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The Effect of Video Game-Based Home Exercise on Balance and Muscle Strength in the Elderly in the COVID-19 Era

  • Myung Joon Kim (Department of Physical Therapy, College of Health Science, Kyungdong University)
  • 투고 : 2022.12.06
  • 심사 : 2022.12.22
  • 발행 : 2022.12.31

초록

Objective: This study investigated the effect of a video game-based home exercise program on the improvement of balance and muscle strength in the elderly. Design: Randomized controlled trial Methods: Participants were randomly assigned to two groups: a video game-based home exercise training group (experimental group, n=16) and a control group (n=17). The experimental group trained three times a week for 50 minutes per session for six weeks, and the control group did not perform any exercise. To evaluate postural balance, one leg standing test, Berg balance scale, functional reach test, and timed up and go test were performed, and five times sit-to-stand was performed to evaluate lower extremity muscle strength. Results: In the experimental group, there were statistically significant improvements (p<0.05) in one leg standing test, Berg balance scale, functional reach test, and timed up and go test, and five times sit-to-stand after the intervention, but in the control group, the difference before and after the intervention was not significant. The difference between the groups according to the experimental method showed a significant increase in the experimental group (p<0.05). Conclusions: These results suggest that a video game-based home exercise program effectively improves balance and muscle strength in the elderly. A video game-based exercise program can contribute to the rehabilitation of the elderly as a method of home remote rehabilitation.

키워드

과제정보

이 논문은 2022년도 경동대학교 교비연구비로 연구되었다.

참고문헌

  1. Zunzunegui MV, Beland F. Politicas intersectoriales para abordar el reto del envejecimiento activo. Informe SESPAS 2010. Gaceta Sanitaria. 2010;24:68-73. https://doi.org/10.1016/j.gaceta.2010.08.004
  2. Menendez C, Brochier Kist R. Physical activity and motor skills in the elderly: Their contributions to active, healthy and satisfactory aging. Textos Contextos (Porto Alegre). 2011;10:179-92.
  3. Chase JD, Phillips LJ, Brown M. Physical Activity Intervention Effects on Physical Function Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis. J Aging Phys Act. 2017;25:149-70.
  4. Bherer L, Erickson KI, Liu-Ambrose T. A review of the effects of physical activity and exercise on cognitive and brain functions in older adults. J Aging Res. 2013;2013:657508.
  5. Mi Y, Liang L, Xu K, Li Q, Wang W, Dang W, et al. Severe acute respiratory syndrome coronavirus 2 virus-like particles induce dendritic cell maturation and modulate T cell immunity. Front Cell Infect Microbiol. 2022;12:986350.
  6. Rippon D, Hand A, Dismore L, Caiazza R. The Impact of the COVID-19 Pandemic on Informal Caregivers of People With Parkinson's Disease Residing in the UK: A Qualitative Study. J Geriatr Psychiatry Neurol. 2022:8919887221135555.
  7. Mutz M, Gerke M. Sport and exercise in times of self-quarantine: How Germans changed their behaveiour at the beginning of the Covid-19 pandemic. International Review for the Sociology of Sport. 2021;56:305-16. https://doi.org/10.1177/1012690220934335
  8. Prem K, Liu Y, Russell TW, Kucharski AJ, Eggo RM, Davies N, et al. The effect of control strategies to reduce social mixing on outcomes of the COVID-19 epidemic in Wuhan, China: a modelling study. Lancet Public Health. 2020;5:e261-e70. https://doi.org/10.1016/S2468-2667(20)30073-6
  9. Wong AY, Ling SK, Louie LH, Law GY, So RC, Lee DC, et al. Impact of the COVID-19 pandemic on sports and exercise. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2020;22:39-44.
  10. Rodriguez MA, Crespo I, Olmedillas H. Exercising in times of COVID-19: what do experts recommend doing within four walls? Rev Esp Cardiol (Engl Ed). 2020;73:527-9. https://doi.org/10.1016/j.recesp.2020.04.002
  11. Yang YC, Chou CL, Kao CL. Exercise, nutrition, and medication considerations in the light of the COVID pandemic, with specific focus on geriatric population: A literature review. J Chin Med Assoc. 2020;83:977-80. https://doi.org/10.1097/JCMA.0000000000000393
  12. Peng W, Crouse JC, Lin J-H. Using active video games for physical activity promotion: a systematic review of the current state of research. Health education & behavior. 2013;40:171-92. https://doi.org/10.1177/1090198112444956
  13. Sato T, Shimizu K, Shiko Y, Kawasaki Y, Orita S, Inage K, et al. Effects of Nintendo Ring Fit Adventure Exergame on Pain and Psychological Factors in Patients with Chronic Low Back Pain. Games Health J. 2021;10:158-64. https://doi.org/10.1089/g4h.2020.0180
  14. Mat Rosly M, Mat Rosly H, Davis OAM GM, Husain R, Hasnan N. Exergaming for individuals with neurological disability: a systematic review. Disability and rehabilitation. 2017;39:727-35. https://doi.org/10.3109/09638288.2016.1161086
  15. Lee Y, Choi W, Lee K, Song C, Lee S. Virtual Reality Training With Three-Dimensional Video Games Improves Postural Balance and Lower Extremity Strength in Community-Dwelling Older Adults. J Aging Phys Act. 2017;25:621-7. https://doi.org/10.1123/japa.2015-0271
  16. Lee K. Speed-Interactive Pedaling Training Using Smartphone Virtual Reality Application for Stroke Patients: Single-Blinded, Randomized Clinical Trial. Brain Sci. 2019;9.
  17. Navarro-Lozano F, Kiper P, Carmona-Perez C, Rutkowski S, Pinero-Pinto E, Luque-Moreno C. Effects of Non-Immersive Virtual Reality and Video Games on Walking Speed in Parkinson Disease: A Systematic Review and Meta-Analysis. J Clin Med. 2022;11.
  18. Campo-Prieto P, Cancela JM, Rodriguez-Fuentes G. Immersive virtual reality as physical therapy in older adults: Present or future (systematic review). Virtual Reality. 2021;25:801-17. https://doi.org/10.1007/s10055-020-00495-x
  19. Zahedian-Nasab N, Jaberi A, Shirazi F, Kavousipor S. Effect of virtual reality exercises on balance and fall in elderly people with fall risk: a randomized controlled trial. BMC Geriatr. 2021;21:509.
  20. Saghaei M. Random allocation software for parallel group randomized trials. BMC Med Res Methodol. 2004;4:26.
  21. Milanovic Z, Pantelic S, Trajkovic N, Sporis G, Kostic R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013;8:549-56.
  22. Resnick B, Jenkins LS. Testing the reliability and validity of the Self-Efficacy for Exercise scale. Nurs Res. 2000;49:154-9. https://doi.org/10.1097/00006199-200005000-00007
  23. Downs S, Marquez J, Chiarelli P. The Berg Balance Scale has high intra- and inter-rater reliability but absolute reliability varies across the scale: a systematic review. J Physiother. 2013;59:93-9. https://doi.org/10.1016/S1836-9553(13)70161-9
  24. Berg K, Wood-Dauphinee S, Williams JI. The Balance Scale: reliability assessment with elderly residents and patients with an acute stroke. Scand J Rehabil Med. 1995;27:27-36.
  25. Ng SS, Hui-Chan CW. The timed up & go test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil. 2005;86:1641-7. https://doi.org/10.1016/j.apmr.2005.01.011
  26. Persad CC, Cook S, Giordani B. Assessing falls in the elderly: should we use simple screening tests or a comprehensive fall risk evaluation? Eur J Phys Rehabil Med. 2010;46:249-59.
  27. Tange H, van GENDEREN S, van der WEEGEN S, Moser A, Plasqui G, A pilot with Exergames in Elderly Homes. 23rd International Conference of the European Federation for Medical Informatics: User Centred Networked Health Care; 2012.
  28. Katajapuu N, Luimula M, Theng YL, Pham TP, Li J, Pyae A, et al., Benefits of exergame exercise on physical functioning of elderly people. 2017 8th IEEE International Conference on Cognitive Infocommunications (CogInfoCom); 2017.
  29. Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45:M192-7. https://doi.org/10.1093/geronj/45.6.M192
  30. Chow DH, Mann SK. Effect of cyber-golfing on balance amongst the elderly in Hong Kong: a pilot randomised trial. Hong Kong Journal of Occupational Therapy. 2015;26:9-13. https://doi.org/10.1016/j.hkjot.2015.08.001
  31. Sato K, Kuroki K, Saiki S, Nagatomi R. Improving Walking, Muscle Strength, and Balance in the Elderly with an Exergame Using Kinect: A Randomized Controlled Trial. Games Health J. 2015;4:161-7. https://doi.org/10.1089/g4h.2014.0057
  32. van Diest M, Stegenga J, Wortche HJ, Postema K, Verkerke GJ, Lamoth CJ. Suitability of Kinect for measuring whole body movement patterns during exergaming. J Biomech. 2014;47:2925-32. https://doi.org/10.1016/j.jbiomech.2014.07.017
  33. Decaestecker TN, Coopman EM, Van Peteghem CH, Van Bocxlaer JF. Suitability testing of commercial solid-phase extraction sorbents for sample clean-up in systematic toxicological analysis using liquid chromatography-(tandem) mass spectrometry. J Chromatogr B Analyt Technol Biomed Life Sci. 2003;789:19-25. https://doi.org/10.1016/S1570-0232(03)00208-3
  34. Clark RA, Pua YH, Fortin K, Ritchie C, Webster KE, Denehy L, et al. Validity of the Microsoft Kinect for assessment of postural control. Gait Posture. 2012;36:372-7.
  35. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80:896-903. https://doi.org/10.1093/ptj/80.9.896
  36. Milanovic Z, Pantelic S, Trajkovic N, Sporis G, Kostic R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013;8:549-56.
  37. Quail GG. An approach to the assessment of falls in the elderly. Aust Fam Physician. 1994;23:873, 6-82.
  38. Chu LW, Chi I, Chiu AY. Incidence and predictors of falls in the chinese elderly. Ann Acad Med Singap. 2005;34:60-72.
  39. Maillot P, Perrot A, Hartley A. Effects of interactive physical-activity video-game training on physical and cognitive function in older adults. Psychol Aging. 2012;27:589-600. https://doi.org/10.1037/a0026268
  40. Orsega-Smith E, Davis J, Slavish K, Gimbutas L. Wii Fit Balance Intervention in Community-Dwelling Older Adults. Games Health J. 2012;1:431-5. https://doi.org/10.1089/g4h.2012.0043
  41. Hruda KV, Hicks AL, McCartney N. Training for muscle power in older adults: effects on functional abilities. Can J Appl Physiol. 2003;28:178-89. https://doi.org/10.1139/h03-014