Physiological responses during exercise with video games in patients with cystic fibrosis: A systematic review

Carbonera, Raquel Pinto; Vendrusculo, Fernanda Maria; Donadio, Márcio Vinı́cius Fagundes

doi:10.1016/j.rmed.2016.08.011

Cited by 15 publications

(22 citation statements)

References 35 publications

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“…The results of the present review corroborate the findings of a systematic review into the effects of AVGs on people with CF [34], which found the heart rate (HR) response to active video gaming was similar to the traditional methods of physical training. One study included in that review, but which was excluded from the present review (as it didn't compare AVGs to traditional exercise or to rest), found the HR target for moderate physical activity (64% of predicted maximum HR) was met during the boxing activity of the Likewise, the results of the present review are consistent with a meta-analysis of AVGs for healthy adults and children by Peng et al [66], who concluded that the HR, energy expenditure and oxygen consumption were no different between AVGs and traditional physical activities.…”

Section: Discussionsupporting

confidence: 86%

“…This review was limited in scope as it only aimed to review the exercise intensity of AVGs for people with CF [34], and therefore only included five studies. Another broad review of video games in rehabilitation did not include respiratory conditions, and instead focused on ageing and pathologies such as stroke and Parkinson's disease for which there was more evidence [35].…”

Section: Introductionmentioning

confidence: 99%

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Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis (Preprint)

Simmich¹,

Deacon²,

Russell³

2018

Preprint

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis (Preprint)

Simmich¹,

Deacon²,

Russell³

2018

Preprint

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“…Exergaming consoles are relatively inexpensive, with the Nintendo Wii and Microsoft Xbox Kinect currently costing less than £250 and £300, respectively. Recent systematic reviews have demonstrated the feasibility, acceptability and effectiveness of exergaming at improving balance, functionality, cognition and QOL in individuals with chronic conditions, including Parkinson’s disease (PD) [ 24 ], multiple sclerosis (MS) [ 31 ], cystic fibrosis [ 32 ] and those who have recently suffered a stroke [ 33 ]. Exergaming has also been found to be a fun and enjoyable method of physical activity, potentially increasing one’s motivation to partake in exercise programs [ 34 ].…”

Section: Introductionmentioning

confidence: 99%

The feasibility, acceptability and outcomes of exergaming among individuals with cancer: a systematic review

et al. 2018

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BackgroundIndividuals with cancer have reduced quality of life, functionality, range of motion, strength, and an increase in pain and fatigue. Exergaming appears to be an effective rehabilitation tool for Parkinson’s disease, multiple sclerosis and post-stroke patients to improve functionality, balance and quality of life; however, the usefulness of exergaming in individuals with cancer is unknown. The aim of this systematic review is to describe exergaming interventions delivered to adults with a current or previous cancer diagnosis and to report the feasibility, acceptability and outcomes of such interventions.MethodsStudies reporting on exergaming interventions delivered to individuals with a current or previous cancer diagnosis were included. 12 electronic databases were searched. Eight articles (seven interventions) were identified. Data were extracted and assessed for quality by two reviewers.ResultsThree interventions were delivered at hospital, two at home, one at a clinical laboratory, and one did not report. Two interventions were delivered by a physiotherapist, two by an occupational therapist, and one by a nurse, research staff and an exercise physiologist. The Nintendo Wii was used in four of seven studies, whilst the remaining three used the IREX system, BrightArm Duo Rehabilitation System or a custom made exergame. Studies showed that most participants enjoyed the exergaming intervention, and would recommend their use, with some preferring exergaming over standard care interventions. Adherence rates and enjoyment appear greater during exergaming than standard care. Exergaming interventions appear to support improvements balance, function, physical activity levels, strength, fatigue, emotions, cognition and pain.ConclusionExergaming interventions delivered to individuals with cancer show great heterogeneity; differing in duration, frequency and gaming platform. The disease stage and severity of those included, and the outcome measures assessed also vary widely making it difficult to conclude its effectiveness at this time. However, adherence rates and enjoyment appear greater during exergaming compared to standard care, supporting the feasibility and acceptability of this type of intervention delivery for adults with cancer.

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“…The potential health effects of these active games on children have been extensively demonstrated [16][17][18][19][20], and these effects include increased energy expenditure, the attainment of moderate PA levels, decreased sedentary time, increased overall muscle strength, and improved cardiopulmonary fitness. In children with CF, studies have reported that AVGs produce high physiological demands similar to conventional exercise programmes [21][22][23]. Likewise, previous studies have shown that participants experience greater enjoyment, lower dyspnoea, and increased muscle performance when using AVGs in comparison to high-intensity cycling [24].…”

Section: Introductionmentioning

confidence: 98%

Effectiveness of a Home-Based Active Video Game Programme in Young Cystic Fibrosis Patients

Corral

Iranzo

López‐de‐Uralde‐Villanueva

et al. 2017

Respiration

171

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Background: Exercise-based rehabilitation is already a part of cystic fibrosis (CF) treatment; however, patient adherence is low. Objectives: To assess the effectiveness of a home exercise programme using active video games (AVGs) as a training modality for children and adolescents with CF. Methods: Thirty-nine children with CF were randomised to a control group (CG, n = 20, age 11 ± 6 years; FEV₁ 86.2 ± 20.5% of predicted) or a training group (AVGG, n = 19, age 13 ± 3 years; FEV₁ 82.7 ± 21.7% of predicted). The home training protocol consisted of 30- to 60-min sessions, 5 days/week, for 6 weeks using a Nintendo Wii™ platform. Exercise capacity was measured by the 6-min walk test (6MWT) and modified shuttle walk test (MSWT); muscular strength was estimated using the horizontal jump test (HJT), medicine ball throw (MBT), and hand grip strength (right [RHG]; left [LHG]); and quality of life was rated using the Cystic Fibrosis Questionnaire-Revised (CFQ-R). All the children were measured at baseline, after rehabilitation, and at 12 months. Results: For the group × time interaction ANOVAs, the AVGG showed significant between-group differences in exercise capacity: 6MWT farthest walking distance, 38.4 m (p < 0.01); MSWT farthest walking distance, 78.4 m (p < 0.05); and muscular strength: HJT 9.8 cm, MBT 30.8 cm, RHG 7 kg, and LHG 6.5 kg (p < 0.01), before versus after intervention. The CFQ-R reported significantly higher scores on respiratory symptoms after the intervention and favoured the AVGG, and there was an improvement in other domains after 12 months. Adherence to the home exercise programme was 95% during the 6- week intervention period. Conclusion: A home-based programme using AVGs can effectively improve exercise capacity, muscular strength and quality of life in the short-term in children and adolescents with CF. The effects of training on muscle performance and quality of life were sustained over 12 months.

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Physiological responses during exercise with video games in patients with cystic fibrosis: A systematic review

Abstract: Interactive video games generate a heart rate response similar to the intensity required for training in CF patients.

Cited by 15 publications

References 35 publications

Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis (Preprint)

Active Video Games for Rehabilitation in Respiratory Conditions: Systematic Review and Meta-Analysis (Preprint)

The feasibility, acceptability and outcomes of exergaming among individuals with cancer: a systematic review

Effectiveness of a Home-Based Active Video Game Programme in Young Cystic Fibrosis Patients

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