Obstructive Lung Diseases |

Video Game Exercise Effectiveness of a Long Term Domiciliary Pulmonary Rehabilitation Program in Cystic Fibrosis (CF) Patients: Pilot Prospective Study of Cases FREE TO VIEW

Tamara Del Corral Nuñez-Flores, PT; Roberto Martinez Alejos, PT; Angels Cebria i Iranzo, PhD; Jordi Vilaró, PhD; Roberto Rabinovich, PhD
Author and Funding Information

Asociación Madrileña Contra la Fibrosis Quística (AMCFQ), Centro Universitario La Salle, Madrid, Spain

Chest. 2014;145(3_MeetingAbstracts):374A. doi:10.1378/chest.1815482
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SESSION TITLE: COPD Rehabilitation Posters

SESSION TYPE: Poster Presentations

PRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PM

PURPOSE: Cystic fibrosis (CF) is a multisystemic disease characterized by a limited exercise capacity. Exercise training (ET) using systems that improve the adherence to pulmonary rehabilitation programs is a key factor to guarantee the benefits of this therapy. Our goal was to evaluate the efficacy of a long term domiciliary exercise program using the WiiTM video game platform as a training system in patients with CF.

METHODS: The pilot study included 7 CF patients: age 11.4±3.9 years; BMI 18.4±3 kg/m2; FVC 78.9±18 %pred; FEV1 74.7±22 %pred. All of them undertaken a domiciliary pulmonary rehabilitation program using the WiiTM video game platform with the Active 2 game (Wii-Acti2). The program consisted of 30 to 60 min exercise every day, 5 days per week during 6 weeks. The measurements evaluated before (pre) and immediately after (post) ad after 12 months of follow-up (fup) were: 1) exercise tolerance using the six minutes walk test (6MWT) and the Modified Shuttle Walk Test (MSWT) ; and 2) Health-related quality of life using the Cystic Fibrosis Questionnaire-Revised (CFQ-R). Nonparametric tests (Wilcoxon test) and a descriptive analysis to observe the trend of the variables were performed.

RESULTS: ET increased significantly exercise capacity on: MSWT (622,8±85m vs. 708,5±141m) and the physical domain (87,2±15,3 vs. 95,5±1) and the respiratory symptoms (65,9±22,1 vs. 77,4±25,8) from the CFQ-R (p< 0,05 in all cases). These improvements were maintained after 12 months (MSWT 705,7±143m), physical domain (96,8±6,3) and respiratory symptoms (78,1±1).

CONCLUSIONS: The preliminary data presented show a tendency to a long term domiciliary pulmonary rehabilitation program using the WiiTM video game platform in CF patients improved exercise tolerance and quality of life. However, these preliminary results should be carefully interpreted and the sample size increased.

CLINICAL IMPLICATIONS: Find new and alternative training programs to improve adherence regarding conventional training programs, specially in CF patients, who have a low adherence to these programs due to the high burden of treatment time.

DISCLOSURE: The following authors have nothing to disclose: Tamara Del Corral Nuñez-Flores, Roberto Martinez Alejos, Angels Cebria i Iranzo, Jordi Vilaró, Roberto Rabinovich

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