Show simple item record

Article

dc.creatorOesch, Peteres
dc.creatorKool, Janes
dc.creatorFernández Luque, Luises
dc.creatorBrox, Ellenes
dc.creatorEvertsen, Gunnes
dc.creatorCivit Balcells, Antónes
dc.creatorHilfiker, Rogeres
dc.creatorBachmann, Stefanes
dc.date.accessioned2020-07-08T09:15:25Z
dc.date.available2020-07-08T09:15:25Z
dc.date.issued2017
dc.identifier.citationOesch, 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.issn1471-2318es
dc.identifier.urihttps://hdl.handle.net/11441/98992
dc.description.abstractBackground: 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.formatapplication/pdfes
dc.format.extent9 p.es
dc.language.isoenges
dc.publisherBMCes
dc.relation.ispartofBMC Geriatrics, 17 (77)
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectGeriatric rehabilitationes
dc.subjectOlder adultses
dc.subjectSelf-regulated exercisees
dc.subjectExergameses
dc.subjectAdherencees
dc.subjectMotivationes
dc.subjectMobilityes
dc.titleExergames versus self-regulated exercises with instruction leaflets to improve adherence during geriatric rehabilitation: a randomized controlled triales
dc.typeinfo:eu-repo/semantics/articlees
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessrightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Arquitectura y Tecnología de Computadoreses
dc.relation.publisherversionhttps://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-017-0467-7es
dc.identifier.doi10.1186/s12877-017-0467-7es
dc.contributor.groupUniversidad de Sevilla. TEP108: Robótica y Tecnología de Computadoreses
dc.journaltitleBMC Geriatricses
dc.publication.volumen17es
dc.publication.issue77es

FilesSizeFormatViewDescription
BMC_civit-balcells_2017_exerga ...774.3KbIcon   [PDF] View/Open  

This item appears in the following collection(s)

Show simple item record

Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Except where otherwise noted, this item's license is described as: Attribution-NonCommercial-NoDerivatives 4.0 Internacional