A Pilot Study of Wii Fit Exergames to Improve Balance in Older Adults
A Pilot Study of Wii Fit Exergames to Improve Balance in Older Adults
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DOI：
10.1519/jpt.0b013e3182191d98
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发表时间：
2011-10-01
影响因子：
2.4
通讯作者：
Nguyen, Huong Q.
中科院分区：
文献类型：
--
作者：
Agmon, Maayan;Perry, Cynthia K.;Nguyen, Huong Q.
目的：确定使用任天堂Wii Fit运动游戏提高老年人平衡能力的安全性和可行性。方法：从4个持续护理退休社区招募7名84(5)岁平衡性受损（Berg balance Scale [BBS]得分< 52分）的老年人，参与Wii Fit运动游戏的单组前评估和后评估。参与者接受个性化指导（至少5次家访），进行4项运动（基本步、足球头球、滑雪障碍和倾斜桌子），并被要求在家中进行这些游戏，每周3次，每次至少30分钟，持续3个月，每周接受电话随访。他们还完成了一份关于游戏玩法的纸质日志，并在每次游戏结束后立即评估自己的享受程度。参与者在基线和3个月完成了BBS、4米定时步行测试和体育活动享受量表。在为期3个月的评估中进行了半结构化访谈。结果：参与者安全独立地平均玩了50次，中位持续时间为31分钟。其中两场比赛进行了修改，以确保参与者的安全。参与者在玩完游戏后立即给出了很高的享受，并表达了与日常活动的平衡得到改善，以及与孙子孙女一起玩游戏的愿望。Berg平衡分数从49分（2.1分）上升到53分（1.8分）（P - 0.017）。步行速度从1.04（0.2）米/秒增加到1.33（0.84）米/秒（P = 0.018）。结论：在选定的老年人样本中，在家中使用Wii Fit进行有限的监督平衡训练是安全可行的。需要进一步的研究来确定在更大、更多样化的样本中的临床疗效，并确定Wii Fit运动游戏是否可以整合到物理治疗实践中，以促进老年人的健康。
Purpose: To determine the safety and feasibility of using Nintendo Wii Fit exergames to improve balance in older adults.Methods: Seven older adults aged 84 (5) years with impaired balance (Berg Balance Scale [BBS] score < 52 points) were recruited from 4 continuing care retirement communities to participate in a single group pre- and postevaluation of Wii Fit exergames. Participants received individualized instructions (at least 5 home visits) on playing 4 exergames (basic step, soccer heading, ski slalom, and table tilt) and were asked to play these games in their homes at least 30 minutes 3 times per week for 3 months and received weekly telephone follow-up. They also completed a paper log of their exergame play and rated their enjoyment immediately after each session. Participants completed the BBS, 4-Meter Timed Walk test, and the Physical Activity Enjoyment Scale at baseline and 3 months. Semistructured interviews were conducted at the 3-month evaluation.Results: Participants safely and independently played a mean of 50 sessions, median session duration of 31 minutes. Two of the games were modified to ensure participants' safety. Participants rated high enjoyment immediately after exergame play and expressed experiencing improved balance with daily activities and desire to play exergames with their grandchildren. Berg Balance Scores increased from 49 (2.1) to 53 (1.8) points (P - .017). Walking speed increased from 1.04 (0.2) to 1.33 (0.84) m/s (P = .018).Conclusions: Use of Wii Fit for limited supervised balance training in the home was safe and feasible for a selected sample of older adults. Further research is needed to determine clinical efficacy in a larger, diverse sample and ascertain whether Wii Fit exergames can be integrated into physical therapy practice to promote health in older adults.