Department of Physical Medicine and Rehabilitation, School of Medicine, Niğde Omer Halisdemir University, Niğde, Turkey.
Department of Physical Medicine and Rehabilitation, School of Medicine, Gazi University, Ankara, Turkey.
Games Health J. 2021 Jun;10(3):165-173. doi: 10.1089/g4h.2020.0162. Epub 2021 Mar 9.
To investigate the effect of motion-controlled videogames on pain, functionality, cardiopulmonary capacity, and quality of life in women with fibromyalgia. Forty women with fibromyalgia were randomized into virtual reality group (VRG) and conventional training group (CTG). The CTG performed aerobic exercise (cycling, 3 days per week, 20 minutes per day) and conventional exercises (muscle strengthening, balance, and flexibility, 3 days per week, 15 minutes per day) for 4 weeks. The VRG performed virtual reality exercise (volleyball, Microsoft Xbox Kinect, 3 days per week, 15 minutes per day) together with cycling exercise for 4 weeks. After the exercise program, both groups received the same home exercise program for 4 weeks. All patients were evaluated at baseline, fourth, and eighth weeks. Primary outcome measure was Fibromyalgia Impact Questionnaire. Visual Analogue Scale (VAS), Hospital Anxiety and Depression Scale, Fatigue Severity Scale (FSS), Symptom Severity Scale, EuroQol-Five Dimensions İndex Scale/Visual Analogue Scale (EQ-5D-index/VAS) and Six Minute Walk Test (6MWT) were used as secondary outcome measures. Thirty-four patients (17 VRG, 17 CTG) were evaluated at the eighth week. After 4 weeks, all outcome measures improved significantly in both groups ( < 0.05). However, there was no statistically significant difference in all outcome measures between fourth and eighth weeks. Group and time interactions for 6MWT ( = 0.043), FSS ( = 0.026), EQ-5D-İndex Scale ( = 0.014), and EQ-5D-VAS ( = 0.049) were significant only for the VRG. In addition, median individual's satisfaction was significantly higher in the VRG ( < 0.001). Virtual reality exercises along with aerobic exercise increase cardiopulmonary capacity and quality of life in fibromyalgia syndrome. In addition, they increase patient satisfaction and may improve patient compliance to exercise.
探讨运动控制视频游戏对纤维肌痛女性疼痛、功能、心肺能力和生活质量的影响。
40 名纤维肌痛女性患者随机分为虚拟现实组（VRG）和常规训练组（CTG）。CTG 进行有氧运动（骑自行车，每周 3 天，每天 20 分钟）和常规运动（肌肉力量、平衡和灵活性，每周 3 天，每天 15 分钟）4 周。VRG 每周 3 天进行虚拟现实运动（打排球，使用 Microsoft Xbox Kinect，每天 15 分钟）和骑自行车运动 4 周。运动方案结束后，两组患者均接受相同的家庭运动方案 4 周。所有患者均在基线、第 4 周和第 8 周进行评估。主要观察指标为纤维肌痛影响问卷。视觉模拟量表（VAS）、医院焦虑抑郁量表、疲劳严重程度量表（FSS）、症状严重程度量表、欧洲五维健康量表指数/视觉模拟量表（EQ-5D-index/VAS）和 6 分钟步行试验（6MWT）为次要观察指标。第 8 周时，34 名患者（VRG 组 17 名，CTG 组 17 名）完成评估。4 周后，两组所有观察指标均显著改善（均 P<0.05）。然而，第 4 周和第 8 周之间所有观察指标差异均无统计学意义。仅 VRG 组的 6MWT（ = 0.043）、FSS（ = 0.026）、EQ-5D-index Scale（ = 0.014）和 EQ-5D-VAS（ = 0.049）的组间和时间交互差异有统计学意义。此外，VRG 组患者的个体满意度中位数明显更高（ < 0.001）。
有氧运动联合虚拟现实运动可增加纤维肌痛综合征患者的心肺能力和生活质量，提高患者满意度，可能提高患者对运动的依从性。
