Xbox Kinect has been proposed as an exercise intervention in cystic fibrosis (CF), but its potential has not been compared with standard training modalities.
METHODS:
Using a crossover design, subjects were randomized to 2 intervention groups: Xbox Kinect and a traditional stationary cycle. Heart rate, SpO2, dyspnea, and fatigue were measured. Subject satisfaction was tested.
RESULTS:
Thirty subjects with CF (11 males, mean ± SD age of 12 ± 2.5 y, mean ± SD FEV1 of 73 ± 16% of predicted) were enrolled. Xbox Kinect provided a cardiovascular demand similar to a stationary cycle, although the modality was different (interval vs continuous). Maximum heart rates were similar (P = .2). Heart rate target was achieved more frequently with a stationary cycle (P = .02). Xbox Kinect caused less dyspnea (P = .001) and fatigue (P < .001) and was more enjoyable than a stationary cycle (P < .001).
CONCLUSIONS:
Subjects preferred Xbox Kinect for its interactivity. Xbox Kinect has the potential to be employed as an exercise intervention in young subjects with CF, but investigation over longer periods is needed.
SwisherAK. Not just a lung disease: peripheral muscle abnormalities in cystic fibrosis and the role of exercise to address them. Cardiopulm Phys Ther J, 2006; 17(1):10–15.
3.
PinetC, ScilliaP, CassartM, LamotteM, KnoopC, MélotC, EstenneM. Preferential reduction of quadriceps over respiratory muscle strength and bulk after lung transplantation for cystic fibrosis. Thorax, 2004; 59(9):783–789.
4.
NixonPA, OrensteinDM, KelseySF, DoershukCF. The prognostic value of exercise testing in patients with cystic fibrosis. N Engl J Med, 1992; 327(25):1785–1788.
5.
WilliamsCA, StevensD. Physical activity and exercise training in young people with cystic fibrosis: current recommendations and evidence. J Sport Health Sci, 2013; 2(1):39–46.
6.
SmythAR, BellSC, BojcinS, BryonM, DuffA, FlumeP, et al. European Cystic Fibrosis Society Standards of Care: Best Practice guidelines. J Cystic Fibrosis, 2014; 13(Suppl 1):S23–S42.
7.
NixonPA, OrensteinDM, KelseySF. Habitual physical activity in children and adolescents with cystic fibrosis. Med Sci Sports Exerc, 2001; 33(1):30–35.
8.
SelvaduraiHC, BlimkieCJ, CooperPJ, MellisCM, Van AsperenPP. Gender differences in habitual activity in children with cystic fibrosis. Arch Dis Child, 2004; 89(10):928–933.
9.
RandS, PrasadSA. Exercise as part of a cystic fibrosis therapeutic routine. Expert Rev Respir Med, 2012; 6(3):341–351.
10.
FlumePA, RobinsonKA, O'SullivanBP, FinderJD, VenderRL, Willey-CourandDB, et al. Cystic fibrosis pulmonary guidelines: airway clearance therapies. Respir Care, 2009; 54(4):522–537.
11.
WilliamsCA, BendenC, StevensD, RadtkeT. Exercise training in children and adolescents with cystic fibrosis: theory into practice. Int J Pediatr, 2010; 2010:670640.
12.
PrasadSA, CernyFJ. Factors that influence adherence to exercise and their effectiveness application to cystic fibrosis. Pediatr Pulmonol, 2002; 34(1):66–72.
13.
CoxNS, AlisonJA, HollandAE. Interventions for promoting physical activity in people with cystic fibrosis. Cochrane Database Syst Rev, 2013; 12:CD009448.
14.
SwisherAK, EricksonM. Perceptions of physical activity in a group of adolescents with cystic fibrosis. Cardiopulm Phys Ther J, 2008; 19(4):107–113.
15.
WarburtonDE, BredinSS, HoritaLT, ZbogarD, ScottJM, EschBT, RhodesRE. The health benefits of interactive video game exercise. Appl Physiol Nutr Metab, 2007; 32(4):655–663.
16.
BiddissE, IrwinJ. Active video games to promote physical activity in children and youth: a systematic review. Arch Pediatr Adolesc Med, 2010; 164(7):664–672.
17.
DaleyAJ. Can exergaming contribute to improving physical activity levels and health outcomes in children?. Pediatrics, 2009; 124(2):763–771.
18.
LiebermanDA. Management of chronic pediatric diseases with interactive health games: theory and research findings. J Ambul Care Manage, 2001; 24(1):26–38.
HigginsLW, RobertsonRJ, KelseySF, OlsonMB, HoffmanLA, RebovichPJ, et al. Exercise intensity self-regulation using the OMNI scale in children with cystic fibrosis. Pediatr Pulmonol, 2013; 48(5):497–505.
21.
American Thoracic Society, American College of Chest Physicians. ATS/ACCP statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med, 2003; 167(2):211–277.
22.
KuysSS, HallK, PeaseyM, WoodM, CobbR, BellSC. Gaming console exercise and cycle or treadmill exercise provide similar cardiovascular demand in adults with cystic fibrosis: a randomised cross-over trial. J Physiother, 2011; 57(1):35–40.
23.
O'DonovanC, GreallyP, CannyG, McNallyP, HusseyJ. Active video games as an exercise tool for children with cystic fibrosis. J Cyst Fibros, 2014; 13(3):341–346.
24.
HolmesH, WoodJ, JenkinsS, WinshipP, LuntD, BostockS, HillK. Xbox Kinect represents high intensity exercise for adults with cystic fibrosis. J Cyst Fibros, 2013; 12(6):604–608.
25.
ShiraevT, BarclayG. Evidence based exercise–clinical benefits of high intensity interval training. Aust Fam Physician, 2012; 41(12):960–962.
26.
VogiatzisI, NanasS, RoussosC. Interval training as an alternative modality to continuous exercise in patients with COPD. Eur Respir J, 2002; 20(1):12–19.
27.
MadorMJ, KrawzaM, AlhajhusianA, KhanAI, ShafferM, KufelTJ. Interval training versus continuous training in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev, 2009; 29(2):126–132.
28.
GulmansVA, de MeerK, BrackelHJ, FaberJA, BergerR, HeldersPJ. Outpatient exercise training in children with cystic fibrosis: physiological effects, perceived competence, and acceptability. Pediatr Pulmonol, 1999; 28(1):39–46.
