Department of Medicine, Division of Geriatrics, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Geriatr Gerontol Int. 2012 Oct;12(4):714-21. doi: 10.1111/j.1447-0594.2012.00848.x. Epub 2012 Apr 2.
Rehabilitation using interactive virtual reality Wii (Wii-IVR) was shown to be feasible in patients with different medical problems, but there was no study examining its use in a geriatric day hospital (GDH). The aim of the present study was to test the feasibility, acceptability and efficacy of Wii-IVR in GDH.
It was a clinical trial with matched historic controls. Patients of a GDH were recruited to participate in Wii-IVR by playing "Wii Fit". Participants used a Wii controller to carry out movements involved in an arm ergometer. Each participant received eight sessions of Wii-IVR in addition to conventional GDH rehabilitation. Feasibility was assessed by the total time receiving Wii-IVR, the percentage of maximal heart rate reserve (%MHR) and Borg perceived exertion scale (BS) after participating in Wii-IVR. %MHR and BS were compared with those after carrying out an arm ergometer for the same duration. Acceptability was assessed by an interviewer-administered questionnaire. Efficacy was assessed by comparing improvements in Functional Independence Measure (FIM) between participants and matched historic controls, who received conventional GDH rehabilitations only.
A total of 30 patients completed the study. Participants completed a total of 1941 min of event-free Wii-IVR. The mean %MHR was 15.9% ± 9.9% and the mean BS was 7.9 ± 2.3. There was no significant difference in %MHR and BS between participating in Wii-IVR and arm ergometer. Most participants found Wii-IVR similar to the arm ergometer, and would like to continue Wii-IVR if they had Wii at home. Improvements in FIM of participants were significantly more than that of historic controls.
Wii-IVR in GDH was feasible and most participants accepted it. Participants had more improvements in FIM.
互动虚拟现实 Wii（Wii-IVR）康复已在患有不同医学问题的患者中显示出可行性，但尚无研究检查其在老年日医院（GDH）中的使用情况。本研究的目的是检验 Wii-IVR 在 GDH 中的可行性、可接受性和疗效。
这是一项具有匹配历史对照的临床试验。GDH 的患者被招募来通过玩“Wii Fit”参与 Wii-IVR。参与者使用 Wii 控制器进行涉及手臂测力计的运动。除了常规 GDH 康复外，每位参与者还接受了八次 Wii-IVR 治疗。通过接受 Wii-IVR 的总时间、参与 Wii-IVR 后的最大心率储备百分比（%MHR）和 Borg 感知用力量表（BS）来评估可行性。%MHR 和 BS 与进行相同持续时间的手臂测力计运动后的结果进行了比较。通过访谈者进行的问卷调查评估了可接受性。通过比较参与者和仅接受常规 GDH 康复的匹配历史对照者之间功能独立性测量（FIM）的改善来评估疗效。
共有 30 名患者完成了研究。参与者共完成了 1941 分钟的无事件 Wii-IVR。平均%MHR 为 15.9%±9.9%，平均 BS 为 7.9±2.3。参与 Wii-IVR 和手臂测力计运动之间的%MHR 和 BS 没有显着差异。大多数参与者认为 Wii-IVR 与手臂测力计相似，如果他们在家里有 Wii，他们会愿意继续进行 Wii-IVR。参与者的 FIM 改善明显多于历史对照组。
GDH 中的 Wii-IVR 是可行的，大多数参与者都接受了它。参与者的 FIM 有更多的改善。
