在心力衰竭患者中以运动为基础的心脏康复的Exergaming系统:设备原型的开发和可用性评估研究
Carles Blasco-Peris1,2, Juan Pedro Alcolea Garrido3, Barbara Seguí3
1Instituto de investigación sanitaria y biomédica de Alicante, Alicante, Spain.
JMIR serious games
|July 16, 2025
概括
一个新的运动游戏系统,HEFMOB,在接受早期心脏康复的心力衰竭患者中表现出良好的可用性和高享受度. 这项技术为临床环境中的个性化运动干预提供了一个有希望的,有吸引力的方法.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 人与计算机的交互
背景情况:
- 心力衰竭 (HF) 是一个日益增长的全球健康挑战,对早期心脏康复 (CR) 的遵守率低于最佳.
- 炼游戏为HF患者提供了传统炼计划的潜在替代方案,但目前的系统缺乏量身定制和长期坚持策略.
- 将exergaming纳入临床实践受到现有研究的限制,特别是关于早期CR和患者特定需求的限制.
研究的目的:
- 设计,开发和评估一种新的运动游戏原型HEFMOB的可用性,用于HF患者早期的基于运动的CR.
- HEFMOB集成了沉浸式虚拟现实 (VR),实时生物识别监控和自主会话管理.
- 目标是为HF患者在初始康复阶段提供量身定制和有吸引力的运动干预措施.
主要方法:
- HEFMOB是由一个多学科团队代开发的,包括一个VR骑自行车游戏和一个上肢小游戏,集成生物识别监测 (心率,血压,氧和).
- 用性在两个阶段进行了评估:专家审查和对10名HF患者进行的一次会议研究.
- 数据收集包括使用严重游戏可用性评估器,系统可用性量表 (SUS) 和内在动机库存 (IMI) 的研究人员评估.
主要成果:
- 这项研究涉及10名HF患者 (平均年龄64.8岁),他们完成了没有不良事件的治疗.
- 该HEFMOB原型获得了良好的平均SUS评分71.5和非常高的享受评分 (IMI平均评分25.1).
- 最常见的游戏相关事件是界面问题 (n=61),其次是设计问题 (n=52) 和硬件问题 (n=23).
结论:
- HEFMOB是一个有吸引力的,耐受性良好的运动游戏工具,用于针对HF患者量身定制的CR.
- 高的可用性和乐趣等级表明了强大的患者接受度.
- 这项研究是将个性化,游戏化炼纳入住院环境的重要一步,特别是用于早期动员,未来的试验计划评估长期影响.
更多相关视频
07:27Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty
Published on: October 6, 2016
10.3K
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
5.9K
相关概念视频
Heart Failure VI: Adjunct Therapies
27
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
27
Heart Failure V: Medical Management
23
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
23
Exercise and Cardiovascular Response
1.1K
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
1.1K
Heart Failure II: Pathophysiology
33
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
33
Heart Failure I: Introduction
49
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
49
Exercise and Cardiac Output
1.3K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.3K
