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

BackgroundKinesiotherapy 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...

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Main Authors: 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
Format: Article
Language:English
Published: JMIR Publications 2021-10-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2021/10/e32729
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author 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
author_facet 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
author_sort Patrícia Paula Bazzanello Henrique
collection DOAJ
description BackgroundKinesiotherapy 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. ObjectiveWe 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. MethodsWe 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. ResultsThe project was funded in October 2019. Game development took place in 2020. Patient recruitment and a clinical trial are planned for 2021. ConclusionsResearch 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 RegistrationBrazilian 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
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spelling doaj.art-cdbff1961357494785bcb2ae3023852d2023-08-28T19:31:22ZengJMIR PublicationsJMIR Research Protocols1929-07482021-10-011010e3272910.2196/32729Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods StudyPatrícia Paula Bazzanello Henriquehttps://orcid.org/0000-0003-4224-0419Fabrízzio Martin Pelle Perezhttps://orcid.org/0000-0001-5069-4256Osvaldo Henrique Cemin Beckerhttps://orcid.org/0000-0001-8530-1002Ericles Andrei Belleihttps://orcid.org/0000-0002-6020-6356Daiana Biduskihttps://orcid.org/0000-0002-2743-4111Arthiese Korbhttps://orcid.org/0000-0003-4388-2472Daniela Pochmannhttps://orcid.org/0000-0003-1635-1609Caroline Danihttps://orcid.org/0000-0003-0046-7148Viviane Rostirola Elsnerhttps://orcid.org/0000-0003-4158-181XAna Carolina Bertoletti De Marchihttps://orcid.org/0000-0002-7704-3119 BackgroundKinesiotherapy 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. ObjectiveWe 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. MethodsWe 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. ResultsThe project was funded in October 2019. Game development took place in 2020. Patient recruitment and a clinical trial are planned for 2021. ConclusionsResearch 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 RegistrationBrazilian Clinical Trials Registry/Registro Brasileiro de Ensaios Clínicos (ReBEC) RBR-9tdrmw; https://ensaiosclinicos.gov.br/rg/RBR-9tdrmw. International Registered Report Identifier (IRRID)DERR1-10.2196/32729https://www.researchprotocols.org/2021/10/e32729
spellingShingle 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
Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
JMIR Research Protocols
title Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
title_full Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
title_fullStr Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
title_full_unstemmed Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
title_short Kinesiotherapy With Exergaming as a Potential Modulator of Epigenetic Marks and Clinical Functional Variables of Older Women: Protocol for a Mixed Methods Study
title_sort kinesiotherapy with exergaming as a potential modulator of epigenetic marks and clinical functional variables of older women protocol for a mixed methods study
url https://www.researchprotocols.org/2021/10/e32729
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