Effects of Virtual Reality Exercise Program on Muscle Activity and Balance Abilities in Elderly Women

가상현실 운동프로그램이 여성노인의 근활성도와 균형능력에 미치는 영향

  • 이준희 (대불대학교 보건대학원) ;
  • 박성웅 (대불대학교 보건대학원 물리치료전공) ;
  • 강정일 (대불대학교 보건대학원) ;
  • 양대중 (대불대학교 보건대학원) ;
  • 박승규 (대불대학교 보건대학원)
  • Received : 2011.06.01
  • Accepted : 2011.08.12
  • Published : 2011.08.25

Abstract

Purpose: The aim of this study was to investigate the effects of an exercise program using a virtual reality game and a gait exercise program using a treadmill on % maximum voluntary isometric contraction (%MVIC) and static and dynamic balancing capabilities. Methods: A total of 26 elderly women were included in the study. 13 women were assigned to an exercise program using a virtual reality game, and 13 to a gait exercise program using a treadmill. The subjects performed the exercise for 40 min per session, three sessions per week, for eight weeks. Results: The %MVIC of the vastus medialis was significantly increased from $28.91{\pm}2.03%$ to $32.98{\pm}2.6%$ in the virtual reality game exercise group (p<0.00). The %MVIC of the vastus lateralis was significantly increased from $27.17{\pm}1.93%$ to $31.50{\pm}2.18%$ (p<0.00) in the gait exercise program group. The whole path length with both feet on the floor and eyes open was significantly decreased from $1570.92{\pm}820.6mm$ to $1343.62{\pm}242.41mm$ (p<0.00). The whole path length with both feet on the floor and eyes closed was significantly decreased from $1819.85{\pm}361.14mm$ to $1581.05{\pm}285.11mm$ (p<0.00). The length of a functional reach was significantly increased from $25.2{\pm}4.23cm$ to $27.68{\pm}4.04cm$ (p<0.00). Conclusion: The exercise program using a virtual reality game is effective for improving the %MVIC and static and dynamic balancing capabilities in elderly women aged 65 years and more.

Keywords

References

  1. Ministry. National Health Statistics 2009: National Health and Nutrition Examination Survey 4th 3rd year. 2010.
  2. Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: What does the evidence show? The Medical Clinics of North America. 2006;90(1):807-24.
  3. Rogers ME, Sherwood HS et al. Effect of dumbbell and elastic training on physical function in order inner-city African-American Women. Women & Health. 2003; 36(4):33-41.
  4. National Blueprint. Increasing physical activity among adults age 50 and older. J Aging Phys Activity. 2001;9:1-28.
  5. Michael Toth, Dwight Matthews et al. Age related differences in skeletal muscle protein synthesis: relation to makers of immune activation. Am J Physiol Endocrinol Metab. 2004; 288(5): E883-91. https://doi.org/10.1152/ajpendo.00353.2004
  6. Jessup JV. Horne C et al. Effects of exercise on bone density, balance, and self efficacy in older women. Bidogical Research for Nursing. 2003;4(3):171-80. https://doi.org/10.1177/1099800402239628
  7. Jung SM, An DH. Effects of short-term intensive balance training for the performance ability of lower extremities in the elderly. KAUPT. 2007;14(1):11-20.
  8. Kim HG, Nam HK, Cho KS. The effect of a walking program on physical health in older adults. J Muscle Joint Health. 2008;15(2):183-90.
  9. Kawanabe K, Kawashima A et al. Effect of whole body vibration exercise and muscle stre ngthening, balance and walking exercise on walking ability in the elderly. Keio J Med. 2007;56(1):28-33. https://doi.org/10.2302/kjm.56.28
  10. Boshuizen HC, Stemmerik L et al. The effects of physical therapists' guidance on improvement in a strength-training program for the frail elderly. J Aging Phys Act. 2005;13(1): 5-22.
  11. Brouwer BJ, Walker C et al. Reducing fear of falling in seniors through education and activity programs: a randomized trial. J Am Geriatr Soc. 2003;51(6):829-34. https://doi.org/10.1046/j.1365-2389.2003.51265.x
  12. American College of Sports Medicine. ACSM's guide lines for testing. 7th eds. Philadelphia, Lippincott Williams & Wilkins, 2006:246-51.
  13. Seo SH. Effects of regular walkingexercise on physical performance and physiological function in the elderly. Yonsei University Health Promotion Program Support Group. MW. 2006.
  14. Laufer Y, Dickstein R et al. The effect of treadmill training on the ambulation of stroke survivours in the early stages of rehabilitation: a randomized study. J Rehabil Res Dev. 2001;38(1):69-78.
  15. Hiroyuki S, Shuichi O et al. New intervention program for preventing falls among frail elderly people: The effects of perturbed walking exercise using a bilateral separated treadmill. Am J Phys Med Rehabil. 2004;83(7):493-9. https://doi.org/10.1097/01.PHM.0000130025.54168.91
  16. Hesse S et al. Treadmill walking with partial body weight support versus floor walking in hemiparetic subjects. Arch Phys Med. Rehabil. 1999;80(4):421-7. https://doi.org/10.1016/S0003-9993(99)90279-4
  17. Flynn TW, Canavan PK et al. Plantar pressure reducation in an incremental weight-bearing sy stem. Phys Ther. 1997; 77:410-6.
  18. Sveistrup H. Motor rehabilitation using virtual reality. J Neuro engineering Reabil. 2004;1(1):1-10. https://doi.org/10.1088/1741-2560/1/1/001
  19. Flynn S, Palma P, Bender A. Feasibility using the sony playstation 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther. 2007;31(4):180-9
  20. Rizzo A, Buckwalter JG. Virtual reality and assessment and cognitive rehabilitation: The state of the art. Stru Health Technol Inform. 1997;44:123-45.
  21. Jang JY. A study on serious game design for rehabilitation training of the patients with apoplexy. Kwangwoon University. Dissertation of Master's Degree. 2007.
  22. Judith ED, Megan B et al. Use of a low-cost, commercially available gaming console (wii) for rehabilitation of an adolescent with cerebral palsy. Physl Ther. 2008;88(10): 1196-207. https://doi.org/10.2522/ptj.20080062
  23. Alvarez M, Rodriguez M. How effective is the wii program as physical therapy intervention of patient with pakinson's disease? Parkinsonism and Related Disorders. 2009;15S2.S192.
  24. Henderson A, Korner Bitensky N, Levin M. Virtual reality in stroke rehabilition : a systematic review on its effectiveness for upper limb motor recovery. Top stroke rehabil. 2007; 14(2):52-61. https://doi.org/10.1310/tsr1402-52
  25. Kim JH, Kim JS. Effects of virtual reality program on standing balance in chronic stroke patients. J Kor Soc Phys Ther. 2005;17(3):351-67.
  26. Walker ML, Ringleb SI et al. Virtual reality-enhanced partial body weight-supported treadmill training poststroke: feasibility and effectiveness in 6 subgects. Arch Phys Med Rehabil. 2010;91(1):115-22. https://doi.org/10.1016/j.apmr.2009.09.009
  27. Song CH, Shin WS, Lee KJ et al. The effect of a virtual reality-based exercise program using a video game on the muscle strength, balance and gait abilities in the elderly. TKGS. 2009;29(4):1261-75.
  28. Saposnik G, Bayley M et al. Virtual reality technology in stroke rehabilitation: a pilot randomized trial using wii gaming system. Stroke. 2010;41:1477-84 https://doi.org/10.1161/STROKEAHA.110.584979
  29. Woo YK, Hwang JH et al. Assessments of static balance using virtual moving surround. J Korean Acad Rehab Med. 2006;30(3):254-60.
  30. Kim MY. The effect of cognitive training based on virtual reality program for the elderly. Yonsei University. Dissertation of Doctorate Degree. 2002.
  31. Hong SY. Effectiveness of balance training based on virtual reality game for the elderly. KSOT. 2010;18(1):55-64.
  32. Hesse S, Bertelt C et al. Treadmill training with partial body weight support compared with physiotherapy in nonambulatory hemiparetic patients. Stroke. 1995;26(6): 976-81. https://doi.org/10.1161/01.STR.26.6.976
  33. Park JS, Choi EY, Hwang TY. The effects of strengthening leg muscular strength on the elderly's walking and balance ability. J Kor Soc Phys Ther. 2002;14(2):71-80.
  34. Park RJ, Kim HS, Lee DH. Effects of home exercise program on the improvement of muscle strength in the elderly. J Kor Soc Phys Ther. 2002;14(1):1-14. https://doi.org/10.1589/jpts.14.1
  35. Yoo IY. Effects of fall prevention prigram applying HSEP on physical balance and gait, leg strength, fear of falling and falls efficacy of community-dwelling elderly. TKGS. 2009;29(1):259-73.
  36. Lim SW, Oh JK. Effects of tackyun pum-balb-gi and balance training on physical fitness and balance confidence in female elderly. KSSLS. 2008;34(2):1063-72.
  37. Kim EJ, Hwang BY, Kim MS. The effect of a virtual reality program on static balance control and fall efficacy of elderly people. TKGS. 2010;30(4):1107-16.
  38. Lee SY, Son GS et al. The effects of therapeutic exercise on the balance and gait in older adults. J Kor Soc Phys Ther. 2007;19(2):1-10.
  39. Han SW, Lee BH, Lee HJ. Effects of 8 weeks of exercise station training on balance ability for the elderly women. J Kor Soc Phys Ther. 2009;21(1):27-34.
  40. Riberio F, Teixeira F et al. Impact of Low Cost Strength Training of Dorsi and Plantar Flexors on Balance and Functional mobility in Institutionalized Elderly People. Geriatr Gerontol Int. 2009;9(1):75-80 https://doi.org/10.1111/j.1447-0594.2008.00500.x