Motricity of Sciences Institute, and Federal University of Alfenas, Alfenas, Brazil.
Bioscience Program, Federal University of Alfenas, Alfenas, Brazil.
Games Health J. 2020 Aug;9(4):297-303. doi: 10.1089/g4h.2019.0113. Epub 2020 Feb 21.
To compare the strength of the middle deltoid muscle by means of dynamometry and the Shoulder Pain and Disability Index (SPADI) in participants in treatment for cancer after the practice of an exergaming protocol. We conducted a randomized controlled clinical trial. Thirty-eight voluntary participants were divided into two groups cancer group ( = 19; age = 61.46 ± 8.79 years; body mass index [BMI] = 28.36 ± 4.94 kg/m) and control group ( = 19; age = 57.62 ± 7.57 years; BMI = 28.06 ± 3.74 kg/m), and they participated in the study. All participants performed an exergame protocol by using Xbox 360 Kinect (Microsoft, Redmond) with the game two to three times per week for 20 sessions. They were evaluated through the isometric dynamometer in the middle deltoid muscle and the SPADI at three moments: preintervention (EV1), after 10 sessions (EV2), and after 20 sessions (EV3). The cancer group scored higher on both the disability index, in all three evaluations, and the pain index, in EV2 and EV3, when compared with the control group. There was a significant reduction in the disability score in EV2 and EV3 when compared with EV1 in the cancer group, whereas pain was lower in EV2 and EV3 when compared with EV1 in the control group. There were no significant interevaluation or intergroup differences in the maximal isometric voluntary contraction of the deltoid muscle of both upper limbs. At the end of the exergaming, protocol reduced the disability of the shoulder joint of the cancer group and decreased the differences between the groups for disability and pain scores, without changing isometric force.
为了通过测力和肩部疼痛和残疾指数 (SPADI) 比较接受癌症治疗的参与者的三角肌中部力量，我们进行了一项随机对照临床试验。38 名自愿参与者被分为两组：癌症组（ = 19；年龄 = 61.46 ± 8.79 岁；体重指数 [BMI] = 28.36 ± 4.94 kg/m）和对照组（ = 19；年龄 = 57.62 ± 7.57 岁；BMI = 28.06 ± 3.74 kg/m），并参与了研究。所有参与者都使用 Xbox 360 Kinect（Microsoft，Redmond）进行了一项运动游戏协议，每周进行两到三次，共 20 次。他们在三个时刻通过等速测力计评估三角肌中部和 SPADI：干预前（EV1）、10 次后（EV2）和 20 次后（EV3）。与对照组相比，癌症组在所有三个评估中，残疾指数均较高，在 EV2 和 EV3 中疼痛指数也较高。与 EV1 相比，癌症组在 EV2 和 EV3 中残疾评分显著降低，而对照组在 EV2 和 EV3 中疼痛评分较低。在两个上肢三角肌最大等长自愿收缩方面，没有评估之间或组之间的显著差异。在运动游戏协议结束时，降低了癌症组的肩关节残疾程度，减少了残疾和疼痛评分的组间差异，而没有改变等长力。
