Physical and Cognitive Stimulation Using an Exergame in Subjects with Normal Aging, Mild and Moderate Cognitive Impairment
Physical and Cognitive Stimulation Using an Exergame in Subjects with Normal Aging, Mild and Moderate Cognitive Impairment
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DOI：
10.3233/jad-160268
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发表时间：
2016-01-01
影响因子：
4
通讯作者：
Robert, Philippe
中科院分区：
文献类型：
--
作者：
Ben-Sadoun, Gregory;Sacco, Guillaume;Robert, Philippe
背景资料：使用严重exerGames（SeG）作为丰富的环境（EE），在积极的情绪背景下促进认知模拟与身体活动，已被提出代表一种强大的方法来减缓由于神经退行性疾病（ND），如阿尔茨海默病（AD）的下降。然而，到目前为止，还没有SeG针对EE已在ND subjects.Objective：本研究旨在评估X-Torp的可用性和短期培训效果，X-Torp是一个动作SeG设计用于老年ND受试者轻度认知障碍（MCI）和AD。10名ND受试者和8名健康老年对照（HEC）参加了为期1个月的计划，每周3次训练。可用性通过游戏时间，游戏性能，有氧强度水平达到，感知情绪，感知usability.Results：所有参与者成功地完成了培训计划。与HEC相比，ND受试者玩得更少，游戏表现更低。在训练期间，ND受试者保持较低强度的有氧活动，而HEC保持中等强度。这两个群体只经历了积极的情绪，并报告了“中度”到“高”的感知能力，一个“中度”的游戏难度，和一个“高”的兴趣在game.Conclusion：可用性的结果表明，X-Torp代表一个可用的EE为健康受试者和MCI和AD的人。然而，为了达到中等或高强度的有氧活动，X-Torp控制模式应适应成为更多的身体刺激。
Background: The use of Serious exerGames (SeG) as enriched environments (EE), which promotes cognitive simulation with physical activity in a positive emotional context, has been proposed to represent a powerful method to slow down the decline due to neurodegenerative diseases (ND), such as Alzheimer's disease (AD). However, so far, no SeG targeting EE has been tested in ND subjects.Objective: This study aimed at evaluating the usability and short-term training effects of X-Torp, an action SeG designed for elderly ND subjects with mild cognitive impairment (MCI) and AD.Methods: X-Torp is a SeG played using the Microsoft (R) Kinect (TM). 10 ND subjects and 8 healthy elderly controls (HEC) were enrolled in a 1-month program with three training sessions per week. Usability was evaluated through game time, game performance, the aerobic intensity level reached, perceived emotions, and perceived usability.Results: All participants successfully completed the training program. ND subjects played less and had a lower game performance compared to HEC. During the sessions, ND subjects maintained a light intensity of aerobic activity, while HEC maintained a moderate intensity. Both groups experienced only positive emotions, and reported a 'moderate' to 'high' perceived competence, a 'moderate' game difficulty, and a 'high' interest in the game.Conclusion: Usability results suggest that X-Torp represents a usable EE for healthy subjects and persons with MCI and AD. However, in order to reach moderate or high intensity of aerobic activity, X-Torp control modes should be adapted to become more physically stimulating.