The Effectiveness of Nintendo Wii Fit and Inspiratory Muscle Training in Older Patients With Heart Failure

NAME OF THE RESEARCH: The Effectiveness of Inspiratory Muscle Training and Nintendo Wii Fit Applications in Elderly Patients with Heart Failure

JUSTIFICATION AND BASIS OF THE RESEARCH: Heart failure is a multisystem syndrome characterized by the body's inability to pump or increase the filling pressures required for pumping the blood needed by the body above normal. Typically it shows objective evidence of dyspnea and fatigue during rest or exercise, or swelling of the ankles and cardiac dysfunction. This leads to great losses in the functional status and quality of life of the patients. These patients seem to be more difficult to participate in cardiac rehabilitation programs because they are more comorbid, brittle, and have low functional capacity. It has been shown that inspiratory muscle training which is a part of cardiac rehabilitation, not only improves lung problems but also increases functional capacity and balance, strength of respiratory and peripheral muscles, and decreases perception of depression and dyspnea in patients. Video games are increasingly being used as an alternative to traditional rehabilitation-based exercises to improve daily activity levels and increase physical fitness in the elderly. Although Nintendo wii fit gives similar results with traditional rehabilitation practices, it causes less energy costs. This suggests that Nintendo wii fit can be a suitable rehabilitation tool for the elderly with low energy levels. A review showed that video games are safe and feasible in the elderly with heart failure. Participants' balance, cognitive functions, quality of life improved and participants depressive mood decreased. In addition, video games enabled older people to communicate better with other family members. In the literature review, cardiac rehabilitation was found in patients with heart failure in various studies, but these applications were performed with treadmill and bicycle ergometer. There are no studies comparing the effectiveness of nintendo wii fit plus with inspiratory muscle training.

PURPOSE OF THE RESEARCH: The aim of this study is to investigate the effectiveness of inspiratory muscle training and nintendo wii fit plus exercise training in elderly patients with heart failure and to compare these practices with each other.

EXPECTED RESULTS: The first expected result of this study is that elderly patients with heart failure accept inspiratory muscle training and Nintendo wii fit plus video game as a rehabilitation tool. If patients adopt these two rehabilitation modalities as an alternative to standardized cardiac rehabilitation instruments such as bicycle ergometers and treadmills, the content and availability of home-based cardiac rehabilitation will be increased. The video game group participants will be performed in the hospital environment and under the supervision of a physiotherapist but exergame could be a home based rehabilitation application when necessary safety precautions are taken and appropriate patient selection is made. When the practices in this study are adopted by the patients, their participation in rehabilitation and physical activity will be higher and hospital visits and thus medical costs will be reduced as the content of home-based rehabilitation increases. Video games have been shown to make family members closer to each other. Thus, this study will provide not only medical and physical capacity, but also psychological and social benefits. Investigators believe that statistically significant results from this study will inspire physical, functional, emotional, emotional and social improvement studies among other elderly people who have different medical problems.

DESIGN OF THE RESEARCH: This is a prospective, experimental, before and after research. In this study, randomization will be performed first. 45 patients will be randomized into 3 columns in the microsoft excel program.