title: Acute Responses of a Physical Training Session with a Nintendo Wii on Hemodynamic Variables of an Individual with Multiple Sclerosis.
abstract: BACKGROUND
  Multiple sclerosis is a neurological illness that decreases motor functions. This disease can cause weakness of cardiorespiratory muscles and impaired functional capacity and quality of life. Therefore it requires preventive treatments. This study investigated the acute responses of a virtual physical training session with the Nintendo(®) (Kyoto, Japan) Wii™ on hemodynamic variables of an individual with multiple sclerosis (relapsing-remitting).
  
  
  METHODS
  A 34-year-old man with multiple sclerosis with previous experience in aerobic, strength, and functional training (2 years) was tested. His Expanded Disability Status Scale was 2.5. We compared the heart rate, blood pressure, and double product obtained at rest and during (heart rate) and after the Nintendo Wii games "Boxing" and "Sword Play." In rest, the variables were measured in the supine position.
  
  
  RESULTS
  Our results showed positive hemodynamic alterations after execution of both games. The peak of heart rate was 121 beats per minute (65% of maximal heart rate) and 104 beats per minute (56% of maximal heart rate) for "Boxing" and "Sword Play," respectively.
  
  
  CONCLUSIONS
  The training session with "Boxing" was able to stimulate the heart rate to achieve the recommended values for the maintenance of physical fitness in accordance with the American College of Sports Medicine guidelines. We conclude that an exercise training program with the Nintendo Wii may improve physical fitness in people with multiple sclerosis. Moreover, these activities could improve affective status and perhaps maintain the individual engaged at treatment program.
authors.affiliation: 1 Department of Exercise and Sports Sciences, Gama Filho University , Rio de Janeiro, Rio de Janeiro, Brazil .|2 University Gama Filho Physiotherapy Clinic School Laboratory , Rio de Janeiro, Rio de Janeiro, Brazil .|3 Fisioprime Clinic of Physiotherapy , Rio de Janeiro, Rio de Janeiro, Brazil .|4 Laboratory of Neuroscience of Exercise, LaNEx , Rio de Janeiro, Rio de Janeiro, Brazil .
authors.forename: Renato Sobral
authors.initials: RS
authors.lastname: Monteiro Junior
authors.affiliation: 2 University Gama Filho Physiotherapy Clinic School Laboratory , Rio de Janeiro, Rio de Janeiro, Brazil .|3 Fisioprime Clinic of Physiotherapy , Rio de Janeiro, Rio de Janeiro, Brazil .
authors.forename: Aretha
authors.initials: A
authors.lastname: Dantas
authors.affiliation: 1 Department of Exercise and Sports Sciences, Gama Filho University , Rio de Janeiro, Rio de Janeiro, Brazil .|2 University Gama Filho Physiotherapy Clinic School Laboratory , Rio de Janeiro, Rio de Janeiro, Brazil .|3 Fisioprime Clinic of Physiotherapy , Rio de Janeiro, Rio de Janeiro, Brazil .
authors.forename: Cíntia Pereira
authors.initials: CP
authors.lastname: de Souza
authors.affiliation: 1 Department of Exercise and Sports Sciences, Gama Filho University , Rio de Janeiro, Rio de Janeiro, Brazil .|2 University Gama Filho Physiotherapy Clinic School Laboratory , Rio de Janeiro, Rio de Janeiro, Brazil .
authors.forename: Elirez Bezerra
authors.initials: EB
authors.lastname: da Silva