رفتار حرکتی

نقش بازی‌های گام‌برداری اگزرگیم و تردمیل در بهبود کارکردهای جسمانی سالمندان

نوع مقاله : مقاله پژوهشی

نویسندگان

سید رسول سوزنده پور 1
فرهاد قدیری 2
سعید ارشم 2

1 دانشجوی دکتری رشد حرکتی، دانشگاه خوارزمی تهران

2 استادیار رفتار حرکتی، دانشگاه خوارزمی تهران

https://doi.org/10.22089/mbj.2018.6053.1694
چکیده
هدف از انجام پژوهش حاضر، مقایسة اثر سه روش تمرینی اگزرگیم و راه‌رفتن روی تردمیل بر کارکرد جسمانی (تعادل و قدرت عضلانی پاها) مرتبط با سقوط در سالمندان بود. شرکت‌کنندگان 60 نفر از سالمندان 60 تا 70 سالة شهر شیراز بودند که سابقة زمین‌خوردن و بازی اگزرگیم نداشتند و به‌صورت تصادفی انتخاب شدند. شرکت‌کنندگان فرم رضایت‌نامة مبنی‌بر شرکت در پژوهش را براساس استانداردهای پژوهشی پژوهشکدة تربیت‌بدنی و علوم ورزشی وزارت علوم تکمیل کردند. پس از انجام پیش‌آزمون، شرکت‌کنندگان به چهار گروه همسان تقسیم شدند: گروه اگزرگیم انفرادی، گروه اگزرگیم گروهی، گروه اگزرگیم شناختی و گروه تردمیل. مدت دوره چهار هفته و هر هفته سه جلسة تمرینی مجزا بود. از آزمون‌تحلیل کوواریانس چندمتغیره (مانکوا) برای تحلیل داده‌ها استفاده شد و سطح معنا‌داری آلفای 05/0 درنظر گرفته شد. ننایج نشان داد که شرکت‌کنندگان هر چهار گروه در آزمون‌های تعادل فولرتون و برخاستن و نشستن پیشرفت داشتند (0.05> P)؛ اگرچه گروه اگزرگیم شناختی در قدرت عضلانی پاها تفاوت معناداری را نشان ندادند (0.05 < P). مقایسة بین گروه‌ها نشان داد که تفاوت معناداری در تعادل فولرتون وجود نداشت؛ اگرچه گروه تمرین‌های گروهی امتیازهای بیشتری را کسب کردند. در آزمون برخاستن و نشستنن نیز تفاوت معناداری مشاهده نشد و گروه اگزرگیم انفرادی امتیازهای بیشتری را کسب کردند. براساس نتایج پژوهش، افراد غیرفعال سالمند می‌توانند به‌منظور بهبود تعادل و پیشگیری از خطر سقوط از تمرین‌های گام‌برداری اگزرگیم سود ببرند.

کلیدواژه‌ها

اگزرگیم
تعادل
قدرت عضلانی
سالمند
سقوط

موضوعات

عنوان مقاله English

The Role of stepping Exergame Trainings and Treadmill Walking on the Development of Physical Functions in Older Adults

نویسندگان English

Seyed Rasul Suzandehpour 1
Farhad Ghadiri 2
Saeed Arsham 2
1 Ph.D. Candidate of Motor Development, Kharazmi University of Tehran
2 Assistant Professor of Motor Behavior, Kharazmi University of Tehran
چکیده English

The aim of the current study is to compare three exergame training and treadmill walking methods on physical functions associated with fall in older adults. Sixty older adults (aged 6070) from Shiraz participated in this study. We included only those individuals who reported never having played video games and/or never had a history of falling. They gave their informed consent according to the principles outlined by the Ethics Committee of Faculty of Sport Sciences and Physical Education. The participants were not compensated for their participation. They were assigned into four homogeneous groups (single exergame (N=15), multiplayer exergame (N=15), cognitive exergame (N=15) and treadmill walking (N=1.5). After the pretest, they participated in the study for 12 sessions (4weeks, 3 sessions per week). After the last session, the post test was taken. Multivariate analysis of covariance (MANCOVA) were used to analyze the data. Results showed the participants’ balance and lower limb strength improved after these 12 sessions )P<0.05). A significant difference was not found in balance between groups in post tests )P< 0.05). The multiplayer exergame group gained better scores in balance. Also, in lower limb strength, this difference wasn’t significant. The single exergame group did better in the chair stand test. The findings indicate that sedentary older adults can benefit from stepping exergame trainings in order to reduce fall risk.

کلیدواژه‌ها English

Exergame
Balance
Muscle Strength
Older Adults
Fall
  1. Lisón JF, Cebolla A, Guixeres J, Álvarez-Pitti J, Escobar P, Bruñó A, et al. Competitive active video games: Physiological and psychological responses in children and adolescents. Paediatr Child Health. 2015;20(7):373–6.
  2. Taylor LM, Maddison R, Pfaeffli LA, Rawstorn JC, Gant N, Kerse NM. Activity and energy expenditure in older people playing active video Games. Arch Phys Med Rehabil. 2012;93(12):2281–6.
  3. Maillot P, Perrot A, Hartley A. Effects of interactive physical-activity video-game training on physical and cognitive function in older adults. Psychol Aging. 2012;27(3):589.
  4. Taylor LM, Kerse N, Frakking T, Maddison R. Active video games for improving physical performance measures in older people: A meta-analysis. J Geriatr Phys Ther. 2016;41(2):108–23.
  5. Gallahue D, Ozmun JC. Understanding motor development: Infants, children, adolescents, adults. Boston:MA:Mc graw-hill , 2006. p. 46-51.
  6. Chao Y-Y, Scherer YK, Montgomery CA. Effects of using Nintendo WiiTM exergames in older adults. J Aging Health. 2015;27(3):379–402.
  7. Marston HR, Woodbury A, Gschwind YJ, Kroll M, Fink D, Eichberg S, et al. The design of a purpose-built exergame for fall prediction and prevention for older people. Eur Rev Aging Phys Act. 2015;12(1): 13.
  8. Howe TE, Rochester L, Neil F, Skelton DA, Ballinger C. Exercise for improving balance in older people. Cochrane Database Syst Rev. November 2011; 11.
  9. Robinson JE, Kiely J. Preventing falls in older adults: Can improving cognitive capacity help? Cogent Psychol. 2017;4(1):1-10.
  10. Sherrington C, Tiedemann A, Fairhall N, Close JC, Lord SR. Exercise to prevent falls in older adults: an updated meta-analysis and best practice recommendations. N S W Public Heal Bull. 2011;22(3–4):78–83.
  11. Okubo Y, Schoene D, Lord SR. Step training improves reaction time, gait and balance and reduces falls in older people: A systematic review and meta-analysis. Br J Sports Med. 2017 Apr;51(7):586-93.
  12. Gschwind YJ, Schoene D, Lord SR, Ejupi A, Valenzuela T, Aal K, et al. The effect of sensor-based exercise at home on functional performance associated with fall risk in older people–a comparison of two exergame interventions. Eur Rev Aging Phys Act. 2015 Nov 30;12:11.
  13. Bridenbaugh SA, Kressig RW. Motor cognitive dual tasking. Z Gerontol Geriatr. 2015;48(1):15–21.
  14. Nitz JC, Kuys S, Isles R, Fu S. Is the Wii FitTM a new-generation tool for improving balance, health and well-being? Climacteric. 2010;13(5):487–91.
  15. Zameni motlagh M et al.Effects of cognitive training on freezing of gait and some of its cognitive functions on old parkinson disease patients.motor behaviour.2015;22;87-108.
  16. Heyrani A et al. ecognition,balance, and gait in elderly with Dementia. motor behaviour.2016;24;73-94.
  17. Graves LEFF, Ridgers ND, Williams K, Stratton G, Atkinson G, Cable NT. The physiological cost and enjoyment of Wii Fit in adolescents, young adults, and older adults. J Phys Act Heal. 2010;7(3):393–401.
  18. Aarhus R, Grönvall E, Larsen SB, Wollsen S. Turning training into play: Embodied gaming, seniors, physical training and motivation. Gerontechnology. 2011;10(2):110–20.
  19. Duque G, Boersma D, Loza-Diaz G, Hassan S, Suarez H, Geisinger D, et al. Effects of balance training using a virtual-reality system in older fallers. Clin Interv Aging. 2013;8:257–63.
  20. Franco JR, Jacobs K, Inzerillo C, Kluzik J. The effect of the Nintendo Wii Fit and exercise in improving balance and quality of life in community dwelling elders. Technol Heal Care. 2012;20(2):95–115.
  21. Pluchino A, Lee SY, Asfour S, Roos BA, Signorile JF. Pilot study comparing changes in postural control after training using a video game balance board program and 2 standard activity-based balance intervention programs. Arch Phys Med Rehabil. 2012 Jul;93(7):1138-46
  22. Pichierri G, Coppe A, Lorenzetti S, Murer K, de Bruin ED. The effect of a cognitive-motor intervention on voluntary step execution under single and dual task conditions in older adults: A randomized controlled pilot study. Clin Interv Aging. 2012;7:    175–84.
  23. Ray C, Melton F, Ramirez R, Keller D. The effects of a 15-week exercise intervention on fitness and postural control in older adults. Act Adapt Aging. 2012;36(3):227–41.
  24. Szturm T, Betker AL, Moussavi Z, Desai A, Goodman V. Effects of an interactive computer game exercise regimen on balance impairment in frail community-dwelling older adults: A randomized controlled trial. Phys Ther. 2011;91(10):1449–62.
  25. Toulotte C, Toursel C, Olivier N. Wii Fit ® training vs. adapted physical activities: Which one is the most appropriate to improve the balance of independent senior subjects? A randomized controlled study. Clin Rehabil. 2012;26(9):827–35.
  26. Szanton SL, Walker RK, Lim JH, Fisher L, Zhan A, Gitlin LN, et al. Development of an exergame for urban-dwelling older adults with functional limitations: Results and lessons learned. Prog Community Heal Partnerships Res Educ Action. 2016;10(1):73–81.
  27. Bieryla K, Aging ND-C interventions in, 2013 U. Feasibility of Wii Fit training to improve clinical measures of balance in older adults. Clin Interv Aging. 2013; 8:   775–81
  28. Garcia A et al. bespoke kinect stepping exergame for improving physical and cognitive function in older people: A pilot study. Games Health J. 2016;5(6):382–8.
  29. Kolt GS, Driver RP, Giles LC. Why older australians participate in exercise and sport. J Aging Phys Act. 2004;12(2):185–98.
  30. Wu Z, Li J, Theng Y-L. Examining the influencing factors of exercise intention among older adults: A controlled study between exergame and traditional exercise. Cyberpsychology, Behav Soc Netw. 2015;18(9):521–7.
  31. Li J, Erdt M, Chen L, Cao Y, Lee S-Q, Theng Y-L. The social effects of exergames on older adults: Systematic review and metric analysis. J Med Internet Res. 2018;20(6):10486.
  32. Balasubramanian CK. The community balance and mobility scale alleviates the ceiling effects observed in the currently used gait and balance assessments for the community-dwelling older adults. J Geriatr Phys Ther. 2015;38(2):78–89.
  33. Taghavi S. Investigating and reliability of questionaire GHO. Psychology. 2000;8(5):4:381-98.
  34. Howe T, Rochester L, Rev AJ, DS. Exercise for improving balance in older people. Cochrane Database Syst Rev. 2011 Nov 9;(11).
  35. Lee A, Biggan JR, Taylor W, Ray C. The effects of a Nintendo Wii exercise intervention on gait in older adults. Act Adapt Aging. 2014;38(1):53–69.
  36. Joergensen MG, Laessoe U, Hendriksen C, Nielsen OB, Aagaard P. Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: a randomized, controlled trial. J Gerontol A Biol Sci Med Sci. 2013 Jul;68(7):845-52.
  37.  Sato K, Kuroki K, Saiki S, Nagatomi R. Improving walking, muscle strength, and balance in the elderly with an exergame using kinect: A randomized controlled trial. Games Health J. 2015;4(3):161–7.
  38. de Bruin ED, Schoene D, Pichierri G, Smith ST. Use of virtual reality technique for the training of motor control in the elderly. Some theoretical considerations. Zeitschrift für Gerontol und Geriatr Organ der Dtsch Gesellschaft für Gerontol und Geriatr. 2010;43(4):229–34.
  39. Ihlen EA, Goihl T, Wik PB, Sletvold O, Helbostad J, Vereijken B. Phase-dependent changes in local dynamic stability of human gait. J Biomech. 2012;45(13):2208–14.
  40. Robinovitch SN, Feldman F, Yang Y, Schonnop R, Leung PM, Sarraf T, et al. Video capture of the circumstances of falls in elderly people residing in long-term care: An observational study. Lancet. 2013;381(9860):47–54.
  41. de Schutter B, Vanden Abeele V. Designing meaningful play within the psycho-social context of older adults. Proceeddings of 3rd International Conference on Fun Games-Fun Games ’10. 2010;84–93.
  42. Glei DA. Participating in social activities helps preserve cognitive function: An analysis of a longitudinal, population-based study of the elderly. Int J Epidemiol. 2005;34(4):864–71.
  43. IJsselsteijn A et al.. Digital game design for elderly users. Conference: Future Play; Birmingham:2007.17-22.
رفتار حرکتی
دوره 12، شماره 39
بهار 1399
فروردین 1399
صفحه 125-142

  • تاریخ دریافت 15 تیر 1397
  • تاریخ بازنگری 03 آبان 1397
  • تاریخ پذیرش 12 آبان 1397

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