Department of Health Sciences, University of Burgos, 09001 Burgos, Spain.
Department of Biochemistry, Molecular Biology and Physiology, Faculty of Health Sciences, Campus of Soria, University of Valladolid, 42003 Soria, Spain.
Int J Environ Res Public Health. 2021 Mar 8;18(5):2723. doi: 10.3390/ijerph18052723.
Aging is a multifactorial physiological phenomenon in which cellular and molecular changes occur. These changes lead to poor locomotion, poor balance, and an increased falling risk. This study aimed to determine the impact and effectiveness of the use of the Wii game console on improving walking speed and balance, as well as its influence on frailty levels and falling risk, in older adults. A longitudinal study was designed with a pretest/post-test structure. The study population comprised people over 75 years of age who lived in a nursing home or attended a day care center ( = 80; 45 women; 84.2 ± 8.7 years). Forty of them were included in the Wii group (20 rehabilitation sessions during 8 consecutive weeks), and the other 40 were in the control group. Falling risk and frailty were evaluated using the Downton scale and Fried scale; balance and walking speed were assessed with the Berg Balance scale and the Gait Speed Test, respectively, as well as the Short Physical Performance Battery (SPPB). The results showed that there was no significant association between Frailty Phenotype and study groups in baseline. However, there was significant association between Frailty Phenotype and study groups at the end of study. Moreover, a significantly higher and negative percentage change (Δ) in the Wii group with respect to the control group on the in falling risk (-20.05 ± 35.14% vs. 7.92 ± 24.53%) and in walking speed (-6.42 ± 8.83% vs. -0.12 ± 4.51%) during study, while there was a higher and positive significant percent change in static balance (6.07 ± 5.74% vs. 2.13 ± 4.64%) and on the SPPB (20.28 ± 20.05% vs. 0.71 ± 7.99%) after 8 weeks of study. The main conclusion of this study was that the use of the Wii video console for 8 weeks positively influenced walking speed, falling risk, static balance, and frailty levels in older adults. Through a rehabilitation program with the Wii game console in the older adults, frailty levels are reduced, accompanied by a reduction in falling risk and an increase in static balance and walking speed.
衰老是一种多因素的生理现象，其中会发生细胞和分子变化。这些变化导致运动能力差、平衡能力差和跌倒风险增加。本研究旨在确定使用 Wii 游戏机对改善老年人的行走速度和平衡能力的影响和效果，以及对虚弱程度和跌倒风险的影响。本研究采用了前后测的纵向研究设计。研究人群包括居住在养老院或日间护理中心的 75 岁以上的人（=80；45 名女性；84.2±8.7 岁）。其中 40 人被纳入 Wii 组（8 周内进行 20 次康复治疗），其余 40 人被纳入对照组。使用唐顿量表和弗里德量表评估跌倒风险和虚弱程度；使用伯格平衡量表和步态速度测试分别评估平衡和行走速度；以及使用短体适能电池（SPPB）。结果显示，在基线时，虚弱表型与研究组之间没有显著关联。然而，在研究结束时，虚弱表型与研究组之间存在显著关联。此外，与对照组相比，Wii 组在跌倒风险（-20.05±35.14%对 7.92±24.53%）和行走速度（-6.42±8.83%对-0.12±4.51%）方面的百分比变化（Δ）显著更高且为负值，而在静态平衡（6.07±5.74%对 2.13±4.64%）和 SPPB（20.28±20.05%对 0.71±7.99%）方面的百分比变化显著更高且为正值。本研究的主要结论是，使用 Wii 视频游戏机 8 周可显著改善老年人的行走速度、跌倒风险、静态平衡和虚弱程度。通过在老年人中进行 Wii 游戏康复计划，可以降低虚弱程度，同时降低跌倒风险，提高静态平衡和行走速度。
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