Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile.
School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Concepción, Chile.
Games Health J. 2023 Oct;12(5):341-349. doi: 10.1089/g4h.2022.0194. Epub 2023 Aug 16.
To evaluate the effects of exergames added to a conventional physical therapy (CPT) program on functional fitness and dynamometric muscle performance for the sit-to-stand (STS) maneuver in older adults and to compare their results concerning a CPT-only intervention. Fifty independent older adults were randomly assigned to CPT and exergames (CPT+ExG group; = 25; age = 71.8 ± 6.8 years) or CPT alone (CPT group; = 25; age = 71.3 ± 7.4 years). CPT was performed twice a week (60 min/session) for 8 weeks. The CPT+ExG group added exergames for 30 minutes in each session. The Senior Fitness Test was applied, considering the 30-second chair stand test as the primary outcome. Additionally, dynamometric muscle performance during the STS maneuver was assessed. The CPT+ExG group improved the 30-second chair stand (lower body strength), back scratch (upper body flexibility), and 8-foot up-and-go (agility/dynamic balance) tests (all < 0.05). Both groups improved the kinetic dynamometric variables peak force, peak power, and total work (all < 0.05). Also, both groups improved the 30-second arm curl test (upper body strength) ( < 0.05), although the increase was higher in the CPT+ExG group compared with the CPT group (time × group; < 0.05). Adding exergames to a CPT program only significantly increases upper limb strength compared with CPT alone. The findings of this study have implications for the design of future exergame interventions focused on improving STS maneuver performance in older adults.
为了评估在传统物理疗法（CPT）方案中加入运动游戏对老年人坐站（STS）动作的功能性健身和测力肌肉性能的影响，并比较它们在仅 CPT 干预方面的结果。50 名独立老年人被随机分配到 CPT 和运动游戏（CPT+ExG 组；=25；年龄=71.8±6.8 岁）或仅 CPT（CPT 组；=25；年龄=71.3±7.4 岁）。CPT 每周进行两次（每次 60 分钟），持续 8 周。CPT+ExG 组在每次会议中增加 30 分钟的运动游戏。应用老年人健身测试，以 30 秒椅子站立测试作为主要结果。此外，还评估了 STS 动作期间的测力肌肉性能。CPT+ExG 组改善了 30 秒椅子站立（下肢力量）、背部抓挠（上肢灵活性）和 8 英尺起跑（敏捷/动态平衡）测试（均<0.05）。两组都改善了动力学测力变量的峰值力、峰值功率和总功（均<0.05）。此外，两组都改善了 30 秒手臂卷曲测试（上肢力量）（<0.05），尽管 CPT+ExG 组的增加高于 CPT 组（时间×组；<0.05）。仅将运动游戏添加到 CPT 方案中与单独使用 CPT 相比，仅显著增加了上肢力量。本研究的结果对未来专注于改善老年人 STS 动作性能的运动游戏干预措施的设计具有重要意义。
