SANAL GERÇEKLİK EĞİTİMİNİN OBEZ ÇOCUKLARDA DENGE VE HIZ-ÇEVİKLİK ÜZERİNDEKİ ETKİLERİ: RANDOMİZE KONTROLLÜ ÇALIŞMA

Year 2024, Volume: 35 Issue: 1, 45 - 55, 20.04.2024

Hayriye Tomaç , Emine Handan Tüzün , Levent Eker

https://doi.org/10.21653/tjpr.1237822

Abstract

Amaç: Çalışmanın amacı, obez çocuklarda sanal gerçeklik eğitiminin denge ve hız-çeviklik üzerindeki etkilerini incelemektir.
Yöntemler: Çalışmaya 9-11 yaşlarında 34 obez çocuk dahil edildi. Katılımcılar basit randomizasyon yöntemi ile eğitim ve kontrol grubuna ayrıldı. Eğitim grubundaki katılımcılar (n=17) 6 hafta boyunca sanal gerçeklik eğitimine alındı. Kontrol grubuna (n=17) herhangi bir tedavi uygulanmadı. Denge, Flamingo ve Y denge testleri ile değerlendirildi. Hız-çeviklik Bruininks-Oseretsky Motor Yeterlilik TestiKısa Form-hız çeviklik alt testi ile değerlendirildi. Eğitim grubundaki çocukların fiziksel aktiviteden keyif alma düzeyleri Kısa Form-Fiziksel Aktiviteden Keyif Alma Ölçeği ile değerlendirildi.
Bulgular: Çalışma öncesinde, gruplar incelenen değişkenler açısından benzerdi (p>0,05). Eğitim grubundaki çocukların sürat-çeviklik skorları ve Y denge testi ön, arka-yan ve karışık uzanma mesafeleri eğitim sonrasında eğitim öncesine göre anlamlı olarak arttı (p<0,05). Flamingo denge testi sonuçları eğitim öncesinden eğitim sonrasına anlamlı olarak artarken (p=0,001), %95 GA ile birlikte değerlendirildiğinde artışın önemsiz olduğu görüldü (-0,42-7,42). Eğitim grubunda, Y denge testi anterior ve posterior-medial uzanma mesafeleri dışında, statik ve dinamik denge ve hız-çeviklik klinik etkileri büyüktü (r≥0,5). Eğitim grubundaki tüm katılımcılar sanal gerçeklik eğitiminden en yüksek derecede keyif aldıklarını belirtti. (%95 CI:25,0 -25,0).
Sonuç: Obez çocuklarda sanal gerçeklik eğitimi denge ve hız-çeviklik gelişiminde etkilidir ve fiziksel aktivite için eğlenceli bir seçenektir. Uzun süreli eğitim ve takip içeren geniş randomize kontrollü çalışmalar önerilmektedir.

Keywords

ÇOCUK, postural denge, terapötik, obezite, sanal gerçeklik

Supporting Institution

Doğu Akdeniz Üniversitesi

Project Number

ETK00-2017-0040

THE EFFECTS OF VIRTUAL REALITY TRAINING ON BALANCE AND SPEED-AGILITY IN OBESE CHILDREN: A RANDOMIZED CONTROLLED TRIAL

Abstract

Purpose: The aim of the study was to examine the effects of virtual reality training on balance and speed-agility in obese children.
Methods: The study included 34 obese children at the ages of 9-11. Participants were divided into training and control groups using the simple randomization method. The participants in the intervention group (n=17) were taken into virtual reality training for 6 weeks. No treatment was applied on the control group (n=17). Balance was assessed by the Flamingo and Y balance tests. Speed-agility was assessed by the Bruininks-Oseretsky Test of Motor Proficiency-Brief Form-speed-agility sub-test. The physical activity enjoyment levels of the children in intervention group were assessed by the Short Form-Physical Activity Enjoyment Scale.
Results: Before the study, the groups were similar in terms of the investigated variables (p>0.05). Speed-agility scores and Y balance test anterior, posterior-lateral and mixed reaching distances of the children in intervention group significantly increased after the training in comparison to their pre-training results (p<0.05). While the Flamingo balance test results significantly increased from pretraining to post-training (p=0.001), considering along with the 95% CI, the increase was found to be insignificant (-0.42—7.42). In intervention group, except for the Y balance test anterior and posteriormedial reaching distances, static and dynamic balance and speed-agility clinical effects were large (r≥0.5). All participants in intervention group stated that they enjoyed virtual reality training to the highest degree (95% CI:25.0 —25.0).
Conclusion: Virtual reality training in obese children is effective in improvement of balance and speedagility, and it is an enjoyable option of physical activity. The large randomized controlled studies with long-term trainings and follow-up are recommended.

Keywords

postural balance, child, obesity, therapeutics, virtual reality

Project Number

ETK00-2017-0040

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