Sarna I1, Smolis-Bąk E1, Mierzyńska A1, Noszczak E1, Cichocki T1, Piotrowicz R1
1Cardinal Wyszynski Institute of Cardiology, Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Warszawa, Poland
Background: Incorporating physical activity into daily life is one of the key elements of prevention and treatment of cardiovascular diseases, which remain the most common cause of death death worldwide. Diversifying physical training and adapting it to existing trends helps to encourage cardiac patients to regularly perform physical activity.
Purpose: The study aims to evaluate effectiveness and attractiveness of exercises carried out on ActivLife© - a device that consists of a platform, a screen, a computer, and a Kinect© camera, and is used to perform individual exercises while playing console games.
Methods: The sample group comprised of 26 people: 9 female patients and 17 male patients, whose average age was 60 ± 12 years old. The average body mass was 84 ± 19 kg and the average BMI was 28 ± 5. Among the patients we studied, 15 suffered from HF, 12 had HTN, 5 had CIED implanted, 11 suffered from ACS, and 3 went through CABG. The patients took part in a standard inpatient Phase II of cardiac rehabilitation (support and counseling from health specialists, breathing, stretching, strength exercises, cycle ergometer or treadmill training), enriched with the use of ActivLife©. The trainings with ActivLife© were performed 5 times a week, once a day for 15 minutes, and included a set of 7 exercises. In this study, resting and exertional HR and BP, as well as Borg CR10 scale, were measured and compared in the same patients depending on the method of physical training (ActivLife© vs. cycle ergometer). After ActiveLife, improvement in patients' range of motion (ROM) and speed of exercise completion were also evaluated. To analyse patients' results nonparametric statistical tests were used (Kendall's Coefficient of Concordance for longitudinal observations and Wilcoxon Signed Rank Test for intergroup comparisons).
Results: Statistically significant differences were noted between the results of six following ActiveLife trainings: increased speed of exercise completion in “Squats” exercise (Kendall´s W = 0,272; p 0,001); increased speed in “Boxer” exercise (Kendall´s W = 0,241; p 0,001); improved percentage of ROM: in left lower limb mobility exercise (Kendall´s W = 0,252; p 0,001), in right lower limb mobility exercise (Kendall´s W = 0,148; p 0,01); and in balance exercise (Kendall´s W = 0,482; p 0,001). Level of fatigue measured with Borg CR10 scale didn't differ between trainings on ActivLife© and cycle ergometer. However, in following trainings using ActivLife© level of fatigue significantly decreased (Kendall´s W = 0,147; p 0,01). Exercise systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly lower in sixth training on ActivLife© in comparison to sixth training on cycle ergometer (Wilcoxon's Z= -3,744; p =0,001 for SBP; and Wilcoxon's Z=-2,791; p 0,01).
Conclusion(s): Using ActivLife© improved ROM and speed of exercises performed by patients. It also caused lower levels of SBP and DBP in sixth training on ActivLife© in comparison to sixth training on cycle ergometer.
Implications: ActivLife in an interesting and safe device for individual trainings. Incorporating it in an inpatient and outpatient cardiac rehabilitation may benefit in a good additive or a substitution of exercise therapy.
Keywords: console games, cardiac rehabilitation, exercise therapy
Funding acknowledgements: None
Purpose: The study aims to evaluate effectiveness and attractiveness of exercises carried out on ActivLife© - a device that consists of a platform, a screen, a computer, and a Kinect© camera, and is used to perform individual exercises while playing console games.
Methods: The sample group comprised of 26 people: 9 female patients and 17 male patients, whose average age was 60 ± 12 years old. The average body mass was 84 ± 19 kg and the average BMI was 28 ± 5. Among the patients we studied, 15 suffered from HF, 12 had HTN, 5 had CIED implanted, 11 suffered from ACS, and 3 went through CABG. The patients took part in a standard inpatient Phase II of cardiac rehabilitation (support and counseling from health specialists, breathing, stretching, strength exercises, cycle ergometer or treadmill training), enriched with the use of ActivLife©. The trainings with ActivLife© were performed 5 times a week, once a day for 15 minutes, and included a set of 7 exercises. In this study, resting and exertional HR and BP, as well as Borg CR10 scale, were measured and compared in the same patients depending on the method of physical training (ActivLife© vs. cycle ergometer). After ActiveLife, improvement in patients' range of motion (ROM) and speed of exercise completion were also evaluated. To analyse patients' results nonparametric statistical tests were used (Kendall's Coefficient of Concordance for longitudinal observations and Wilcoxon Signed Rank Test for intergroup comparisons).
Results: Statistically significant differences were noted between the results of six following ActiveLife trainings: increased speed of exercise completion in “Squats” exercise (Kendall´s W = 0,272; p 0,001); increased speed in “Boxer” exercise (Kendall´s W = 0,241; p 0,001); improved percentage of ROM: in left lower limb mobility exercise (Kendall´s W = 0,252; p 0,001), in right lower limb mobility exercise (Kendall´s W = 0,148; p 0,01); and in balance exercise (Kendall´s W = 0,482; p 0,001). Level of fatigue measured with Borg CR10 scale didn't differ between trainings on ActivLife© and cycle ergometer. However, in following trainings using ActivLife© level of fatigue significantly decreased (Kendall´s W = 0,147; p 0,01). Exercise systolic blood pressure (SBP) and diastolic blood pressure (DBP) were significantly lower in sixth training on ActivLife© in comparison to sixth training on cycle ergometer (Wilcoxon's Z= -3,744; p =0,001 for SBP; and Wilcoxon's Z=-2,791; p 0,01).
Conclusion(s): Using ActivLife© improved ROM and speed of exercises performed by patients. It also caused lower levels of SBP and DBP in sixth training on ActivLife© in comparison to sixth training on cycle ergometer.
Implications: ActivLife in an interesting and safe device for individual trainings. Incorporating it in an inpatient and outpatient cardiac rehabilitation may benefit in a good additive or a substitution of exercise therapy.
Keywords: console games, cardiac rehabilitation, exercise therapy
Funding acknowledgements: None
Topic: Cardiorespiratory; Health promotion & wellbeing/healthy ageing
Ethics approval required: No
Institution: Cardinal Wyszynski Institute of Cardiology
Ethics committee: Ethics Commitee of Cardinal Wyszynski Institute of Cardiology
Reason not required: Performed research was based on standardised care in patients' Cardiac Rehabilitation programme. It didn't require any additional approval of ethical commitee.
All authors, affiliations and abstracts have been published as submitted.
