DOI QR코드

DOI QR Code

The Effect of Virtual Reality Training on Lower Extremity Muscle Activation in Elderly

가상현실 훈련이 노인의 하지 근활성도에 미치는 영향

  • Cho, Gyeong-Hee (Department of Rehabilitation Science, Daegu University Graduate School) ;
  • Shin, Hyung-Soo (Department of Physical Therapy, Kyungwoon University)
  • 조경희 (대구대학교 대학원 재활과학과) ;
  • 신형수 (경운대학교 물리치료학과)
  • Received : 2013.11.29
  • Accepted : 2014.01.21
  • Published : 2014.02.28

Abstract

PURPOSE: The objective of this study was to determine the effects of virtual reality training on muscle activation in the elderly. METHODS: The subjects were 32 healthy elderly people aged between 65 and 80, who were divided into the VR(virtual reality) training group(n=17) and the control group(n=15). The Virtual reality training group engaged in a 30-minute exercise session using Wii Fit three times a week for eight weeks. Virtual reality training group used the Ski Slalom, Table tile, Balance bubble programs. low-extremity muscle activation of the two groups were measured before and after the intervention. RESULTS: To investigate the effects of the training on lower-extremity muscle activation, biceps femoris, gastrocnemius, tibialis anterior, vastus lateralis were measured. The results revealed that the activation of gastrocnemius and tibialis anterior significantly increased(p<.05), which indicates virtual reality training is effective in improving the activation of the muscles involved in the movement of the ankle joint. CONCLUSION: Virtual reality training is effective in improving the healthy elderly's activation of the muscles involved in the movement of the ankle joint. Thus, virtual reality training can be proposed as a form of fall prevention exercise for the elderly.

Keywords

References

  1. National Statistical Office. Report on Social 2007
  2. Natioanl Statistical Office. Population Projections 2008
  3. Adamovich SV, Fluet GG, Tunik E, et al. Sensorimotor training in virtual reality: a review. Neuro Rehabilitation 2009;25(1):29-44.
  4. American Geriatrics Society. Guideline for the prevention of falls in older persons 2001.
  5. Bean JF, Kiely DK, Herman S, et al. The relationship between leg power and physical performance in mobilitylimited older people. J Am Geriatr Soc 2002;50(3):461-7. https://doi.org/10.1046/j.1532-5415.2002.50111.x
  6. Bento PC, Pereira G, Ugrinowitsch C, et al. Peak torque and rate of torque development in elderly with and without fall history. Clin Biomech 2010;25(5):450-4. https://doi.org/10.1016/j.clinbiomech.2010.02.002
  7. Bongue B, Dupre C, Beauchet O, et al. A screening tool with five risk factors was developed for fall-risk prediction in community-dwelling elderly. J Clin Epidemiol 2011;64(10):1152-60. https://doi.org/10.1016/j.jclinepi.2010.12.014
  8. Boshuizen HC, Stemmerik L, Westhoff MH, 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. https://doi.org/10.1123/japa.13.1.5
  9. Braun Ferreira LA, Pereira WM, Rossi LP, et al. Analysis of electromyographic activity of ankle muscles on stable and unstable surfaces with eyes open and closed. J Bodyw Mov Ther 2011;15(4):496-501. https://doi.org/10.1016/j.jbmt.2010.09.003
  10. Broadwin J, Goodman-Gruen D, Slymen D. Ability of fat and fat-free mass percentages to predict functional disability in older men and women. J Am Geriatr Soc 2001;49(12):1641-5. https://doi.org/10.1111/j.1532-5415.2001.49273.x
  11. Bryanton C, Bosse J, Brien M, et al. Feasibility, motivation, and selective motor control: virtual reality compared to conventional home exercise in children with cerebral palsy. Cyberpsychol Behav 2006;9(2):123-8. https://doi.org/10.1089/cpb.2006.9.123
  12. Burdea GC. Virtual rehabilitation--benefits and challenges. Methods Inf Med 2003;42(5):519-23. https://doi.org/10.1055/s-0038-1634378
  13. Cakar E, Dincer U, Kiralp MZ, et al. Jumping combined exercise programs reduce fall risk and improve balance and life quality of elderly people who live in a long-term care facility. Eur J Phys Rehabil Med 2010;46(1):59-67.
  14. Cesari M, Landi F, Torre S, et al. Prevalence and risk factors for falls in an older community-dwelling population. J Gerontol A Biol Sci Med Sci 2002;57(11):M722-6. https://doi.org/10.1093/gerona/57.11.M722
  15. Clark RA, Bryant AL, Pua Y, et al. Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance. Gait posture 2010;31(3):307-10. https://doi.org/10.1016/j.gaitpost.2009.11.012
  16. Faber MJ, Bosscher RJ, Chin APMJ, et al. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: A multicenter randomized controlled trial. Arch Phys Med Rehabil 2006;87(7):885-96. https://doi.org/10.1016/j.apmr.2006.04.005
  17. Flynn S, Palma P, Bender A. Feasibility of using the Sony PlayStation 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther 2007;31(4):180-9. https://doi.org/10.1097/NPT.0b013e31815d00d5
  18. Frontera WR, Hughes VA, Fielding RA, et al. Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol 2000;88(4):1321-6. https://doi.org/10.1152/jappl.2000.88.4.1321
  19. Gallagher D, Ruts E, Visser M, et al. Weight stability masks sarcopenia in elderly men and women. Am J Physiol Endocrinol Metab 2000;279(2):E366-75. https://doi.org/10.1152/ajpendo.2000.279.2.E366
  20. Gatev P, Thomas S, Kepple T, Hallett M. Feedforward ankle strategy of balance during quiet stance in adults. J Physiol 1999;514 (Pt 3):915-28. https://doi.org/10.1111/j.1469-7793.1999.915ad.x
  21. Gouglidis V, Nikodelis T, Hatzitaki V, et al. Changes in the limits of stability induced by weight-shifting training in elderly women. Exp Aging Res 2011;37(1):46-62.
  22. Hughes VA, Roubenoff R, Wood M, et al. Anthropometric assessment of 10-y changes in body composition in the elderly. Am J Clin Nutr 2004;80(2):475-82. https://doi.org/10.1093/ajcn/80.2.475
  23. Judge JO, Lindsey C, Underwood M, et al. Balance improvements in older women: effects of exercise training. Phys Ther 1993;73(4):254-62; discussion 63-5. https://doi.org/10.1093/ptj/73.4.254
  24. Kalisch T, Kattenstroth JC, Noth S, et al. Rapid assessment of age-related differences in standing balance. J Aging Res 2011;160490.
  25. Krampe J, Rantz MJ, Dowell L, et al. Dance-based therapy in a program of all-inclusive care for the elderly:an integrative approach to decrease fall risk. Nurs Adm Q 2010;34(2):156-61. https://doi.org/10.1097/NAQ.0b013e3181d91851
  26. Laughton CA, Slavin M, Katdare K, et al. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait posture 2003;18(2):101-8. https://doi.org/10.1016/S0966-6362(02)00200-X
  27. Leclerc BS, Begin C, Cadieux E, et al. A classification and regression tree for predicting recurrent falling among community-dwelling seniors using home-care services. Can J Public Health 2009;100(4):263-7.
  28. Lin MR, Hwang HF, Wang YW, et al. Community-based tai chi and its effect on injurious falls, balance, gait, and fear of falling in older people. Phys Ther 2006;86(9):1189-201. https://doi.org/10.2522/ptj.20040408
  29. Lord SR, Murray SM, Chapman K, et al. Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci 2002;57(8):M539-43. https://doi.org/10.1093/gerona/57.8.M539
  30. Metter EJ, Lynch N, Conwit R, et al. Muscle quality and age: cross-sectional and longitudinal comparisons. J Gerontol A Biol Sci Med Sci 1999;54(5):B207-18. https://doi.org/10.1093/gerona/54.5.B207
  31. Rainoldi A, Melchiorri G, Caruso I. A method for positioning electrodes during surface EMG recordings in lower limb muscles. J Neurosci Methods 2004;134(1):37-43. https://doi.org/10.1016/j.jneumeth.2003.10.014
  32. Robinovitch SN, Heller B, Lui A, et al. Effect of strength and speed of torque development on balance recovery with the ankle strategy. J Neurophysiol 2002;88(2):613-20. https://doi.org/10.1152/jn.2002.88.2.613
  33. Schlicht J, Camaione DN, Owen SV. Effect of intense strength training on standing balance, walking speed, and sit-to-stand performance in older adults. J Gerontol A Biol Sci Med Sci 2001;56(5):M281-6. https://doi.org/10.1093/gerona/56.5.M281
  34. Simoneau M, Corbeil P. The effect of time to peak ankle torque on balance stability boundary: experimental validation of a biomechanical model. Exp Brain Res 2005;165(2):217-28. https://doi.org/10.1007/s00221-005-2290-1
  35. Spirduso WW, Francis K, Eakin T, et al. Quantification of manual force control and tremor. J Mot Behav 2005;37(3):197-210. https://doi.org/10.3200/JMBR.37.3.197-210
  36. Stel VS, Smit JH, Pluijm SM, Lips P. Balance and mobility performance as treatable risk factors for recurrent falling in older persons. J Clin Epidemiol 2003;56(7):659-68. https://doi.org/10.1016/S0895-4356(03)00082-9
  37. Sveistrup H. Motor rehabilitation using virtual reality. J Neuroeng Rehabil 2004;1(1):10. https://doi.org/10.1186/1743-0003-1-10
  38. Trombetti A, Hars M, Herrmann FR, et al. Effect of music-based multitask training on gait, balance, and fall risk in elderly people: a randomized controlled trial. Arch Intern Med 2011;171(6):525-33.
  39. Visser M, Kritchevsky SB, Goodpaster BH, et al. Leg muscle mass and composition in relation to lower extremity performance in men and women aged 70 to 79: the health, aging and body composition study. J Am Geriatr Soc 2002;50(5):897-904. https://doi.org/10.1046/j.1532-5415.2002.50217.x
  40. Weiss PL, Rand D, Katz N, et al. Video capture virtual reality as a flexible and effective rehabilitation tool. J Neuroeng Rehabil 2004;1(1):12. https://doi.org/10.1186/1743-0003-1-12
  41. Whipple RH, Wolfson LI, Amerman PM. The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc 1987;35(1):13-20. https://doi.org/10.1111/j.1532-5415.1987.tb01313.x
  42. Wilson PN, Foreman N, Stanton D. Virtual reality, disability and rehabilitation. Disabil Rehabil 1997;19(6):213-20. https://doi.org/10.3109/09638289709166530
  43. Wong AM, Lin YC, Chou SW, et al. Coordination exercise and postural stability in elderly people: Effect of Tai Chi Chuan. Arch Phys Med Rehabil 2001;82(5):608-12. https://doi.org/10.1053/apmr.2001.22615
  44. Yamada M, Aoyama T, Nakamura M, et al. The reliability and preliminary validity of game-based fall risk assessment in community-dwelling older adults. Geriatr Nurs 2011;32(3):188-94. https://doi.org/10.1016/j.gerinurse.2011.02.002

Cited by

  1. Effects of Game Based Weight-Bearing Training on Lower Extremity Muscle Activation and Balance in Stroke Patients vol.27, pp.4, 2015, https://doi.org/10.18857/jkpt.2015.27.4.264
  2. 과제지향적 상지 운동과 가상현실 훈련이 뇌졸중 환자의 상지 기능과 균형, 우울감에 미치는 영향 비교 vol.11, pp.1, 2014, https://doi.org/10.13066/kspm.2016.11.1.115
  3. 삼차원 가상현실 운동 프로그램이 노인의 시공간적 보행변수에 미치는 효과 vol.11, pp.1, 2016, https://doi.org/10.13066/kspm.2016.11.1.61
  4. 한냉과 온열의 적용 시간과 전달 방식이 장딴지근의 근 활성도에 미치는 영향 vol.12, pp.2, 2014, https://doi.org/10.13066/kspm.2017.12.2.1
  5. 체감형 댄스게임이 여성노인의 균형능력에 미치는 효과 vol.8, pp.4, 2014, https://doi.org/10.22156/cs4smb.2018.8.4.073
  6. 가상환경 변화에 따른 덤벨 컬 운동효과에 관한 운동역학적 검증 vol.30, pp.1, 2014, https://doi.org/10.5103/kjsb.2020.30.1.111