Using a Virtual Game System to Innovate Pulmonary Rehabilitation: Safety, Adherence and Enjoyment in Severe Chronic Obstructive Pulmonary Disease

Abstract

Moderate exercise using a VGS was safe, feasible and enjoyed as an adjunct to inpatient PR. This modality may encourage patients to maintain physical activity after PR.

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

“…A single-arm study Hoffman week intervention. In contrast, in a study by Wardini et al [60] the attendance rate to the game intervention (64±35%) was lower than for the pulmonary rehabilitation program (88±13%), though the game was delivered as an adjunct rather than an alternative program and no statistical comparison was performed.…”

“…There were also three studies [59,60,62] that looked at longer-term effects of AVGs but which were not randomised and/or controlled experiments.…”

“…Five studies examined adherence to unsupervised active video game treatments, and generally reported adherence was high and maintained throughout the intervention period [55,57,59,60,62]. In the only controlled trial with an active control group, Bingham et al [55] reported that, despite there being no difference in the number of days each intervention was used, their game intervention was used for significantly more minutes per day than the control.…”

“…showing that games were generally considered likeable and feasible interventions [27,29,60,63]. For example, Kuys et al [27] reported that both the Nintendo Wii TM intervention and the treadmill or bicycle control exercise were rated highly effective and feasible without significantly differences between the two interventions.…”

“…Using a 7-item, 7-level Likert-type scale, Mazzoleni et al [63] reported no significant difference between the acceptability of pulmonary rehabilitation alone (43.9±3.0) or with active video gaming as an adjunct (42.4±3.5). Wardini et al [60] reported the overall enjoyment of the adjunct game intervention to be 8.0±2.6cm on a 10cm…”