Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study.

Autor: Henrique PPB; Faculty of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, Brazil.; Department of Physiotherapy, Regional Integrated University of High Uruguay and Missions, Erechim, Brazil., Perez FMP; Faculty of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, Brazil.; Department of Physiotherapy, Regional Integrated University of High Uruguay and Missions, Erechim, Brazil., Becker OHC; Institute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, Brazil., Bellei EA; Institute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, Brazil., Biduski D; Institute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, Brazil., Korb A; Department of Physiotherapy, Regional Integrated University of High Uruguay and Missions, Erechim, Brazil., Pochmann D; Graduate Program in Biosciences and Rehabilitation, Porto Alegre Institute of the Methodist Church, Porto Alegre, Brazil., Dani C; Graduate Program in Biosciences and Rehabilitation, Porto Alegre Institute of the Methodist Church, Porto Alegre, Brazil., Elsner VR; Graduate Program in Biological Sciences: Physiology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil., De Marchi ACB; Faculty of Physical Education and Physiotherapy, University of Passo Fundo, Passo Fundo, Brazil.; Institute of Exact Sciences and Geosciences, University of Passo Fundo, Passo Fundo, Brazil.
Jazyk: angličtina
Zdroj: JMIR research protocols [JMIR Res Protoc] 2021 Oct 13; Vol. 10 (10), pp. e32729. Date of Electronic Publication: 2021 Oct 13.
DOI: 10.2196/32729
Abstrakt: Background: Kinesiotherapy is an option to mitigate worsening neuropsychomotor function due to human aging. Moreover, exergames are beneficial for the practice of physical therapy by older patients. Physical exercise interventions are known to alter the epigenome, but little is known about their association with exergames.
Objective: We aim to evaluate the effects of kinesiotherapy with exergaming on older women's epigenetic marks and cognitive ability, as well as on their clinical functional variables. Our hypothesis states that this kind of therapy can elicit equal or even better outcomes than conventional therapy.
Methods: We will develop a virtual clinic exergame with 8 types of kinesiotherapy exercises. Afterward, we will conduct a 1:1 randomized clinical trial to compare the practice of kinesiotherapy with exergames (intervention group) against conventional kinesiotherapy (control group). A total of 24 older women will be enrolled for 1-hour sessions performed twice a week, for 6 weeks, totaling 12 sessions. We will assess outcomes using epigenetic blood tests, the Montreal Cognitive Assessment test, the Timed Up and Go test, muscle strength grading in a hydraulic dynamometer, and the Game Experience Questionnaire at various stages.
Results: The project was funded in October 2019. Game development took place in 2020. Patient recruitment and a clinical trial are planned for 2021.
Conclusions: Research on this topic is likely to significantly expand the understanding of kinesiotherapy and the impact of exergames. To the best of our knowledge, this may be one of the first studies exploring epigenetic outcomes of exergaming interventions.
Trial Registration: Brazilian Clinical Trials Registry/Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-9tdrmw; https://ensaiosclinicos.gov.br/rg/RBR-9tdrmw.
International Registered Report Identifier (irrid): DERR1-10.2196/32729.
(©Patrícia Paula Bazzanello Henrique, Fabrízzio Martin Pelle Perez, Osvaldo Henrique Cemin Becker, Ericles Andrei Bellei, Daiana Biduski, Arthiese Korb, Daniela Pochmann, Caroline Dani, Viviane Rostirola Elsner, Ana Carolina Bertoletti De Marchi. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 13.10.2021.)
Databáze: MEDLINE