Video Oyunu Bağımlılığı Olan Yetişkinlerde Telerehabilitasyon Tabanlı Yapılandırılmış Egzersiz Programının Postür, Ağrı, İnce Motor Beceri, El Reaksiyonu ve El Kavrama Kuvveti Üzerine Etkisi: Randomize Kontrollü Bir Çalışma

Abstract

Amaç: Video oyunları oynamak hareketsiz bir yaşam tarzıyla karakterizedir ve birçok kas-iskelet sistemi sorununa neden olabilir. Bu çalışma, video oyunu bağımlılığı olan yetişkinlerde telerehabilitasyon tabanlı yapılandırılmış egzersiz programının etkisini araştırmayı amaçlamıştır. Yöntem: Çalışmaya 44 video oyunu bağımlılığı olan yetişkin dahil edildilmiştir. Katılımcılar rastgele deney grubu (DG, n=22) ve kontrol grubu (KG, n=22) olarak ayrıldı. DG'ye telerehabilitasyon tabanlı yapılandırılmış bir egzersiz programı ve KG'ye broşür tabanlı bir egzersiz programı verilmiştir. Her iki grup da egzersizleri haftada üç gün, 8 hafta boyunca yapmıştır. Postür, ağrı, ince motor becerisi, el reaksiyonu ve el kavrama gücü programdan önce ve sonra değerlendirilmiştir. Bulgular: Hem DG hem de KG, postür ve el reaksiyonunu iyileştirmede ve ağrıyı azaltmada önemli gelişmeler elde etmiştir (p<0.05). El reaksiyonu ve ağrıdaki gelişmeler DG'de daha yüksekti (p<0,05). El kavrama gücü yalnızca DG'de önemli ölçüde artmıştır (p=0,014). Hem DG hem de KG ince motor becerilerini geliştirmede başarısız olmuştur (p>0,05). Sonuç: Mevcut bulgular, yapılandırılmış bir egzersiz programının postürü, ağrıyı ve el reaksiyonunu iyileştirmede etkili olduğunu, ancak telerehabilitasyon tabanlı yöntemin ağrıyı ve el reaksiyonunu iyileştirmede broşür tabanlı yöntemden üstün olduğunu göstermiştir. Dahası, yalnızca telerehabilitasyon tabanlı egzersiz programının el kavrama gücünü iyileştirmede başarılı olduğu bulunmuştur.

Keywords

• Telerehabilitasyon
• egzersiz
• teknoloji bağımlılığı
• postür
• ağrı
• reaksiyon zamanı

The Effect of Telerehabilitation-Based Structured Exercise Program on Posture, Pain, Fine Motor Skill, Hand Reaction, and Handgrip Strength in Adults with Video Game-Addiction: A Randomized Controlled Trial

Abstract

Aim: Playing video-games is characterized by a sedentary lifestyle and may cause many musculoskeletal problems. This study aimed to investigate the effect of telerehabilitation-based structured exercise program in adults with video-game addiction. Method: Forty-four adults with video-game addiction were included in the study. The participants were randomly divided into experimental group (EG, n=22) and control group (CG, n=22). A telerehabilitation-based structured exercise program was given to EG and a brochure-based exercise program was given to CG. Both groups performed the exercises three days a week for 8-weeks. Posture, pain, fine motor skill, hand reaction, and handgrip strength were assessed before and after program. Results: Both the EG and CG achieved significant improvements in enhancing posture and hand reaction and reducing pain (p<0.05). The improvements in hand reaction and pain were higher in the EG (p<0.05). The handgrip strength significantly increased only in the EG (p=0.014). Both the EG and CG failed to improve fine motor skill (p>0.05). Conclusion: The present findings showed that a structured exercise program was effective in improving posture, pain, and hand reaction, but the telerehabilitation-based method was superior to the brochure-based method in improving pain and hand reaction. Furthermore, only the telerehabilitation-based exercise program was found to be successful in improving handgrip strength.

Keywords

• Telerehabilitation
• exercise
• technology addiction
• posture
• pain
• reaction time

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