The Effect of Virtual Reality Application on Pain, Functional Independence, and Depression in the Older Adults: A Pilot Study

Gamze Ünver; Halil İbrahim Tuna; Güler Balcı Alparslan

doi:10.54005/geneltip.1233103

Research Article

Sanal Gerçeklik Uygulamasının Yaşlı Bireylerde Ağrı, Fonksiyonel Kapasite ve Depresyon Üzerine Etkisi : Pilot Çalışma

Year 2023, Volume: 33 Issue: 2, 205 - 211, 30.04.2023

Gamze Ünver Halil İbrahim Tuna Güler Balcı Alparslan

https://doi.org/10.54005/geneltip.1233103

Cited By: 1

Abstract

Abstract
Purpose: The aim of the study is to determine the effects of virtual reality (Kinect game called Dance Central) experience on pain, depression and functional ability in elderly adults living in nursing homes.
Design and Methods: This study was carried out for a total of 3 weeks, by applying it twice a day, 15 minutes in the morning and 15 minutes in the evening, 3 days a week.
Findings: A statistically significant difference (χ2=13.455;p=0.001) was found between the depression scales of the elderly in the experimental group. In the pain scale, it was determined that there was a significant difference (t=2.317; p=0.039) between the experimental group and the control group at the 1st month.
Practice Implications: Nurses creating appropriate interventions in long-term care facilities can have an impact on the pain and depression of older adults.

Keywords

sanal gerçeklik, ağrı, depresyon

References

Agmon, M., Perry, C. K., Phelan, E., Demiris, G., & Nguyen, H. Q. (2011). A pilot study of Wii Fit exergames to improve balance in older adults. Journal of geriatric physical therapy, 34(4), 161-167. doi: 10.1519/JPT.0b013e3182191d98
Arrieta, H., Rezola-Pardo, C., Echeverria, I., Iturburu, M., Gil, S. M., Yanguas, J. J., . . . Rodriguez-Larrad, A. (2018). Physical activity and fitness are associated with verbal memory, quality of life and depression among nursing home residents: preliminary data of a randomized controlled trial. BMC geriatrics, 18(1), 1-13. https://doi.org/10.1186/s12877-018-0770-y
bin Song, G., & cho Park, E. (2015). Effect of virtual reality games on stroke patients’ balance, gait, depression, and interpersonal relationships. Journal of physical therapy science, 27(7), 2057-2060. https://doi.org/10.1589/jpts.27.2057
Bower, K. J., Louie, J., Landesrocha, Y., Seedy, P., Gorelik, A., & Bernhardt, J. (2015). Clinical feasibility of interactive motion-controlled games for stroke rehabilitation. Journal of neuroengineering and rehabilitation, 12(1), 63. https://doi.org/10.1186/s12984-015-0057-x
Cravello, L., Di Santo, S., Varrassi, G., Benincasa, D., Marchettini, P., de Tommaso, M., . . . Palmer, K. (2019). Chronic pain in the elderly with cognitive decline: a narrative review. Pain and therapy, 8(1), 53-65. https://doi.org/10.1007/s40122-019-0111-7
D’Andrea, A., Le Peillet, D., Fassier, T., Prendki, V., Trombert, V., Reny, J.-L., & Roux, X. (2020). Functional Independence Measure score is associated with mortality in critically ill elderly patients admitted to an intermediate care unit. BMC geriatrics, 20(1), 1-8. https://doi.org/10.1186/s12877-020-01729-y
Daniel, K. (2012). Wii‐Hab for Pre‐Frail Older Adults. Rehabilitation Nursing, 37(4), 195-201. https://doi.org/10.1002/rnj.25
Dursun, G., & Bektas, H. (2017). Cultural validation and reliability of the Turkish version of the geriatric pain measure in the elderly. Pain Practice, 17(4), 505-513. https://doi.org/10.1111/papr.12473
Ertan, T., Eker, E., & Şar, V. (1996). Geriatrik depresyon ölçeği ile kendini değerlendirme depresyon ölçeğinin 60 yaş üzeri türk popülasyonunda geçerlilik ve güvenilirlik incelemesi. 32. Ulusal Psikiyatri Kongresi Bildiri Özet Kitapçığı, Ankara, 139.
Ferrell, B. A., Ferrell, B. R., & Rivera, L. (1995). Pain in cognitively impaired nursing home patients. Journal of pain and symptom management, 10(8), 591-598. https://doi.org/10.1016/0885-3924(95)00121-2
Fung, V., Ho, A., Shaffer, J., Chung, E., & Gomez, M. (2012). Use of Nintendo Wii Fit™ in the rehabilitation of outpatients following total knee replacement: a preliminary randomised controlled trial. Physiotherapy, 98(3), 183-188. https://doi.org/10.1016/j.physic.2012.04.001
Gaboda, D., Lucas, J., Siegel, M., Kalay, E., & Crystal, S. (2011). No longer undertreated? Depression diagnosis and antidepressant therapy in elderly long‐stay nursing home residents, 1999 to 2007. Journal of the American Geriatrics Society, 59(4), 673-680. https://doi.org/10.1111/j.1532-5415.2011.03322.x
Gill, T. M. (2017). Do the tenets of late-life disability apply to middle age? Annals of internal medicine, 167(11), 818. doi: 10.7326/M17-2550
Herz, N. B., Mehta, S. H., Sethi, K. D., Jackson, P., Hall, P., & Morgan, J. C. (2013). Nintendo Wii rehabilitation (“Wii-hab”) provides benefits in Parkinson's disease. Parkinsonism & related disorders, 19(11), 1039-1042. https://doi.org/10.1016/j.parkreldis.2013.07.014
Hsu, J. K., Thibodeau, R., Wong, S. J., Zukiwsky, D., Cecile, S., & Walton, D. M. (2011). A “Wii” bit of fun: The effects of adding Nintendo Wii® Bowling to a standard exercise regimen for residents of long-term care with upper extremity dysfunction. Physiotherapy Theory and Practice, 27(3), 185-193. https://doi.org/10.3109/09593985.2010.483267
Joo, L. Y., Yin, T. S., Xu, D., Thia, E., Chia, P. F., Kuah, C. W. K., & He, K. K. (2010). A feasibility study using interactive commercial off-the-shelf computer gaming in upper limb rehabilitation in patients after stroke. Journal of rehabilitation medicine, 42(5), 437-441. doi: 10.2340/16501977-0528
Jordan, K., Sampson, M., & King, M. (2014). Gravity-supported exercise with computer gaming improves arm function in chronic stroke. Archives of physical medicine and rehabilitation, 95(8), 1484-1489. https://doi.org/10.1016/j.apmr.2014.02.028
Kim, J.-I., & Kim, T.-S. (2006). Effects of lower extremity exercise program on muscle strength and flexibility in women with knee osteoarthritis. Journal of Korean Academy of Fundamentals of Nursing, 13(3), 401-408.
Lee, S., Lee, S., & Kim, Y. (2012). The effects of 4 weeks training using virtual reality game on balance and gait ability, depression of elderly people. J Korean Proprioceptive Neuromuscul Facilitation Assoc, 10, 41-46.
Lee, Y., & Hong, S. (2009). A study on the art therapy with game activity for the enhancement of the hand function and human relationship of the stroke elderly. Korea J Couns, 10, 1-16.
Steptoe, A., Shankar, A., Demakakos, P., & Wardle, J. (2013). Social isolation, loneliness, and all-cause mortality in older men and women. Proceedings of the National Academy of Sciences, 110(15), 5797-5801. https://doi.org/10.1073/pnas.1219686110
Stompór, M., Grodzicki, T., Stompór, T., Wordliczek, J., Dubiel, M., & Kurowska, I. (2019). Prevalence of chronic pain, particularly with neuropathic component, and its effect on overall functioning of elderly patients. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 25, 2695. doi: 10.12659/MSM.911260
Turolla, A., Dam, M., Ventura, L., Tonin, P., Agostini, M., Zucconi, C., . . . Piron, L. (2013). Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial. Journal of neuroengineering and rehabilitation, 10(1), 85. https://doi.org/10.1186/1743-0003-10-85
Vass, M., Avlund, K., Lauridsen, J., & Hendriksen, C. (2005). Feasible model for prevention of functional decline in older people: Municipality‐randomized, controlled trial. Journal of the American Geriatrics Society, 53(4), 563-568. https://doi.org/10.1111/j.1532-5415.2005.53201.x
Wang, Y.-y., Jiang, N.-z., Cheung, E. F., Sun, H.-w., & Chan, R. C. (2015). Role of depression severity and impulsivity in the relationship between hopelessness and suicidal ideation in patients with major depressive disorder. Journal of affective disorders, 183, 83-89. https://doi.org/10.1016/j.jad.2015.05.001
Zhang, Y., Chen, Y., & Ma, L. (2018). Depression and cardiovascular disease in elderly: Current understanding. Journal of Clinical Neuroscience, 47, 1-5. https://doi.org/10.1016/j.jocn.2017.09.022
Zoccolillo, L., Morelli, D., Cincotti, F., Muzzioli, L., Gobbetti, T., Paolucci, S., & Iosa, M. (2015). Video-game based therapy performed by children with cerebral palsy: a cross-over randomized controlled trial and a cross-sectional quantitative measure of physical activity. Eur J Phys Rehabil Med, 51(6), 669-676.