Effectiveness of exergaming in improving functional balance, fatigue and quality of life in Parkinson's disease: A pilot randomized controlled trial

Ribas, Camila Gemin; Silva, Letícia Alves da; Corrêa, Marina Ribas; Teive, Hélio Ghizone; Valderramas, Sílvia

doi:10.1016/j.parkreldis.2017.02.006

Cited by 109 publications

(166 citation statements)

References 30 publications

Supporting

Mentioning

144

Contrasting

Unclassified

Order By: Relevance

“…However, a 6-month-long treadmill intervention with exactly the same intensity as EXE and CYC did not produce timeproportionally larger effects [8]. Exercise effects are often not sustained in PD patients [34] and we cannot tell whether the program slowed disease progression. We note that the PD symptoms of the CON did not get worse over 5 weeks.…”

Section: Limitationsmentioning

confidence: 89%

“…EXE can be used to dose and individualize the exercise stimulus, delivered in an entertaining and competitive manner by having patients teamed up against each other (present study). In addition, patients become intrinsically motivated and perceive physical exertion as less demanding and of a lower intensity than other exercises not embedded in a gaming or virtual environment [33][34][35][36]. Presumably the weight shift and other postural manipulations reduce postural dysfunction by improving muscle activation, the rate of tension development, and other neuromuscular functions [37].…”

Section: Generality Of Exercise Effects On Pd Symptomsmentioning

confidence: 99%

See 1 more Smart Citation

Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial

2018

View full text Add to dashboard Cite

Objectives: To directly compare the effects of agility exergaming (EXE) and stationary cycling (CYC) exercise training on Parkinson’s disease (PD) patients’ mobility and clinical symptoms. Design: Randomized clinical trial. Setting: Outpatient physiotherapy clinic in a hospital. Participants: Seventy-four stage 2–3, nondemented PD patients were included in this study. Intervention: The groups were as follows: EXE (n = 25), CYC (n = 25), and a wait-listed control group (CON; n = 24). The EXE and CYC groups exercised 5×/week for 5 weeks, matched at 80% of the age-predicted maximal heart rate. Main Outcomes: The primary outcome was the Movement Disorders Society Unified Parkinson’s Disease Rating Scale (UPDRS-II) score. Secondary outcomes were Parkinson’s Disease Quastionnaire-39 (PDQ-39), the Beck Depression Inventory (BDI), the Schwab and England Activities of Daily Living (SE-ADL) scale, Euro-Quality of Life-5 Dimensions (EQ-5D) questionnaire, the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Tinetti Assessment Tool (TAT), the Dynamic Gait Index, the 6-min walk test (6MWT), and standing posturography. Results: After treatment, UPDRS-II scores improved (mean change: EXE, –4.5 points; CYC, –3.2 points). The results for the other outcomes (EXE and CYC, respectively) were: PDQ, 13 and 17%; BDI, –2.5 and –2.1 points; 6MWT, 129.6 and 141.6 m; and EQ-5D, 12 and 9% (all p < 0.05, but there was no difference between groups). EXE vs. CYC resulted in improved SE-ADL (8.4 and 4.0 points, effect size [ES]: 0.12), BBS (8.8 and 4.2 points, ES: 0.44), and 2 measures of posturography (ES: 0.11 and 0.21) (p < 0.05). BESTtest, TAT, the Dynamic Gait Index, and 4 out of 6 posturography measures did not change (p > 0.05). Conclusion: Two highly different exercise programs resulted in similar improvement of most motor and clinical symptoms in PD patients.

show abstract

Section: Limitationsmentioning

confidence: 89%

Section: Generality Of Exercise Effects On Pd Symptomsmentioning

confidence: 99%

Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial

2018

View full text Add to dashboard Cite

show abstract

“…New types of intervention have been proposed as complementary tools for rehabilitation of the elderly, among them interactive video games (IVGs) that can optimize motor learning and neural plasticity [ 5 ]. IVGs combine motor and cognitive tasks which are performed in a motivating and challenging virtual environment [ 6 ]. IVGs stimulate complex and dynamic movements that are similar to the movements required in daily life [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, IVGs are inexpensive, fun, and can be used by patients who live in remote settings. Together, these factors can help to improve adhesion to and results of rehabilitation [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility, safety, acceptability, and functional outcomes of playing Nintendo Wii Fit Plus™ for frail elderly: study protocol for a feasibility trial

Gomes

Bacha

Simões

et al. 2017

Pilot Feasibility Stud

View full text Add to dashboard Cite

BackgroundFrailty can be defined as a medical syndrome with multiple causes and contributors, characterized by diminished strength and endurance and reduced physiological function that increases the vulnerability to develop functional dependency and/or death. Studies have shown that the most commonly studied exercise protocol for frail older adults is the multimodal training. Interactive video games (IVGs) involve tasks in virtual environments that combine physical and cognitive demands in an attractive and challenging way. The aim of this study will be to evaluate the feasibility, safety, acceptability, and functional outcomes of playing Nintendo Wii Fit PlusTM (NWFP) for frail older adults.Methods/designThe study is a randomized controlled, parallel group, feasibility trial. Participants will be randomly assigned to the experimental group (EG) and control group (CG). The EG will participate in 14 training sessions, each lasting 50 min, twice a week. In each training session, the participants will play five games, with three attempts at each game. The first attempt will be performed with the assistance of a physical therapist to correct the movements and posture of the patients and subsequent attempts will be performed independently. Scores achieved in the games will be recorded. The participants will be evaluated by a blinded physical therapist at three moments: before and after intervention and 30 days after the end of the intervention (follow-up). We will assess the feasibility, acceptability, safety, and clinical outcomes (postural control, gait, cognition, quality of life, mood, and fear of falling).DiscussionDue to the deficiencies in multiple systems, studies have shown that multimodal interventions including motor-cognitive stimulation can improve the mobility of frail elderly adults. IVGs, among them the NWFP, are considered as a multimodal motor-cognitive intervention that can potentially improve motor and cognitive functions in the frail elderly. However, there is still no evidence in the literature that proves the feasibility, safety, acceptability, and functional outcomes of this intervention in frail elderly individuals.Trial registrationBrazilian Registry of Clinical Trials (RBR-823rst). World Health Organization Trial Registration Data Set (Additional file 1).Electronic supplementary materialThe online version of this article (10.1186/s40814-017-0184-1) contains supplementary material, which is available to authorized users.

show abstract

“…IVGs are an attractive and interactive way to motivate individuals to engage in physical activity by combining both cognitive and motor skills focusing on the outcome of movements in the game and not the movement itself (Lamoth, Caljouw, & Postema, 2011). Through engagement with a virtual environment, IVGs can simulate complex physical dynamic movements and facilitate the cognitive skills needed to navigate daily living in a fun and challenging way (Ribas, da Silva, Corrêa, Teive, & Valderramas 2017;Skjaeret-Maroni et al, 2016).…”

mentioning

confidence: 99%

Perceptions of Older Adults on the Use of an Interactive Video Game in Promoting Health and Well-Being

Cruz¹,

Kugel²,

Hewitt³

et al. 2018

The Open Journal of Occupational Therapy

View full text Add to dashboard Cite

show abstract

Effectiveness of exergaming in improving functional balance, fatigue and quality of life in Parkinson's disease: A pilot randomized controlled trial

Cited by 109 publications

References 30 publications

Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial

Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial

Feasibility, safety, acceptability, and functional outcomes of playing Nintendo Wii Fit Plus™ for frail elderly: study protocol for a feasibility trial

Perceptions of Older Adults on the Use of an Interactive Video Game in Promoting Health and Well-Being

Contact Info

Product

Resources

About