@Article{info:doi/10.2196/49080, author="Park, Sung Je and Lee, Jea Woog", title="Effects of Virtual Reality Pilates Training on Duration of Posture Maintenance and Flow in Young, Healthy Individuals: Randomized Crossover Trial", journal="JMIR Serious Games", year="2023", month="Oct", day="19", volume="11", pages="e49080", keywords="virtual reality; Pilates; exercise program; flow; duration of posture maintenance; sport video data analytics; video; data analytics; sport; sports; exercise; physical activity; posture; VR; balance; movement; self-reported; patient reported", abstract="Background: This study explored the use of virtual reality (VR) technology to enhance the effectiveness and duration of low-intensity movements and postures in Pilates-derived exercises. We postulate that by leveraging the flow state in VR, individuals can engage in these exercises for longer periods while maintaining a high level of flow. Objective: The purpose of this study was to compare differences in posture maintenance and flow between VR Pilates training and conventional Pilates training, and the correlation between the 2 factors. Methods: The 18 participants in each group received either VR training or conventional training and were switched to the other training type after a 2-day wash-out period. Each group performed Pilates movements in a VR environment and a conventional environment, divided into 4 types. After training sessions, participants were evaluated for flow using a self-report questionnaire. In addition, a sports video analysis program was used to measure the duration of posture maintenance in 2 video-recorded sessions. Repeated-measures ANOVA and correlation analysis were performed on the measured duration of posture maintenance and flow scores. In all cases, the statistical significance level was set at P<.05. Results: Results for the duration of posture maintenance verification by type showed that simple behavior (F1,16=17.631; P<.001), upper body--arm coordination behavior (F1,16=6.083; P=.04), upper body--leg coordination behavior (F1,16=8.359; P<.001), and whole-body coordination behavior (F1,16=8.426; P<.001) all showed an interaction effect at P<.05. Flow (F1,16=15.250; P<.001) also showed an interaction effect. In addition, significant correlations were determined between duration of all types of posture maintenance and flow in the VR training group at P<.05. Conclusions: Our results indicate that VR Pilates training may be more useful than conventional Pilates training in improving the duration of posture maintenance and that it promotes a significantly higher degree of flow when compared with conventional Pilates training. ", issn="2291-9279", doi="10.2196/49080", url="https://games.jmir.org/2023/1/e49080", url="https://doi.org/10.2196/49080", url="http://www.ncbi.nlm.nih.gov/pubmed/37856178" }