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

Öz

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.

Anahtar Kelimeler

• Exergame
• Yaşlı yetişkinler
• Kinezyofobi
• Denge
• Depresyon

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

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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