Abstract
Hurkmans HL, van den Berg-Emons RJ, Stam HJ. Energy expenditure in adults with cerebral
palsy playing Wii Sports.
Objective
To determine energy expenditure of adults with bilateral spastic cerebral palsy while
playing Wii Sports tennis and boxing.
Design
Cross-sectional study.
Setting
University medical center.
Participants
Five men and 3 women with bilateral spastic cerebral palsy and ambulatory ability
(Gross Motor Function Classification System level I or II) participated. The mean
participant age ± SD was 36±7 years. Exclusion criteria were comorbidities that affected
daily physical activity and fitness, contraindications to exercise, or inability to
understand study instructions owing to cognitive disorders or language barriers.
Intervention
Participants played Wii Sports tennis and boxing, each for 15 minutes in random order.
Main Outcome Measure
By using a portable gas analyzer, we assessed energy expenditure by oxygen uptake
(V̇o2) while sitting and during Wii Sports game play. Energy expenditure is expressed in
metabolic equivalents (METs), which were calculated as V̇o2 during Wii Sports play divided by V̇o2 during sitting.
Results
Mean ± SD energy expenditure during Wii Sports game play was 4.5±1.1METs for tennis
and 5.0±1.1METs for boxing (P=.024). All participants attained energy expenditures greater than 3METs, and 2 participants
attained energy expenditures greater than 6METs while playing Wii Sports tennis or
boxing.
Conclusions
Both Wii Sports tennis and boxing seem to provide at least moderate-intensity exercise
in adults with bilateral spastic cerebral palsy (GMFCS level I or II). These games,
therefore, may be useful as treatment to promote more active and healthful lifestyles
in these patients. Further research is needed to determine the energy expenditures
of other physically disabled patient groups while playing active video games, and
to determine the effectiveness of these games in improving health and daily activity
levels.
Key Words
List of Abbreviations:
ACSM (American College of Sports Medicine), CP (cerebral palsy), GMFCS (Gross Motor Function Classification System), METs (metabolic equivalents), V̇o2 (oxygen uptake), Vo2 peak (peak oxygen uptake)To read this article in full you will need to make a payment
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Article info
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
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Copyright
© 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
