心臟移植患者之復健訓練：比較Wii Fit™與Kinect™之可行性研究

Abstract

背景：心臟移植患者的存活率與從運動中所得之最大攝氧量相關，根據美國運動醫學會的指引，中等強度的運動（大於等於60%的最大攝氧量）適合心臟移植患者。本研究目的在於探討以任天堂Wii Fit™與XBOX Kinect™做為心臟移植患者復健運動的可行性。 方法：39名心臟移植患者（其中有5名女性，平均年齡42.7歲）接受最大運動測試、肌力測試，測試在Wii Fit™與Kinect™遊戲中之攝氧量，並記錄臺灣版SF-36生活品質量表與互動式電動遊戲滿意度與可行性問卷分數。 結果：Wii Fit™的平均攝氧量為3.20 ± 0.47 METs，Kinect™的平均攝氧量為3.18 ± 0.43 METs（p = 0.76）。Wii Fit™之攝氧量除以最大攝氧量的平均值為58.9 ± 11.9 %，Kinect™之攝氧量除以最大攝氧量的平均值為58.8 ± 12.9 % （p = 1.00）。有21個（53.8%）受試者適合Wii Fit™，19個（48.7%）受試者適合Kinect™（p = 0.67）。Wii Fit™及Kinect™除以最大攝氧量的百分比與體脂肪、最大攝氧量有顯著相關，與SF-36生活品質分數的無相關。互動式電動遊戲的滿意度與可行性問卷中，Wii Fit™在滿意度面向中的操作方式與可行性分數均優於Kinect™。Wii Fit™與Kinect™的適用度預測因子包含體脂肪與性別，體脂肪高與女性心臟移植患者較室較適合以Wii Fit™與Kinect™做為運動方式。 結論：Wii Fit™與Kinect™適用於肥胖、女性與年紀較大的心臟移植患者。

Background: The survival rate of heart transplant recipients (HTRs) was associated with peak oxygen consumption gained from exercise training. According to the American College of Sports Medicine, moderate intensity exercise (≥ 60% peak oxygen consumption) was suitable for HTRs. The purpose of this study was to investigate the feasibility of using Nintendo Wii Fit™ and XBOX Kinetct™ as the rehabilitation program for HTRs. Methods: Thirty-nine HTRs (including 5 women; mean age 42.7 years old) received maximal exercise test and muscle strength test; the oxygen consumption was measured during the Wii Fit™ and Kinect™ games. The Short Form-36 Health Survey (SF-36), interactive video games satisfaction, and feasibility questionnaire were also collected. Results: The mean oxygen consumption for Wii Fit™ was 3.20 ± 0.47 METs and for Kinect™ was 3.18 ± 0.43 METs (p = 0.76). The mean ratio of oxygen consumption for Wii Fit™ to peak oxygen consumption was 58.9 ± 11.9 % and for Kinect™ was 58.8 ± 12.9 % (p = 1.00). Wii Fit™ was suitable for twenty-one participants (53.8%) and Kinect™ was suitable for nineteen participants (48.7%) (p = 0.67). Body fat and peak oxygen consumption were significantly correlated with Wii Fit™/peak oxygen consumption and Kinect™/peak oxygen consumption. No significant correlation was found in SF-36 in Wii Fit™/peak oxygen consumption and Kinect™/peak oxygen consumption. In interactive video games satisfaction and feasibility questionnaire, Wii Fit™ gained higher satisfaction in operation method and higher feasibility score than Kinect™. The predicting factors of suitability for Wii Fit™ and Kinect™ included body fat and sex. Conclusion: Wii Fit™ and Kinect™ could be the rehabilitation program for obese, female, and older HTRs.