Effects on gait and balance of home-based active video game interventions in persons with multiple sclerosis: A systematic review

Dalmazane, Marion; Gallou-Guyot, Matthieu; Compagnat, Maxence; Magy, Laurent; Montcuquet, Alexis; Billot, Maxime; Daviet, Jean-Christophe; Perrochon, Anaïck

doi:10.1016/j.msard.2021.102928

Cited by 30 publications

(31 citation statements)

References 62 publications

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“…Therefore, efforts to implement home-based interventions are strongly needed. For instance, a recent systematic review shows the positive effects of home-based active video game interventions on gait and balance in persons with multiple sclerosis [ 45 ]. Despite this being easily predicted to affect physical health, it is noteworthy that lack or substantial reduction of physical activity and contact with the natural environment may have prevented MS patients and caregivers from receiving its beneficial effects on mood.…”

Section: Discussionmentioning

confidence: 99%

Secondary Impacts of COVID-19 Pandemic in Fatigue, Self-Compassion, Physical and Mental Health of People with Multiple Sclerosis and Caregivers: The Teruel Study

Martín-González

Maurel

2021

Brain Sciences

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The secondary impacts of the COVID-19 pandemic are distress triggers and risk factors for mental health. Conversely, self-compassion skills and compassionate thoughts/behaviors towards suffering may contribute to their alleviation. Both psychological constructs are interrelated in life-threatening diseases such as multiple sclerosis (MS). The Teruel Study retrospectively evaluated the impact of strict confinement on the 44 people with MS of this Spanish province and 24 caregivers, specifically assessing (1) fears and perceptions; (2) self-compassion (people with MS) and compassion (caregivers); (3) physical and mental health, and fatigue. Despite better housing conditions, people with MS considered confinement very difficult to handle, more than their caregivers, but they were less afraid of COVID-19 and worsening of MS. Still, they recognized worse health than before confinement. Reclusion and lack of walks were the worst of confinement. Caregivers also referred to lack of leisure and uncertainty–fear. All agreed the best was staying with the family, but some found ‘nothing’ positive. Self-compassion remained moderate–high and strongly correlated with their moderate levels of social function, vitality, physical role, and global health. Physical and cognitive fatigue scores were high, and self-compassion negatively correlated with them, explaining a 19% variance in global health. The high compassion of the caregivers did not correlate with any variable.

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Section: Discussionmentioning

confidence: 99%

Secondary Impacts of COVID-19 Pandemic in Fatigue, Self-Compassion, Physical and Mental Health of People with Multiple Sclerosis and Caregivers: The Teruel Study

Martín-González

Maurel

2021

Brain Sciences

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“…Therefore, when social distance and confinement are required, home-based programs focusing on balance and motor skills exercises aimed at improving postural control and manual dexterity and reducing the rate of falls are commonly used in older adults. Other valuable and enjoyable forms of PA during quarantine are represented by exergames [ 73 ], which are able to encourage regular PA levels, decrease social isolation and improve postural control in older adults [ 74 , 75 ]. In addition, exergames have been shown to be a way to maintain physical therapy at home as part of the rehabilitation in improving static and dynamic balance in individuals with multiple sclerosis.…”

Section: Home-based Programs During Covid-19mentioning

confidence: 99%

Home-Based Physical Activity as a Healthy Aging Booster before and during COVID-19 Outbreak

Maio

Bratta

Iannaccone

et al. 2022

IJERPH

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The role of physical activity in improving overall aspects of health regardless of age is well documented. Due to the coronavirus disease 2019 outbreak, preventive measures to limit airborne infection have been introduced, with people, especially older adults, advised to stay at home, thus increasing sedentary lifestyle and the risk of chronic diseases. As one of the few possible ways to stay active is home-based training, this review aims to provide evidence on alternative and feasible home-based activity programs as a tool to improve the fitness level in older adults, especially when preventive measures are needed to ensure isolation and limit interpersonal contacts. During quarantine, older adults, especially those with chronic diseases, are recommended to regularly exercise. Combined balance and muscle-strengthening training has proven to be particularly useful in limiting falls and mobility limitations. In addition, the use of virtual reality systems seems to be a potential strategy in remaining physically active, reducing physical inactivity time and significantly increasing the compliance of the older adults with physical activity programs. In conclusion, home-based programs induce improvements in physical functions in general and quality of life in older people with or without co-morbidities, and it can be considered in the future as one of the feasible and economic ways to increase physical well-being. This may be of unique importance in the setting of coronavirus disease 2019 enforced limitations in out-of-home activity.

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“…This trial may highlight the role of gaming in the rehabilitation of PwMS, enforcing the utilisation of new technologies in daily clinical practice among subjects with mild-to-moderate disability. 53 Our expectation from the proposed research is to observe a more significant effect on mobility, balance and dual-tasking through virtual reality training compared with a conventional approach. A meta-analysis by Casuso-Holgado et al found that active video game training could be considered as effective as conventional training in improving balance and gait abilities in PwMS, but treatment modalities' variability among the included studies may give rise to various interpretations.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Increased participation and motivation were already being observed in PwMS treated with gamified training. 53 56 Traditional rehabilitation approaches is often repetitive and boring, decreasing patient’s interest and exercise participation. However, patients’ satisfaction represents one of the key features for treatment adherence and rehabilitation success, particularly in PwMS.…”

Section: Discussionmentioning

confidence: 99%

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Video game therapy on mobility and dual tasking in multiple sclerosis: study protocol for a randomised controlled trial

et al. 2021

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IntroductionMultiple sclerosis (MS) is one of the major causes of disability in young adults and affects mobility, compromising daily living activities and participation in social life. Cognitive domain is also frequently impaired in people with MS (PwMS), particularly the capacity to perform dual-task activities. Impaired cognitive processing abilities need to be treated, and motor and cognitive aspects need to be considered together. Recently, video game therapy (VGT) has been used in rehabilitation to improve motor outcomes and cognitive processing speed. The aim of this study is to test the efficacy of commercially available VGT on mobility and dual tasking in PwMS compared with standardised balance platform training (BPT).Methods and analysisThis will be a parallel-assignment, double-blinded, randomised control trial. Forty-eight (24 per arm) PwMS with Expanded Disability Status Scale 4–5.5 will be randomly assigned to receive 1 hour training session over 4 weeks (three sessions/week) of either: (1) VGT on commercial video game console to train balance and mobility-related activities or (2) BPT to perform balance, postural stability and weight-shifting exercises with and without visual feedback. The same assessor will evaluate outcome measures at points: before and after the 12 training sessions and at 3 months of follow-up. The primary outcome will be functional mobility, assessed by the Timed Up and Go test. We will also evaluate gait, risk of fall, fatigue and health-related quality of life as well as cognitive and psychological aspects (depression, anxiety and attentional performance) and stability through posturographic evaluation. Dual-tasking assessment will be performed combining posturographic and neuropsychological tests. Data analysis will be performed to compare the efficacy of the two treatments.Ethics and disseminationEthical approval have been granted from the local Ethics Committee. Study results will be communicated through high-quality journals and national and international conferences.Trial registration numberNCT03353974

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Effects on gait and balance of home-based active video game interventions in persons with multiple sclerosis: A systematic review

Cited by 30 publications

References 62 publications

Secondary Impacts of COVID-19 Pandemic in Fatigue, Self-Compassion, Physical and Mental Health of People with Multiple Sclerosis and Caregivers: The Teruel Study

Secondary Impacts of COVID-19 Pandemic in Fatigue, Self-Compassion, Physical and Mental Health of People with Multiple Sclerosis and Caregivers: The Teruel Study

Home-Based Physical Activity as a Healthy Aging Booster before and during COVID-19 Outbreak

Video game therapy on mobility and dual tasking in multiple sclerosis: study protocol for a randomised controlled trial

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