Original articleEnergy Expenditure in Adults With Cerebral Palsy Playing Wii Sports
Section snippets
Participants
A convenience sample of 8 persons diagnosed with bilateral spastic CP (GMFCS level I or II),26 and who were ambulatory and able to play Wii Sports when standing without support, participated in the study. Four of the 8 participants exercised on a weekly basis (eg, gym, tennis, or walking). None of the participants was familiar with the Wii before study involvement. These participants were recruited from a cohort of patients with CP (born between January 5, 1959 and January 5, 1979) who had
Results
Participant characteristics and V̇o2 during sitting and standing are summarized in table 1. V̇o2 during sitting was 3.6±0.6 mL · kg−1 · min−1. V̇o2 during standing was 38% greater compared with sitting (1.4 METs; P=.035). Both Wii Sports tennis and boxing increased the V̇o2 above sitting V̇o2 (340% and 393%, respectively; P=.012), and above standing V̇o2 (218% and 256%, respectively; P=.012) (Table 1, Table 2). Energy expenditure during Wii boxing (5.0METs) was higher compared with energy
Discussion
The aim of this study was to determine the energy expenditure during Wii Sports tennis and boxing game play in adults with bilateral spastic CP. To our knowledge, this is the first study to report energy expenditure in people with a chronic physical disability during active video game play. Our results showed that the energy expenditure during Wii Sports tennis and boxing were 4- to 5-fold greater than while sitting.
According to the ACSM guidelines, the energy expenditure for CP participants
Conclusions
Wii Sports tennis and boxing seem to be activities of at least moderate intensity among ambulatory adults with bilateral spastic CP and GMFCS level I or II, and they may be useful as treatment tools to promote active and healthful lifestyles. Future research is needed to investigate the effectiveness of active video games in improving levels of daily activity and health, and to determine whether active video games can be used to improve cardiorespiratory fitness. Future studies should assess
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