The Use of a Home Exercise Program Based on a Computer System in Patients With Chronic Obstructive Pulmonary Disease

被引:47
作者
Albores, Jeffrey [1 ]
Marolda, Corliss
Haggerty, Margaret [3 ]
Gerstenhaber, Brett [4 ]
ZuWallack, Richard [2 ]
机构
[1] Univ Connecticut, Ctr Hlth, Farmington, CT USA
[2] St Francis Hosp & Med Ctr, Sect Pulm & Crit Care Med, Hartford, CT 06105 USA
[3] Norwalk Hosp, Norwalk, CT 06856 USA
[4] Gaylord Hosp, Wallingford, CT USA
关键词
computer; COPD; exercise; pulmonary rehabilitation; SHUTTLE WALKING TEST; REHABILITATION PROGRAMS; CAPACITY; TRIAL;
D O I
10.1097/HCR.0b013e3182724091
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
PURPOSE: To test the effectiveness of a home exercise program based on a user-friendly, computer system, the Nintendo Wii Fit. METHODS: In this longitudinal study, 25 clinically stable patients with chronic obstructive pulmonary disease began a 6-week nonintervention (baseline) period followed by 12 weeks of Wii exercise training at home. Patients were instructed to exercise 5 or more days per week. Exercise capacity, health status, and dyspnea were evaluated after home exercise training. RESULTS: Evaluable data were available in 20 patients after home exercise training; their force expiratory volume in 1 second was 45 +/- 16%. Following 12 weeks of Wii exercise training, the Endurance Shuttle Walk Test increased by 131 +/- 183 seconds over the baseline determination (P = .005). Significant improvements were also noted in arm-lift and sit-to-stand repetitions, the total score, and the emotion dimension of the Chronic Respiratory Questionnaire. Men had significantly greater increases in the Endurance Shuttle Walk Test than women, although their self-reported exercise durations were similar. There were no significant adverse outcomes. CONCLUSION: This study suggests that 12 weeks of regular, home exercise based on an interactive entertainment computer system can lead to positive short-term outcomes.
引用
收藏
页码:47 / 52
页数:6
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