi.org/10.1123/pes.12.3.324
  18. L. Guidetti, E. Franciosi, M. C. Gallotta, P. Emerenziani, and C. Baldari, Could sport specialization influence fitness and health of adults with mental retardation? Research in Developmental Disabilities, Vol. 31, pp. 1070-1075, 2010. https://doi.org/10.1016/j.ridd.2010.04.002
  19. E. Carmeli, T. Bar-Yossef, C. Ariav, R. Levy, & D. G. Liebermann, Perceptual-motor coordination in persons with mild intellectual disability, Disability and Rehabilitation, Vol. 30, pp. 323-329, 2008. https://doi.org/10.1080/09638280701265398
  20. G. C. Frey, H. I. Stanish, & V. A. Temple, Physical activity of youth with intellectual disability: Review and research agenda, Adapted Physical Activity Quarterly, Vol. 25, pp. 95-117, 2008. https://doi.org/10.1123/apaq.25.2.95
  21. P. Van de Vliet, P. Rintala, K. Frojd, J. Verellen, S. Van Houtte, D, J. Daly, et al., Physical fitness profile of elite athletes with intellectual disability, Scandinavian Journal of Medicine & Science in Sports, Vol. 16, pp. 417-425, 2006. https://doi.org/10.1111/j.1600-0838.2006.00539.x
  22. J-W. Choi, Influence of Participation in Exercise of Adolescent with Intellectual Disability upon Health-Related Fitness, Mood State and Self-Esteem, Journal of Sport and Leisure Studies Vol. 54, pp. 795-807, 2013. https://doi.org/10.51979/KSSLS.2013.12.54.795
  23. A. K. Chanias, G. Reid, & M. L. Hoover, Exercise effects on health-related physical fitness of individuals with an intellectual disability: A meta-analysis, Adapted Physical Activity Quarterly, Vol. 15, pp. 119-140, 1998. https://doi.org/10.1123/apaq.15.2.119
  24. B. A. Franklin, M. H. Whaley, & E. T. Howley, ACSM's guidelines for exercise testing and prescription (6th ed.), Philadelphia: Lippincott Williams & Wilkins, 2000.
  25. R. V. Croce, & M. Horvat, Effects of reinforcement based exercise on fitness and work productivity in adults with mental retardation, Adapted Physical Activity Quarterly, Vol. 9, pp. 148-178, 1992. https://doi.org/10.1123/apaq.9.2.148
  26. I-S. Shin, E-Y. Park, Meta-analysis of the effect of exercise programs for individuals with intellectual disabilities, Research in Developmental Disabilities, Vol. 33, pp. 1937-1947, 2012. https://doi.org/10.1016/j.ridd.2012.05.019
  27. S. K. Powers, S. L. Dodd, & E. M. Jackson, Total fitness and wellness, 6th ed. Pearson, 2014.
  28. D. E. Jansen, B. Krol, J. W. Groothoff, & D. Post, People with intellectual disability and their health problems: A review of comparative studies, Journal of Intellectual Disabilities Research, Vol. 48, No. 2, pp. 93-102, 2004. https://doi.org/10.1111/j.1365-2788.2004.00483.x
  29. J. H. Rimmer, Health promotion for persons with disabilities: The emerging paradigm shift from disabilities prevention to prevention of secondary conditions, Physical Therapy, Vol. 79, pp. 495-502, 1999. https://doi.org/10.1093/ptj/79.5.495
  30. J. H. Rimmer, D. Braddock, & G. Fujiura, Cardiovascular risk factor levels in adults with mental retardation, American Journal of Mental Retardation, Vol. 98, pp. 510-518, 1994.
  31. J. H. Rimmer, D. Braddock, & K. H. Pitetti, Research on physical activity and disability: An emerging national priority, Medical and Science in Sports and Exercise, Vol. 28, No. 11, pp. 1366-1372, 1996. https://doi.org/10.1097/00005768-199611000-00004
  32. M. Lotan, S. Yalon-Chmovitz, & P. L. Weiss, Virtual reality as means to improve physical fitness of individuals at a severe level of intellectual and developmental disability, Research in Developmental Disabilities, Vol. 31, pp. 869- 874, 2010. https://doi.org/10.1016/j.ridd.2010.01.010
  33. M-Y. Sim & O-Y. Lee, The Multiple-mediating Effects of Self-efficacy and Mental Health on the Influencing Relationship Between Game Addiction of Adolescents and School Adjustment, The Journal of Humanities and Social science. Vol. 9, No. 6, pp. 175-189, 2018.
  34. E-J. Oh, S-W. Choi, H-K. Lee, J-H. Park, J-H. Ahn, J-E. Choi and S-Y. Bhang, Relationship between Internet Game Addiction and Psychiatric Symptoms in a Child and Adolescent Psychiatric Clinic, J Korean Acad Child Adolesc Psychiatry, Vol. 25, No. 3, pp. 136-141, 2014. https://doi.org/10.5765/jkacap.2014.25.3.136
  35. M-G. Ko, C-H. Song and B-H. Lee, The Effect of Computer Game and Stretching on Muscle Tone and Concentration, Journal of the Korea Entertainment Industry Association. Vol. 13, No. 1, 225-233, 2019. https://doi.org/10.21184/jkeia.2019.1.13.1.225
  36. ACSM, ACSM's Guidelines for exercise testing and prescription, 10th ed, Wolters Kluwer, 2018.
  37. S-I. Shin, The Validity and Reliability of the Korean Version of the General Health Questionnaire : KGHQ-20 & KGHQ-30, Korean Journal of Social Welfare, Vol. 46, No. 9, pp. 210-235, 2001.
  38. D-I, Yang, M-H, Suk and K-I, Lim, Y-A, Shin, Comparison of Physical Activity and Health Fitness in Adults with and without Intellectual Disability, Korean Journal of Adapted Physical Activity, Vol. 22, No. 2, pp. 99-117, 2014.
  39. S. Golubovic, J. Maksimovic, B. Golubovic, N. Glumbic, Effects of exercise on physical fitness in children with intellectual disability, Research in Developmental Disabilities, Vol. 33, pp. 608-614, 2012. https://doi.org/10.1016/j.ridd.2011.11.003
  40. C-H. Song, Effect of resistive exercise program on body composition, blood lipid, and growth-related factors in children with mental retardation, Korean Journal of Adapted Physical Activity, Vol. 21, No. 2, pp. 41-56, 2013.
  41. M-S. Park, M-W. Kim, J-H. Jeong, N-H. Cha, Effects of a Physical Activity Program on Physical Fitness of Intellectually Disabled Persons. J Korean Acad Community Health Nurs. Vol. 28, No. 1, pp. 88-97, 2017. https://doi.org/10.12799/jkachn.2017.28.1.88
  42. S-H Moon, History of Game Addiction Discourse in Korea, Korean Society for Computer Game, Vol. 26, No. 1, pp. 29-35, 2013.
  43. D-K. Min, H-N. Lee, I-H. Song, Effect of Internet Game Overflow on Suicidal Ideation among Adolescents: Analysis of the Mediating Effect of Depressive Mood, Journal of Digital Convergence, Vol. 12, No. 9, pp. 445-454, 2014. https://doi.org/10.14400/JDC.2014.12.9.445
  44. E-J. Kim, The Effect of Depression, Anxiety, Stress on Self-Esteem and Delinquency Mediated Internet Game Addiction of Elementary Students, The Journal of Elementary Education, Vol. 28, No. 3, pp. 95-122, 2015.
  45. J-H Lee, and M-B Jung, A Study on the Effects of Violence Imitation in Games on Stress Reduction, Identity Confusion and Game Addiction, Journal of the Korea Entertainment Industry Association, Vol. 12, No. 7, pp. 73-85. 2018. https://doi.org/10.21184/jkeia.2018.10.12.7.73