Wii Fit Exercise's Effects on Muscle Strength and Fear of Falling in Older Adults With Alzheimer Disease: A Randomized Controlled Trial.

IF 1.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY Journal of Aging and Physical Activity Pub Date : 2024-10-07 DOI:10.1123/japa.2023-0428
Fatma Uğur, Meral Sertel
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Abstract

Purpose: This study aimed to investigate how Wii Fit exercises affect muscle strength and fear of falling in older adults with Alzheimer's disease.

Method: The study included a total of 32 volunteers with Alzheimer's disease, aged 65-80 years. These participants were divided into two groups: the exercise group and the control group. The exercise group received a 30-min (one session) twice-weekly exercise program for 6 weeks with games selected from different categories, such as balance and aerobic exercises, with the Nintendo Wii virtual reality device. During this period, the control group did not receive any treatment, and routine medical treatments continued. At baseline and 6 weeks later, Mini-Mental State Examination, knee extension muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale results were recorded in the exercise and control groups.

Results: In intragroup comparison, a statistically significant difference was found in all tests (muscle strength, Timed Up and Go Test, and Tinetti Fall Efficacy Scale) in the exercise group after the exercise program (p < .05), while no significant difference was found in the control group (p > .05). According to the interaction of group and time in the intergroup comparison, there was no difference between the groups (exercise and control group) in muscle strength and Timed Up and Go Test (p > .05), but there was a difference in Tinetti Fall Efficacy Scale (p < .05).

Conclusions: This randomized controlled trial supports the claim that Wii Fit exercises can reduce the fear of falling in older adults with Alzheimer's disease.

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Wii Fit 运动对老年痴呆症患者肌肉力量和跌倒恐惧的影响:随机对照试验
目的:本研究旨在探讨 Wii Fit 运动如何影响阿尔茨海默氏症老年人的肌肉力量和跌倒恐惧:研究对象包括 32 名患有阿尔茨海默病的志愿者,年龄在 65-80 岁之间。这些参与者被分为两组:运动组和对照组。运动组接受每周两次、每次 30 分钟(一次)的运动计划,为期 6 周,使用任天堂 Wii 虚拟现实设备进行平衡和有氧运动等不同类别的游戏。在此期间,对照组不接受任何治疗,继续进行常规医疗。在基线和 6 周后,记录运动组和对照组的迷你精神状态检查、膝关节伸展肌力、计时起立测试和 Tinetti 跌倒功效量表结果:在组内比较中,运动组在运动后的所有测试(肌力、定时站立行走测试和蒂内蒂跌倒效能量表)中均有显著差异(P < .05),而对照组则无显著差异(P > .05)。根据组间比较中组别和时间的交互作用,运动组和对照组在肌肉力量和定时上下测试方面没有差异(P > .05),但在Tinetti跌倒功效量表方面存在差异(P < .05):这项随机对照试验证实了 Wii Fit 运动可以减轻老年痴呆症患者对跌倒的恐惧。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
105
审稿时长
>12 weeks
期刊介绍: The Journal of Aging and Physical Activity (JAPA) is a multidisciplinary journal that publishes peer-reviewed original research reports, scholarly reviews, and professional-application articles on the relationship between physical activity and the aging process. The journal encourages the submission of articles that can contribute to an understanding of (a) the impact of physical activity on physiological, psychological, and social aspects of older adults and (b) the effect of advancing age or the aging process on physical activity among older adults. In addition to publishing research reports and reviews, JAPA publishes articles that examine the development, implementation, and evaluation of physical activity programs among older adults. Articles from the biological, behavioral, and social sciences, as well as from fields such as medicine, clinical psychology, physical and recreational therapy, health, physical education, and recreation, are appropriate for the journal. Studies using animal models do not fit within our mission statement and should be submitted elsewhere.
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