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. 2025 Feb 27;13:1557338. doi: 10.3389/fpubh.2025.1557338

Table 2.

Literature related to VR in adapted sports.

Article Country Participants N (sex) Types of VR systems Sports During Test index Results
(20) Netherlands Chronic (≥ 6 months) stroke patients 10 (no specific) The Nintendo Wii the Wii remote (wireless) the Nunchuk Tennis and boxing 30 min Oxygen uptake
heart rate (HR)
Fat free mass
Pulmonary ventilation
Respiratory exchange rate
Metabolic equivalent (MET)
perceived exertion
The mean energy expenditure during Wii Sports game play was 3.7 (± 0.6) MET for tennis and 4.1 (± 0.7) MET for boxing
(19) Canada Hemiplegic cerebral palsy 15 (10 M, 5F) “Wii Sports” package with the Wii Remote and Nunchuck
(Nintendo, Inc.).
boxing 16 min Oxygen consumption (VO2)
MET
energy expenditure
HR
perceived xertion
Moderate levels of physical activity were obtained during both multiplayer and solo play with no significant differences in energy levels or HR observed
(46) Brazil Chronic hemiparetic stroke 12 (10 M, 2F) console Xbox 360 + Kinect tennis and boxing 38 min HR
VO2
Anaerobic Threshold (AT)
Respiratory Compensation Point (RCP)
Heart rate during virtual reality games was similar to AT and significantly lower than RCP (p ≤ 0.05), while VO2 was significantly lower than AT and RCP (p < 0.05).
(47) Brazil Paraplegic individuals with spinal cord injury 8 (all men) Xbox360+ Kynect® consolee tennis and boxing 41 min HR
VO2
AT
RCP
Mean energy expenditure during the active video games sessions was 2.4 METS, characterizing a low-intensity aerobic exercise.
(48) Norway Spinal cord injuries who rely on wheelchairs 24 (22 M, 2F) X-box Kinect
Nintendo Wii
VR Oculus Rift
boxing 45 min peak oxygen uptake
Peak heart rate
Approximately 30 of the 45 min of exergaming was performed at moderate or high intensity.
(49) Poland Wheelchair boxers with different types of disabilities 11 (all men) Oculus Quest 2 wireless VR headset
VR glasses and controllers
boxing 30 min Percentage of maximal heart rate (%HRmax)
Average exercise heart rate (HRave)
Perceived exertion
Physical Activity Enjoyment Scale
The exercise intensity of the athletes during wheelchair boxing training in VR is at a beneficial moderate level for health (HRave = 68.98% HRmax)