The combined effects of virtual reality with motor imagery techniques in patients with Parkinson’s disease

Kashif, Muhammad; Ahmad, Ashfaq; Bandpei, Muhammad Ali Mohseni; Gillani, Syed Amir

doi:10.47391/jpma.4856

Cited by 2 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, in current era, research has explored the advantages and disadvantages of both VR and therapies used on routine basis in the management of PD. [25] In addition, VR is being used along with other innovative technologies such as motor imagery as shown in a recent report by Kashif et al [26] The aim of this systematic review (SR) was therefore to identify the studies that show the effects of VR with or without routine PT on enhancing balance system, improving gait parameters and motor function among patients with PD and also to accomplish the critical assessment and evaluation of the quality of the included studies.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of the application of virtual reality to improve balance, gait and motor function in patients with Parkinson’s disease

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background: Virtual reality (VR) is an advanced technique used in physical rehabilitation of neurological disorders, however the effects of VR on balance, gait, and motor function in people with Parkinson's (PD) are still debated. Therefore, the systematic review aimed to determine the role of VR on motor function, balance and gait in PD patients.Methods: A comprehensive search to identify similar randomised controlled trials was conducted targeting 5 databases including Web of Science, PubMed, CINHAL, Cochrane Library, and Physiotherapy Evidence Database. A total of 25 studies were found eligible for this systematic review, and the methodological assessment of the quality rating of the studies was accomplished using the physiotherapy evidence database scale by 2 authors.Results: Out of the 25 included studies, 14 studies reported on balance as the primary outcome, 9 studies were conducted to assess motor function, and 12 assessed gait as the primary outcome. Most studies used the Unified Parkinson disease rating scale UPDRS (part-III) for evaluating motor function and the Berg Balance Scale as primary outcome measure for assessing balance. A total of 24 trials were conducted in clinical settings, and only 1 study was home-based VR trainings. Out of 9 studies on motor function, 6 reported equal improvement of motor function as compared to other groups. In addition, VR groups also revealed superior results in improving static balance among patient with PD.Conclusion: This systemic review found that the use of VR resulted in substantial improvements in balance, gait, and motor skills in patients with PD when compared to traditional physical therapy exercises or in combination with treatments other than physical therapy. Moreover, VR can be used as a supportive method for physical rehabilitation in patients of PD. However, the majority of published studies were of fair and good quality, suggesting a demand for high quality research in this area.

show abstract

Section: Introductionmentioning

confidence: 99%

Systematic review of the application of virtual reality to improve balance, gait and motor function in patients with Parkinson’s disease

et al. 2022

Self Cite

View full text Add to dashboard Cite

show abstract

“…The current study demonstrates that PD patients with VR and MI exhibit significant improvements in several motor components, such as tremors, posture, body bradykinesia, and postural stability. In the same vein, a recent case study found that VR combined with MI and PT improved balance, motor function, and ALDs in two patients with PD [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

“…Although no prior research has looked at the combined benefits of VR and MI treatment in individuals with PD except as a recently published case report [ 43 ], both approaches have been utilized separately to treat other neurological disorders. Patients with various neurological problems have improved in many trials, although the results in these people seem to be better across diverse training regimens [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial of Motor Imagery Combined with Virtual Reality Techniques in Patients with Parkinson’s Disease

Kashif

Ahmad

Bandpei

et al. 2022

JPM

Self Cite

View full text Add to dashboard Cite

Background: Parkinson’s disease is the second most common neurological disease, affecting balance, motor function, and activities of daily living. Virtual reality and motor imagery are two emerging approaches for the rehabilitation of patients with Parkinson’s disease. This study aimed to determine the combined effects of virtual reality and motor imagery techniques with routine physical therapy on the motor function components of individuals with Parkinson’s disease. Methods: The study was a prospective, two-arm, parallel-design randomized controlled trial. Forty-four patients with idiopathic Parkinson’s disease were randomly assigned to one of two groups. Virtual reality and motor imagery were given together with physical therapy in the experimental group (N: 20), while physical therapy treatment alone was given in the control group (N: 21). Both groups received allocated treatment for 12 weeks, 3 days a week, on alternate days. Motor function was assessed at baseline, six weeks, twelve weeks, and sixteen weeks after discontinuing treatment with the Unified Parkinson’s Disease Rating Scale part III. SPSS 24 was used to analyze the data. Results: Study results indicate that the experimental group showed significant improvements in the motor function components: tremor at rest at the 6th week (p = 0.028), 12th week (p = 0.05), and 16th week (p = 0.001), rigidity at the 6th week (p = 0.03), 12th week (p = 0.000), and 16th week (p = 0.001), posture at the 12th week (p = 0.005) and 16th week (p = 0.004), and gait at the 6th week with a p-value of (p = 0.034). Conclusions: This study demonstrated that virtual reality and motor imagery training in combination with routine physical therapy can significantly improve resting tremors, rigidity, posture, gait, and body bradykinesia in individuals with PD in comparison to patients receiving only routine physical therapy.

show abstract

The combined effects of virtual reality with motor imagery techniques in patients with Parkinson’s disease

Cited by 2 publications

References 12 publications

Systematic review of the application of virtual reality to improve balance, gait and motor function in patients with Parkinson’s disease

Systematic review of the application of virtual reality to improve balance, gait and motor function in patients with Parkinson’s disease

A Randomized Controlled Trial of Motor Imagery Combined with Virtual Reality Techniques in Patients with Parkinson’s Disease

Contact Info

Product

Resources

About