The aim of this study is to determine the feasibility and energy expenditure of adults with a spastic bilateral CP playing Wii-Sports.
ID
Source
Brief title
Condition
- Musculoskeletal and connective tissue disorders congenital
- Neuromuscular disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Feasibility :
The feasibility of adults with bilateral spastic CP to play Wii-Sports will be
determined with custom made questionnnaires. Examples of questions are:"Can the
subject hold the Wii-controller?", "Is the subject physical capable to play
Wii-Sports?", "Can the subject play Wii-Sports for 10 minutes continuously?".
Energy expenditure:
The amount of oxygen uptake in the blood (VO2) is used to measure the energy
expenditure of the subjects while playing Wii-Sports. The VO2 is expressed in
L/min (absolute VO2) or ml/kg/min (relative VO2) or in ml//FFM(kg)/min
(relative VO2 per fat free mass). The VO2 is measured with the Cosmed K4 b2
(COSMED, Rome, Italië), a portable system for pulmonary gas exchange analysis.
Secondary outcome
Metabolic equivalent (MET):
Energy expenditure during Wii-Sports will also be expressed in Metabolic
equivalents (METs) to compare the results with energy expenditure data from
playing actual sports. A MET is a multiple of oxygen consumption in rest ( in
this study we use the energy expenditure during sitting).
Heart rate (HR):
De heart rate (HR) is the amount of times the heart beats per minute (bpm). The
HR is measured with the Cosmed K4 b2.
Perceived exertion:
Perceived exertion is how hard you feel like your body is working. It is based
on the physical sensations a person experiences during physical activity,
including increased heart rate, increased respiration or breathing rate,
increased sweating, and muscle fatigue. Perceived exertion will be measured
with the Modified Borg Scale after Wii-Sports tennis and boxing.
Background summary
People with bilateral spastic cerebral palsy (CP) have in general an inactive
lifestyle and poor physical fitness compared to healthy individuals. Sufficient
physical excercise and a good physical fitness have a positive effect on daily
functioning, quality of life, and the chance of developing cardiovascular
disease. It is, therefore, important that treatment programs are being
developed that improve the physical activity level and physical fitness of
people with spastic bilateral (CP). A possible tool to improve the physical
activity level and physical fitness could be Wii-Sports. However, before using
Wii-Sports we have to know whether people with spastic bilateral CP palsy can
play Wii-Sports and what their energy expenditure is while playing Wii-Sports.
Study objective
The aim of this study is to determine the feasibility and energy expenditure of
adults with a spastic bilateral CP playing Wii-Sports.
Study design
This is an cross-sectional intervention study. Custom made questionnnaires will
be used to determine wether adults with spastic bilateral CP can play
Wii-Sports. To determine the energy expenditure during Wii-Sports the subjects
will play Wii-Sports tennis and boxing for 15 minutes each, with a 10 minute
rest between the sports. During the game the subjects wear the Cosmed K4 b2 to
measure the oxygen uptake (L/min), which is used to calculate the energy
expenditure (Kcal/min).
Intervention
The subjects play two Wii-Sports games (tennis and boxing) for 15 minutes each
with a 10 minute rest between the games. If a subject is not able to play the
games while standing up he or she can sit in a (weel)chair to play the games.
Study burden and risks
The risks associated with participation to this study are minimal. The subjects
participating were already tested for performing a maximum excercise test in a
previous CP-study (MEC 238.672/2004/7, Erasmus MC Rotterdam). Before starting
the energy expenditure measurement the subjects are again checked for cardial
and pulmonary problems with the checklist of the Physical Activity Readiness
Questionnaire (PAR-Q). Besides this, the subject can decide by himself the
intensity of playing Wii-Sports. The physical burden during Wii-Sports will
most presumably not be higher than during a maximum oxygen consumption test
which the subjects have performed during the previous CP-study. Also, a medical
doctor will be available during the study.
Postbus 2040
3000 CA Rotterdam
Nederland
Postbus 2040
3000 CA Rotterdam
Nederland
Listed location countries
Age
Inclusion criteria
- bilateral spastic cerebral palsy
- born between 1-5-1959 en 1-5-1979
Exclusion criteria
- Other disorders than CP which influence physical activity and fitness (e.g. lung disease, rheumatoid arthritis)
- disorders for which maximum physical strain is too riskfull
- not understanding the research tasks due to congnitive disorders or language
- total weelchair-dependant
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL22138.078.08 |