dc.creator | Oesch, Peter | es |
dc.creator | Kool, Jan | es |
dc.creator | Fernández Luque, Luis | es |
dc.creator | Brox, Ellen | es |
dc.creator | Evertsen, Gunn | es |
dc.creator | Civit Balcells, Antón | es |
dc.creator | Hilfiker, Roger | es |
dc.creator | Bachmann, Stefan | es |
dc.date.accessioned | 2020-07-08T09:15:25Z | |
dc.date.available | 2020-07-08T09:15:25Z | |
dc.date.issued | 2017 | |
dc.identifier.citation | Oesch, P., Kool, J., Fernández Luque, L., Brox, E., Evertsen, G., Civit Balcells, A.,...,Bachmann, S. (2017). Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial. BMC Geriatrics, 17 (77) | |
dc.identifier.issn | 1471-2318 | es |
dc.identifier.uri | https://hdl.handle.net/11441/98992 | |
dc.description.abstract | Background: Improving mobility in elderly persons is a primary goal in geriatric rehabilitation. Self-regulated
exercises with instruction leaflets are used to increase training volume but adherence is often low. Exergames
may improve adherence. This study therefore compared exergames with self-regulated exercise using instruction
leaflets. The primary outcome was adherence. Secondary outcomes were enjoyment, motivation and balance
during walking.
Methods: Design: single center parallel group non-blinded randomized controlled trial with central stratified
randomization. Setting: center for geriatric inpatient rehabilitation. Included were patients over 65 with mobility
restrictions who were able to perform self-regulated exercise. Patients were assigned to self-regulated exercise
using a) exergames on Windows Kinect® (exergame group EG) or b) instruction leaflets (conventional group CG).
During two 30 min sessions physical therapists instructed self-regulated exercise to be conducted twice daily
during thirty minutes during ten working days. Patients reported adherence (primary outcome), enjoyment and
motivation daily. Balance during walking was measured blind before and after the treatment phase with an
accelerometer. Analysis was by intention to treat. Repeated measures mixed models and Cohen’s d effect sizes
(ES, moderate if >0.5, large if > 0.8) with 95% CIs were used to evaluate between-group effects over time. Alpha
was set at 0.05.
Results: From June 2014 to December 2015 217 patients were evaluated and 54 included, 26 in the EG and 28 in
the CG. Adverse effects were observed in two patients in the EG who stopped because of pain during exercising.
Adherence was comparable at day one (38 min. in the EG and 42 min. in the CG) and significantly higher in the CG
at day 10 (54 min. in the CG while decreasing to 28 min. in the EG, p = 0.007, ES 0.94, 0.39–0.151). Benefits favoring
the CG were also observed for enjoyment (p = 0.001, ES 0.88, 0.32 – 1.44) and motivation (p = 0.046, ES 0.59,
0.05–1.14)). There was no between-group effect in balance during walking.
Conclusions: Self-regulated exercise using instruction leaflets is superior to exergames regarding adherence,
enjoyment and motivation in a geriatric inpatient rehabilitation setting. Effects were moderate to large. There
was no between group difference in balance during walking. | es |
dc.format | application/pdf | es |
dc.format.extent | 9 p. | es |
dc.language.iso | eng | es |
dc.publisher | BMC | es |
dc.relation.ispartof | BMC Geriatrics, 17 (77) | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | Geriatric rehabilitation | es |
dc.subject | Older adults | es |
dc.subject | Self-regulated exercise | es |
dc.subject | Exergames | es |
dc.subject | Adherence | es |
dc.subject | Motivation | es |
dc.subject | Mobility | es |
dc.title | Exergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled trial | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Arquitectura y Tecnología de Computadores | es |
dc.relation.publisherversion | https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0467-7 | es |
dc.identifier.doi | 10.1186/s12877-017-0467-7 | es |
dc.contributor.group | Universidad de Sevilla. TEP108: Robótica y Tecnología de Computadores | es |
dc.journaltitle | BMC Geriatrics | es |
dc.publication.volumen | 17 | es |
dc.publication.issue | 77 | es |