Exergame'in kinezyofobik yaşlı yetişkinlerde kinezyofobi, depresyon ve fiziksel parametreler üzerine etkisi: pilot çalışma

Abstract

Amaç: Geriatrik bireylere uygulanan sanal gerçeklik uygulamalarının denge ve mobilite üzerinde etkili olduğu bilinmektedir. Exergame sanal gerçeklik tabanlı bir egzersizdir. Çalışmanın amacı kinezyofobisi olan geriatrik bireylerde exergame’in kinezyofobi, denge, alt ekstremite kas kuvveti, depresyon ve bilişsel işlev üzerindeki etkilerini araştırmaktır. Yöntem: Çalışmaya huzurevi ve yaşlı bakım merkezinde yaşayan 65 yaş üstü geriatrik bireyler dahil edildi. 8 hafta boyunca haftada 30 dakika egzersiz oyunları oynandı ve çalışmaya katılan katılımcılara rehabilitasyon verildi. Uygulamaya başlamadan önce katılımcılara demografik bilgi formu, Tampa Kinezyofobi Ölçeği, BeCure Denge Değerlendirme Sistemi, Geriatrik Depresyon Ölçeği-Kısa Form, Mini Mental Durum Testi ve 5 Tekrar Otur Kalk Testi uygulandı. Değerlendirmeler tedavi öncesi ve sonrası (8 hafta) yapıldı. Bulgular: Çalışmaya exergame tabanlı rehabilitasyon programını tamamlayan 13 geriatrik birey dahil edildi. Tedavi öncesi ve sonrası değerlendirmeler yapıldığında; kinezyofobi, denge ve depresyonda istatistiksel olarak anlamlı farklılıklar bulundu (p<0,05). Fonksiyonel kas gücü ve bilişsel durumda istatistiksel olarak anlamlı bir fark görülmedi (p>0,05). Sonuç: Exergame yaşlı bireylerde kinezyofobi ve depresyonu azalttığı ve dengeyi iyileştirdiği gösterilmiştir, ancak bilişsel durum ve alt ekstremite kas gücü üzerindeki etkilerini araştırmak için daha fazla çalışmaya ihtiyaç vardır.

Keywords

• Exergame
• Yaşlı yetişkinler
• Kinezyofobi
• Denge
• Depresyon

Effects of exergame on kinesiophobia, depression, and physical parameters in kinesiophobic older adults: a pilot study

Abstract

Purpose: It is known that virtual reality applications applied to older adults are effective on balance and mobility. Exergames is a virtual reality-based exercise. The aim of the study was to investigate the effects of exergames on kinesiophobia, balance, lower extremity muscle strength, depression and cognitive function in older adults with kinesiophobia. Methods: The older adults over the age of 65 living in Nursing Home and Elderly Care Center were included in the study. Exergames were played for 30 minutes per week for 8 weeks and the participants who participated in the study were given rehabilitation. Before starting the application, the demographic information form, Tampa Kinesiophobia Scale, BeCure Balance Assessment System, Geriatric Depression Scale-Short Form, Mini Mental State Test and 5 Times Sit to Stand Test were applied to the participants. The assessments were performed pre- and post-treatment (8 weeks). Results: 13 geriatric adults who completed an exergame-based rehabilitation program were included in the study. When the preand post-treatment evaluations were made; statistically significant differences were found in kinesiophobia, balance and depression (p<0.05). There was no statistically significant difference in functional muscle strength and cognitive status (p>0.05). Conclusion: Exergames reduce kinesiophobia and depression and improve balance in older adults, however more studies are needed to investigate their effects on cognitive status and lower extremity muscle strength.

Keywords

• Exergame
• Older adults
• Kinesiophobia
• Balance
• Depression.

References

1. Papalia DE, Olds SW, Feldman RD. Human Development. McGraw-Hill; 2007.
2. Amarya S, Singh K, Sabharwal M. Ageing process and physiological changes. Gerontol. 2018;32:137-144.
3. Kvist J, Ek A, Sporrstedt K, Good L. Fear of reinjury: a hindrance for returning to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2005;13:393-397.
4. Turhan B, Usgu G, Usgu S, et al. Alt ekstremitede bağ yaralanması veya kırık geçmişi olan bireylerde kinezyofobi, durumluluk ve sürekli kaygı düzeylerinin incelenmesi. Spor Hekimliği Dergisi. 2019;54:175-182.
5. Schmidt AJ. Does ‘mental kinesiophobia’exist?. Behav Res Ther. 2003;41:1243-1249.
6. Evangelista de Lima B, Passos GS, Youngstedt SD, et al. Effects of Xbox Kinect exercise training on sleep quality, anxiety and functional capacity in older adults. J Bodyw Mov Ther. 2021;28:271- 275.
7. Ren Y, Lin C, Zhou Q, et al. Effectiveness of virtual reality games in improving physical function, balance and reducing falls in balanceimpaired older adults: A systematic review and meta-analysis. Arch Gerontol Geriatr. 2023;108:104924.
8. Zahedian-Nasab N, Jaberi A, Shirazi F, et al. Effect of virtual reality exercises on balance and fall in elderly people with fall risk: a randomized controlled trial. BMC Geriatr. 2012;21:509.

9. Tarakçı E, Tarakçı D. Rehabilitasyonda Teknoloji, İstanbul Tıp Kitabevi, İstanbul; 2019.
10. Oh Y, Yang S. Defining exergames & exergaming. Proceedings of Meaningful Play. 2010:21-23.
11. Zadro JR, Shirley D, Simic M, et al. Video-gamebased exercises for older people with chronic low back pain: A randomized controlled trial (GAMEBACK). Phys Ther. 2019;99:14-27.
12. Yilmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Fizyoter Rehabil. 2011;22:44-49.
13. Burke WJ, Roccaforte WH, Wengel SP. The short form of the Geriatric Depression Scale: a comparison with the 30-item form. J Geriatr Psychiatry Neurol. 1991;4:173-178.
14. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry, 11th ed. Wolters Kluwer Health;2015.
15. Özüdoğru A, Canlı M, Gürses ÖA, et al. Determination of five times-sit-to-stand test performance in patients with multiple sclerosis: validity and reliability. Somatosens Mot Res. 2023;40:72-77.
16. Emir A, Tarakci D, Atilgan E, et al. Comparing body posture and postural control in children with intellectual disability and dyslexia to typically developing children using technology‑based assessments. Int J Ther Rehabil. 2023;30:1-10.
17. Laver KE, Lange B, George S, et al. Virtual reality for stroke rehabilitation. Stroke, 2018;49:e160-e161.
18. Yilmaz Yelvar GD, Çırak Y, Dalkılınç M, et al. Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? Randomised controlled trial. Eur Spine J. 2017;26:538-545.
19. Morales Tejera D, Beltran-Alacreu H, Cano-dela- Cuerda R, et al. Effects of virtual reality versus exercise on pain, functional, somatosensory and psychosocial outcomes in patients with non-specific chronic neck pain: a randomized clinical trial. Int J Environ Res Public Health. 2020;17:5950.
20. Wang S, Sun J, Yin X, et al. Effect of virtual reality technology as intervention for people with kinesiophobia: a meta‑analysis of randomised controlled trials. J Clin Nurs. 2023;32:3074-3086.
21. Kim DR, Moon E, Shin MJ, et al. Effect of individual virtual reality cognitive training programs on cognitive function and depression in middle-aged women: randomized controlled trial. JMIR Ment Health. 2023;10:e48912.
22. Swinnen N, Vandenbulcke M, de Bruin ED, et al. The efficacy of exergaming in people with major neurocognitive disorder residing in long-term care facilities: a pilot randomized controlled trial. Alzheimers Res Ther. 2021;13:1-13.
23. Zhao C, Zhao C, Zhao M, et al. Effect of exergame training on working memory and executive function in older adults. Sustainability. 2022;14:10631.
24. Yang Y, Wang K, Liu S, et al. Exergames improve cognitive function in older adults and their possible mechanisms: A systematic review. J Glob Health. 2023;13:04177.
25. Chu CH, Quan AML, Souter A, et al. Effects of exergaming on physical and cognitive outcomes of older adults living in long-term care homes: a systematic review. Gerontol. 2022;68:1044-1060.
26. Sato K, Kuroki K, Saiki S, et al. Improving walking, muscle strength, and balance in the elderly with an exergame using Kinect: a randomized controlled trial. Games Health J. 2015;4:161-167.
27. Karahan AY, Tok F, Taşkın H, et al. Effects of exergames on balance, functional mobility, and quality of life of geriatrics versus home exercise programme: randomized controlled study. Cent Eur J Public Health. 2015;23:S14-S18.
28. Hou HY, Li HJ. Effects of exergame and video game training on cognitive and physical function in older adults: a randomized controlled trial. Appl Ergon. 2022;101:103690.