da Silva Alves Ricardo, Iunes Denise Hollanda, Pereira Isabela Carvalho, Borges Juliana Bassalobre Carvalho, Nogueira Denismar Alves, Silva Andreia Maria, Lobato Daniel Ferreira Moreira, Carvalho Leonardo Cesar
1 Bioscience Program, Federal University of Alfenas , Alfenas, Brazil .
2 Physical Therapy Course, Federal University of Alfenas , Alfenas, Brazil .
Games Health J. 2017 Apr;6(2):119-126. doi: 10.1089/g4h.2016.0051.
Exercise is recommended for cancer patients to reduce fatigue and improve quality of life. This study's aim is to evaluate the influence of an exergaming protocol on cancer-related fatigue, muscle fatigue, and muscle strength in cancer patients.
We conducted a quasi-experimental control study using exergaming in all groups through an Xbox360 Kinect™ console, two to three times per week, for 20 sessions. Three groups were created: cancer patients in chemotherapy and/or radiotherapy group (CRG; n:15), cancer patients after chemotherapy and/or radiotherapy (CAG; n:15), and a control group (CG; n:15). They were assessed for cancer-related fatigue using the fatigue subscale of the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire. To assess dorsiflexor and plantar flexor muscle functioning, we used median frequency (MDF) of the surface electromyography and muscle strength using a dynamometer. The assessments were performed preintervention (EV0), after 10 sessions (EV1), and after 20 sessions (EV2).
With an exergaming protocol, CRG and CAG showed a reduction in related fatigue compared with CG (P < 0.01). The CRG group saw an increase in maximal voluntary isometric contraction in right plantar flexor muscles and dorsiflexor muscles, as well as an increase in the MDF of both medial gastrocnemius muscles and the left tibialis anterior muscle of the CAG. For other analyses done, the differences were observed during exergaming.
Exergaming demonstrated efficacy in reducing cancer patients' fatigue, including muscle fatigue, and increasing muscle strength in patients' legs.
建议癌症患者进行锻炼以减轻疲劳并提高生活质量。本研究的目的是评估一款体感游戏方案对癌症患者的癌症相关疲劳、肌肉疲劳和肌肉力量的影响。
我们进行了一项准实验对照研究，所有组均通过Xbox360 Kinect™游戏机进行体感游戏，每周两到三次，共20节课程。创建了三组：化疗和/或放疗中的癌症患者组（CRG；n = 15）、化疗和/或放疗后的癌症患者组（CAG；n = 15）以及对照组（CG；n = 15）。使用慢性病治疗功能评估-疲劳（FACIT-F）问卷的疲劳子量表评估他们的癌症相关疲劳。为了评估背屈肌和跖屈肌的功能，我们使用表面肌电图的中位频率（MDF）以及用测力计测量肌肉力量。在干预前（EV0）、10节课程后（EV1）和20节课程后（EV2）进行评估。
通过体感游戏方案，CRG组和CAG组与CG组相比，相关疲劳有所减轻（P < 0.01）。CRG组右跖屈肌和背屈肌的最大自主等长收缩增加，CAG组双侧腓肠肌内侧头和左侧胫骨前肌的MDF也增加。对于其他分析，在体感游戏期间观察到了差异。
体感游戏在减轻癌症患者的疲劳（包括肌肉疲劳）以及增加患者腿部肌肉力量方面显示出疗效。
