Thursday, May 7, 2009

"Using Video Games as Exercise-for Mind and Body"

Video game-based exercise is becoming increasingly popular with not only children and families, but with senior centers, rehabilitation and fitness centers, and school systems. Although video games should never replace traditional physical activity or exercise routines, there are health benefits to them that are gaining attention and respect from physical therapists, doctors and researchers alike for activity and rehabilitation supplementation.

“Exergaming,” the term used to describe video game-based exercise, has been shown to improve cardiovascular endurance, muscle tone/strength, balance and cognitive function. It can also create a level of socialization that other sedentary and solitary games and activities do not offer. Exergaming allows grandparents to bowl or play golf or tennis with their grandchildren without the associated physical risk involved with the actual activity. It can bring groups of people together, offer a fun option for families rather than sitting and watching television and reintroduces physical activity as an enjoyable time rather than a chore. The convenience and affordability is unbeatable. For those who are not comfortable in a fitness center setting, this is a viable option as a supplement to traditional exercise or to use when the weather is bad, work to improve balance, post-rehabilitation for an injury, or to prevent workout boredom. The level of play can also be adjusted to accommodate the players’ abilities.

In the December issue of Psychology and Aging, a study suggests that the cognitive functions of older people may be retained or improved by playing complex video games. The Silverado Senior Living Center in San Juan Capistrano in California, an assisted living facility for those with Alzheimer’s and other forms of dementia, uses the Nintendo Wii Sports as a form of moderate physical activity and socialization for the residents. Not only does it help bring people together each day, but it also gives them a sense of purpose which, in turn, increases their sense of value according to a spokesperson for the U.K. Alzheimer’s Society.

The University of Aberdeen in Scotland and the UK’s National Health Service have begun a four month study on people over 70 years of age to see if there are any changes in balance after using the Wii Fit regularly. Wii Fit includes a balance board (which sits about 1 inch off of the floor) that provides feedback to you on your performance. The fitness training involves aerobics, yoga, strength training and balance games. The results seem positive; however, the study conclusions have not been reported as of yet.

The initial results from a pilot study done at Southern Cross University in Australia are also positive and promising for those with Parkinson’s. The Wii Fit helps to develop muscle strength and coordination that will help to reduce the risk of falls. It aids in building confidence, overall fitness levels and body awareness (knowing where your body is in space) which are necessary for maintaining balance.

The Wii Sports game includes tennis and boxing as options for more cardiovascular physical activity, although traditional exercise will provide an increased benefit. The baseball, bowling and golf games within the Wii Sports do not burn as many calories but may aid in training to return to the actual game. The Wii Fit monitors your progress and exercise frequency, which increases accountability and provides positive feedback and encouragement.

There are some risks involved, as with any physical activity, with Exergaming. Be sure to discuss your planned activity with your doctor prior to attempting to play, make sure you warm up and take stretch breaks during the activity and then cool down afterwards. Some overuse injuries have been reported in those who try to do too much, too often and at too high a level. As with any activity, start at a lower level and slowly increase the difficulty and playing time. The exercise benefit does outweigh the risk of injury, according to Professor Darren Rivett, the spokesperson of the Australian Physiotherapy Association. The games have also been used as “Wiihabilitation” of stroke and accident victims in many facilities.

Dance Dance Revolution, created by Playstation, is another example of Exergaming that features dance challenges with great music. There is a mat that you stand on and follow the arrows on the screen to know where you place your feet along with the music. It is popular with all ages, although Dancetown might be more appropriate for the older crowd. Dancetown has more songs that would be more enjoyable and is toned down from the original Dance Dance Revolution game. Playstation also has a game called Dancing with the Stars that is based on the hit television show. The dance pads are also compatible with the Wii-but be sure that the product you purchase states that since older models may not be compatible.

Video games are obviously not “just for kids” anymore. They are a fun way to be active without thinking about being active and an effective way to improve your balance—a skill that can always be improved regardless of age. Exergaming benefits not only your physical being, but also your social self since it is a wonderful way to connect with friends and family. And if traditional exercise is not possible as frequently as it is prescribed, than supplementing with video games is one of the next best options.

Sources:
American Council on Exercise
Bloomberg.com
Fisher Center for Alzheimer's Research Foundation
CNN.com
Medline Plus
Best Health Magazine
The Courier-Mail
Newsweek
Associated Content