The effect of a virtual reality exercise program on physical fitness, body composition, and fatigue in hemodialysis patients

Hyeyoung Cho, Kyeong-Yae Sohng, Hyeyoung Cho, Kyeong-Yae Sohng

Abstract

[Purpose] The aim of the present study was to investigate the effects of a virtual reality exercise program (VREP) on physical fitness, body composition, and fatigue in hemodialysis (HD) patients with end-stage renal failure. [Subjects and Methods] A nonequivalent control group pretest-posttest design was used. Forty-six HD patients were divided into exercise (n=23) and control groups (n=23); while waiting for their dialyses, the exercise group followed a VREP, and the control group received only their usual care. The VREP was accomplished using Nintendo's Wii Fit Plus for 40 minutes, 3 times a week for 8 weeks during the period of May 27 to July 19, 2013. Physical fitness (muscle strength, balance, flexibility), body composition (skeletal muscle mass, body fat rate, arm and leg muscle mass), and fatigue were measured at baseline and after the intervention. [Results] After the VREP, physical fitness and body composition significantly increased, and the level of fatigue significantly decreased in the exercise group. [Conclusion] These results suggest that a VREP improves physical fitness, body composition, and fatigue in HD patients. Based on the findings, VREPs should be used as a health promotion programs for HD patients.

Keywords: Hemodialysis; Physical fitness; Virtual reality exercise.

References

    1. Korean Society of Nephrology: Current renal replacement therapy in Korea − Insan memorial dialysis registry 2011- (Accessed May 31, 2014).
    1. Ponngeon O, Chaunchaiyakul R, Vareesangthip K, et al. : Home-based walking program increases leg muscle strength in hemodialysis patients. J Phys Ther Sci, 2011, 23: 345–348
    1. Johansen KL: Exercise in the end-stage renal disease population. J Am Soc Nephrol, 2007, 18: 1845–1854
    1. Song WJ, Sohng KY: Effects of progressive resistance training on body composition, physical fitness and quality of life of patients on hemodialysis. J Korean Acad Nurs, 2012, 42: 947–956
    1. Jang EJ, Kim HS: [Effects of exercise intervention on physical fitness and health-relalted quality of life in hemodialysis patients]. J Korean Acad Nurs, 2009, 39: 584–593
    1. Elder SE, Bommer J, Fissell RB, et al. : Hemodialysis (HD) facilities in which more patients exercise have lower risks of mortality and hospitalization: international results from the DOPPS [abstract]. J Am Soc Nephrol, 2005, 16: 94A
    1. Cheema BS, Singh MA: Exercise training in patients receiving maintenance hemodialysis: a systematic review of clinical trials. Am J Nephrol, 2005, 25: 352–364
    1. Son HS, Lee MJ, Kang SM, et al. : The attitude on exercise, physical activity and quality of life in hemodialysis patients. Soc Biol Nurs Sci, 2013, 15: 15–23
    1. Manfredini F, Mallamaci F, Catizone L, et al. : The burden of physical inactivity in chronic kidney disease: is there an exit strategy? Nephrol Dial Transplant, 2012, 27: 2143–2145
    1. Park CB, Ji JW: Effect of the exercise training before hemodialysis in end-stage renal disease patients. J Phys Educ, 2000, 28: 261–273
    1. Park J, Lee D, Lee S: Effect of virtual reality exercise using the nintendo wii fit on muscle activities of the trunk and lower extremities of normal adults. J Phys Ther Sci, 2014, 26: 271–273
    1. Cho GH, Hwangbo G, Shin HS: The Effects of Virtual Reality-based Balance Training on Balance of the Elderly. J Phys Ther Sci, 2014, 26: 615–617
    1. Lewis GN, Woods C, Rosie JA, et al. : Virtual reality games for rehabilitation of people with stroke: perspectives from the users. Disabil Rehabil Assist Technol, 2011, 6: 453–463
    1. Lee SW: The effects of a virtual reality exercise program on physical function and falls efficacy in elderly persons with type 2 diabetes. Seoul: The Graduate School of Ewha Womans University, 2011
    1. Curtin RB, Becker B, Kimmel PL, et al. : An integrated approach to care for patients with chronic kidney disease. Semin Dial, 2003, 16: 399–402
    1. Cruz MC, Andrade C, Urrutia M, et al. : Quality of life in patients with chronic kidney disease. Clinics (Sao Paulo), 2011, 66: 991–995
    1. Kouidi E, Grekas D, Deligiannis A, et al. : Outcomes of long-term exercise training in dialysis patients: comparison of two training programs. Clin Nephrol, 2004, 61: S31–S38
    1. Goldberg AP, Geltman EM, Gavin JR, 3rd, et al. : Exercise training reduces coronary risk and effectively rehabilitates hemodialysis patients. Nephron, 1986, 42: 311–316
    1. Barcala L, Grecco LA, Colella F, et al. : Visual biofeedback balance training using wii fit after stroke: a randomized controlled trial. J Phys Ther Sci, 2013, 25: 1027–1032
    1. D’Angelo M, Narayanan S, Reynolds DB, et al. : Application of virtual reality to the rehabilitation field to aid amputee rehabilitation: findings from a systematic review. Disabil Rehabil Assist Technol, 2010, 5: 136–142
    1. Yen CY, Lin KH, Hu MH, et al. : Effects of virtual reality-augmented balance training on sensory organization and attentional demand for postural control in people with Parkinson disease: a randomized controlled trial. Phys Ther, 2011, 91: 862–874
    1. Lee SH, Ko DS, Jung DI: A change in the physical and psychological functions of virtual reality environmental training of industrial clients with chronic lower back pain. J Korean Soc Occup Ther, 2011, 19: 89–100
    1. 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. J Korean Gerontol Soc, 2009, 29: 1261–1275
    1. Lee HM: Effects of virtual reality based video game and rehabilitation exercise on the balance and activities of daily living of chronic stroke patients. J Korean Soc Phys Med, 2013, 8: 201–207
    1. Lee YK, Kim C, Pyo JH, et al. : Endurance exercise training before hemodialysis: an effective therapeutic modality for end-stage renal disease patients. Korean J Nephrol, 2001, 20: 290–297
    1. de Bruin ED, Schoene D, Pichierri G, et al. : Use of virtual reality technique for the training of motor control in the elderly. Some theoretical considerations. Z Gerontol Geriatr, 2010, 43: 229–234

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