Pulmonology Department, Sebelas Maret University, Surakarta, Indonesia.
Pulmonology Department, General Hospital of Buleleng, Bali, Indonesia.
Pulmonology. 2019 Sep-Oct;25(5):275-282. doi: 10.1016/j.pulmoe.2019.03.007. Epub 2019 May 7.
Exercise training is key to the comprehensive management of patients with chronic obstructive pulmonary disease (COPD). Interactive game-based systems have been proposed to improve effectiveness and compliance with exercise training.
To evaluate the effectiveness of Wii Fit balance board as an additional tool for exercise training in patients with COPD. As a secondary aim we will evaluate the costs.
In a randomized controlled trial, patients were divided into experimental (EG) and control (CG) groups. The CG performed exercise training on a cycle ergometer three times a week for 6 weeks. The EG also followed a program (yoga, strength training, aerobic exercise) using the Wii Fit system. Pre and post treatment six-minute walking distance (6MWD) test, transitional dyspnea index (TDI), the Medical Research Council (MRC) score the Saint George's Respiratory Questionnaire (SGRQ), the body max index, airflow obstruction, dyspnea, and exercise capacity index (BODE) were assessed.
The 6MWD increased from 410.7 (105.3) to 477.5 (122.4) and from 376.6 (81.0) to 420 (77.6) meters, in CG and EG respectively, p=0.0001 without any difference between groups. Both groups experienced significant improvements in TDI and SGRQ, but not in MRC and BODE, without any significant difference between groups.
A Wii Fit balance board based video game program was feasible but did not add any benefit to a well conducted standard exercise training program in patients with COPD.
运动训练是慢性阻塞性肺疾病（COPD）患者综合管理的关键。已经提出了基于互动游戏的系统来提高运动训练的效果和依从性。
评估 Wii Fit 平衡板作为 COPD 患者运动训练的附加工具的有效性。作为次要目标，我们将评估成本。
在一项随机对照试验中，患者分为实验组（EG）和对照组（CG）。CG 在 6 周内每周进行三次自行车测力计运动训练。EG 还使用 Wii Fit 系统进行了瑜伽、力量训练、有氧运动等方案。治疗前后 6 分钟步行距离（6MWD）测试、过渡性呼吸困难指数（TDI）、医学研究委员会（MRC）评分、圣乔治呼吸问卷（SGRQ）、体质量指数、气流阻塞、呼吸困难和运动能力指数（BODE）进行了评估。
6MWD 从 410.7（105.3）增加到 477.5（122.4），从 376.6（81）增加到 420（77.6），CG 和 EG 分别增加，p=0.0001，两组之间无差异。两组 TDI 和 SGRQ 均显著改善，但 MRC 和 BODE 无显著改善，两组之间无显著差异。
基于 Wii Fit 平衡板的视频游戏方案是可行的，但在 COPD 患者中，与精心进行的标准运动训练方案相比，并没有带来任何额外的益处。
