Biomechanical measures of balance after balance-based exergaming training dedicated for patients with Parkinson’s disease

Brachman, Anna; Marszałek, Wojciech; Kamieniarz, Anna; Michalska, Justyna; Pawłowski, M.; Juras, Grzegorz

doi:10.1016/j.gaitpost.2021.04.036

Cited by 10 publications

(17 citation statements)

References 28 publications

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“…Its advantages include the provision of task-specific training, simultaneous engagement in cognitive and motor activities, and simulation of realworld tasks, enhancing ecological validity compared to traditional methods (16,17). VR also allows for the safe execution of highrisk activities under supervision, in a controlled environment (18,19). The engaging nature of VR may encourage patients to practice longer, although evidence supporting the regular prescription of specific rehabilitation programs in PD remains inconclusive (20,21).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Virtual Reality Rehabilitation versus Conventional Physical Therapy on Quality-of-Life function and Balance in Parkinson's Disease Patients: A Randomized Controlled Trial

Ali,

Riaz,

Butt

et al. 2023

JHRR

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Background: Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor and non-motor symptoms, affecting the quality of life, functional independence, and balance of individuals. While conventional physical therapy (PT) has been a standard approach, emerging technologies like Virtual Reality (VR) have shown promise in neurorehabilitation. Objective: This study aimed to compare the effectiveness of Virtual Reality (VR) Rehabilitation with Conventional Physical Therapy (PT) in enhancing the quality of life, functional status, and balance among individuals diagnosed with Parkinson's disease (PD). Methods: A randomized controlled trial was conducted, involving 46 PD patients the participants were randomly assigned to either the VR group (n=23) or the PT group (n=23). Data was collected from johar poly clinic Lahore Pre-intervention and post-intervention assessments included the Short Form 36 (SF-36) for quality of life, Barthel Index for functional status, and Berg Balance Scale for balance. Descriptive statistics and paired t-tests were employed for data analysis. Results: Pre-intervention demographics indicated comparable age distributions (VR group: 65.0 ± 5.2; PT group: 67.1 ± 4.8) and a predominance of males in both groups. Baseline scores demonstrated no significant differences between VR and PT groups for SF-36 (41.40 ± 4.87 vs. 38.20 ± 4.21), Barthel Index (90.00 ± 7.14 vs. 86.00 ± 6.93), and Berg Balance Scale (44.00 ± 6.52 vs. 40.00 ± 7.11). Conclusion: The study results indicated that rehabilitation programs for individuals with Parkinson's disease were efficacious in enhancing their functional outcome. An evaluation of the two programs, both centered around physical exercises, demonstrated that virtual reality (VR) rehabilitation surpasses traditional therapy in assessing overall improvements (such as upper limb function, gait, balance, and the psychological aspect of quality of life) in a secure and stimulating setting.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Virtual Reality Rehabilitation versus Conventional Physical Therapy on Quality-of-Life function and Balance in Parkinson's Disease Patients: A Randomized Controlled Trial

Ali,

Riaz,

Butt

et al. 2023

JHRR

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“…Recently, much attention has been paid to the potential benefits of exergaming [ 15 , 16 , 17 , 18 , 19 , 20 ] and virtual reality [ 21 , 22 , 23 ] for motor rehabilitation and the stimulation of cognitive functions [ 16 , 24 , 25 ]. The combination of physical and cognitive training for the purpose of stimulating the patient with motor exercises while performing concurrent cognitive tasks, has been also investigated [ 26 , 27 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment Tasks and Virtual Exergames for Remote Monitoring of Parkinson’s Disease: An Integrated Approach Based on Azure Kinect

Amprimo

Masi

Priano

et al. 2022

Sensors

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Motor impairments are among the most relevant, evident, and disabling symptoms of Parkinson’s disease that adversely affect quality of life, resulting in limited autonomy, independence, and safety. Recent studies have demonstrated the benefits of physiotherapy and rehabilitation programs specifically targeted to the needs of Parkinsonian patients in supporting drug treatments and improving motor control and coordination. However, due to the expected increase in patients in the coming years, traditional rehabilitation pathways in healthcare facilities could become unsustainable. Consequently, new strategies are needed, in which technologies play a key role in enabling more frequent, comprehensive, and out-of-hospital follow-up. The paper proposes a vision-based solution using the new Azure Kinect DK sensor to implement an integrated approach for remote assessment, monitoring, and rehabilitation of Parkinsonian patients, exploiting non-invasive 3D tracking of body movements to objectively and automatically characterize both standard evaluative motor tasks and virtual exergames. An experimental test involving 20 parkinsonian subjects and 15 healthy controls was organized. Preliminary results show the system’s ability to quantify specific and statistically significant (p < 0.05) features of motor performance, easily monitor changes as the disease progresses over time, and at the same time permit the use of exergames in virtual reality both for training and as a support for motor condition assessment (for example, detecting an average reduction in arm swing asymmetry of about 14% after arm training). The main innovation relies precisely on the integration of evaluative and rehabilitative aspects, which could be used as a closed loop to design new protocols for remote management of patients tailored to their actual conditions.

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“…In the recent years, exergaming in immersive, semi-immersive, or nonimmersive virtual reality (VR) increased in popularity. Its advantages include, among others, greater patient motivation, improved (faster) effects of training, and the possibility of correcting movement strategies using feedback features of games [ 10 , 11 , 12 ]. A growing number of studies have shown the utility of training with virtual reality in restoring gait and balance in older people, especially in the backwards stepping test, crossover stepping test [ 13 ], 6-min walking test [ 14 ], and timed up-and-go test [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies primarily examined the utility of VR exergaming in neurological disorders [ 10 , 12 , 18 , 19 ] or elderly individuals [ 13 , 14 , 15 , 20 ] and mostly included balance outcomes. Few studies have examined the effectiveness of rehabilitation with VR on functional performances in patients after total knee replacements [ 16 , 17 , 21 , 22 , 23 ], and their results do not confirm that VR games are beneficial in this group of patients.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement

Hadamus

Błażkiewicz

Wydra³

et al. 2022

JCM

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Total knee replacement (TKR) is the treatment of choice for advanced stages of osteoarthritis but it requires good postoperative rehabilitation. This study aimed to assess the effectiveness of exercises using virtual reality to improve gait parameters in patients after TKR. Fifty-nine patients 7–14 days after TKR surgery were divided into a study group (VRG, n = 38) and a control group (CG, n = 21). Both groups underwent the same 4-week rehabilitation protocol. The VRG group had 12 additional nonimmersive virtual reality game sessions on the Virtual Balance Clinic prototype system at 30 min each, focusing on gait and balance improvement. Spatiotemporal, force and foot plantar pressure parameters were collected on an instrumented treadmill during a 30 s walk. The most significant improvement was in the symmetry indices of forefoot force, maximum forefoot force, loading response time, and preswing time (p < 0.05) in both groups. Gait speed increased by 31.25% and 44% in the VRG and CG groups, respectively (p < 0.005). However, the extra exergaming sessions did not significantly improve rehabilitation outcomes. Therefore, additional VR training does not improve gait better than standard rehabilitation alone, but the improvement of gait, especially its symmetry, is significant within the first six weeks after surgery.

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Biomechanical measures of balance after balance-based exergaming training dedicated for patients with Parkinson’s disease

Cited by 10 publications

References 28 publications

Effectiveness of Virtual Reality Rehabilitation versus Conventional Physical Therapy on Quality-of-Life function and Balance in Parkinson's Disease Patients: A Randomized Controlled Trial

Effectiveness of Virtual Reality Rehabilitation versus Conventional Physical Therapy on Quality-of-Life function and Balance in Parkinson's Disease Patients: A Randomized Controlled Trial

Assessment Tasks and Virtual Exergames for Remote Monitoring of Parkinson’s Disease: An Integrated Approach Based on Azure Kinect

Effectiveness of Early Rehabilitation with Exergaming in Virtual Reality on Gait in Patients after Total Knee Replacement

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