Objective: To investigate the effect of motion-controlled videogames on pain, functionality, cardiopulmonary capacity, and quality of life in women with fibromyalgia. Materials and Methods: Forty women with fibromyalgia were randomized into virtual reality group (VRG) and conventional training group (CTG). The CTG performed aerobic exercise (cycling, 3 days per week, 20 minutes per day) and conventional exercises (muscle strengthening, balance, and flexibility, 3 days per week, 15 minutes per day) for 4 weeks. The VRG performed virtual reality exercise (volleyball, Microsoft Xbox Kinect Ò , 3 days per week, 15 minutes per day) together with cycling exercise for 4 weeks. After the exercise program, both groups received the same home exercise program for 4 weeks. All patients were evaluated at baseline, fourth, and eighth weeks. Primary outcome measure was Fibromyalgia Impact Questionnaire. Visual Analogue Scale (VAS), Hospital Anxiety and Depression Scale, Fatigue Severity Scale (FSS), Symptom Severity Scale, EuroQol-Five Dimensions _ Index Scale/Visual Analogue Scale (EQ-5D-index/VAS) and Six Minute Walk Test (6MWT) were used as secondary outcome measures. Results: Thirty-four patients (17 VRG, 17 CTG) were evaluated at the eighth week. After 4 weeks, all outcome measures improved significantly in both groups (P < 0.05). However, there was no statistically significant difference in all outcome measures between fourth and eighth weeks. Group and time interactions for 6MWT (P = 0.043), FSS (P = 0.026), EQ-5D-_ Index Scale (P = 0.014), and EQ-5D-VAS (P = 0.049) were significant only for the VRG. In addition, median individual's satisfaction was significantly higher in the VRG (P < 0.001). Conclusion:Virtual reality exercises along with aerobic exercise increase cardiopulmonary capacity and quality of life in fibromyalgia syndrome. In addition, they increase patient satisfaction and may improve patient compliance to exercise.

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The aim of our study is to evaluate the reliability and validity of the Turkish version of the Community Balance and Mobility Scale (CB&M-T) on older adults of Turkish population. Methods:The study included 145 older adults. Test-retest reliability, internal consistency was used for reliability. Berg Balance Scale was used to test the concurrent validity of the CB&M-T. The ceiling and floor effect were calculated for content validity. To measure the test-retest reliability, the older adults were assessed again with CB&M-T one week after the first assessment. ROC (Receiver Operating Characteristic) analysis was performed determine the cut-off scores and the area under the curve (AUC) was calculated.Results: Very high relationship was found between the 1st and 2nd evaluation total CB&M-T score. Cronbach's alpha coefficient was excellent. There were no floor and ceiling effects. High correlations were found between CB&M-T and BBS. The optimum cut-off value is calculated as 38.5 points. AUC value of 0.90 is found to be highly acceptable for individuals at fall risk. Conclusion:This study indicates that the Turkish version of the CB&M-T scale is a reliable and valid balance and mobility scale that can be used in the rehabilitation of older adults with a high functional level. According to these results, Turkish clinicians have been brought a new scale that can be used in clinics We think that older adults with high functional levels will bring a new perspective to the literature to evaluate the fall risk, balance and mobility and to plan rehabilitation programs.