Virtual reality for rehabilitation in Parkinson's disease

Dockx, Kim; Bekkers, Esther; Bergh, Veerle Van den; Ginis, Pieter; Rochester, Lynn; Hausdorff, Jeffrey M.; Mirelman, Anat; Nieuwboer, Alice

doi:10.1002/14651858.cd010760.pub2

Cited by 220 publications

(215 citation statements)

References 82 publications

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“…Many studies have been performed using virtual reality (VR) which provides visual stimuli that can help in motor and cognitive training [60,62,[71][72][73][74][75][76]. These studies have used augmented visual/auditory-or somatosensory-based feedback for training, but a meta-analysis [77] indicated that there is only limited evidence of improvements in gait and balance due to the use of VR compared to an active intervention without the VR component. Importantly, most of these VR systems require a very sophisticated and expensive setup and may not be suitable for use at home.…”

Section: Cueing For Rehabilitation In Pdmentioning

confidence: 99%

“…Only two of the long-term training studies used a wearable sensor-based, closed-loop system [86,95]. Some closed-loop training studies used augmented reality devices and game-based motion therapy for combinational cueing [72,75,77,84,96,97]. Results from these studies suggested that the closed-loop sensory feedback with or without long-term training was an effective non-pharmacologic intervention for gait and balance improvement in PD.…”

Section: Benefits Of Closed-loop Cueing On Gait In Pdmentioning

confidence: 99%

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Cueing Paradigms to Improve Gait and Posture in Parkinson’s Disease: A Narrative Review

Muthukrishnan

Abbas

Shill

et al. 2019

Sensors

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Progressive gait dysfunction is one of the primary motor symptoms in people with Parkinson's disease (PD). It is generally expressed as reduced step length and gait speed and as increased variability in step time and step length. People with PD also exhibit stooped posture which disrupts gait and impedes social interaction. The gait and posture impairments are usually resistant to the pharmacological treatment, worsen as the disease progresses, increase the likelihood of falls, and result in higher rates of hospitalization and mortality. These impairments may be caused by perceptual deficiencies (poor spatial awareness and loss of temporal rhythmicity) due to the disruptions in processing intrinsic information related to movement initiation and execution which can result in misperceptions of the actual effort required to perform a desired movement and maintain a stable posture. Consequently, people with PD often depend on external cues during execution of motor tasks. Numerous studies involving open-loop cues have shown improvements in gait and freezing of gait (FoG) in people with PD. However, the benefits of cueing may be limited, since cues are provided in a consistent/rhythmic manner irrespective of how well a person follows them. This limitation can be addressed by providing feedback in real-time to the user about performance (closed-loop cueing) which may help to improve movement patterns. Some studies that used closed-loop cueing observed improvements in gait and posture in PD, but the treadmill-based setup in a laboratory would not be accessible outside of a research setting, and the skills learned may not readily and completely transfer to overground locomotion in the community. Technologies suitable for cueing outside of laboratory environments could facilitate movement practice during daily activities at home or in the community and could strongly reinforce movement patterns and improve clinical outcomes. This narrative review presents an overview of cueing paradigms that have been utilized to improve gait and posture in people with PD and recommends development of closed-loop wearable systems that can be used at home or in the community to improve gait and posture in PD.

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Section: Cueing For Rehabilitation In Pdmentioning

confidence: 99%

Section: Benefits Of Closed-loop Cueing On Gait In Pdmentioning

confidence: 99%

Cueing Paradigms to Improve Gait and Posture in Parkinson’s Disease: A Narrative Review

Muthukrishnan

Abbas

Shill

et al. 2019

Sensors

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“…9 It offers augmented feedback about performance with visual, vestibular, and somatosensory input, enables individualized repetitive practice of balance control, and stimulates both motor and cognitive processes simultaneously. 10 These characteristics can make virtual reality technology an ideal tool to improve balance. 11 However, a meta-analysis investigated the effective of virtual reality in balance in adults with impaired balance and found no significant difference between virtual reality intervention and conventional therapy in Berg Balance Scale and Timed Up and Go Test.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality for improving balance in patients after stroke: A systematic review and meta-analysis

et al. 2015

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“…Virtual reality potentially optimizes motor learning in a safe environment, and by replicating real-life scenarios, it could help to improve functional activities of daily living in individuals with Parkinson's disease. However, the use of commercially available devices makes this tool contiguous to many other physical therapy instruments, leading to low evidence in the results [72]. Despite this, several studies have reported greater improvement in many signs and symptoms such as balance, gait, functional capacity, and self-confidence, improving quality of life and reducing the risk of falling [73][74][75].…”

Section: Virtual Reality and Exergames: Integrative Techniquesmentioning

confidence: 99%

Parkinson’s Disease Rehabilitation: Effectiveness Approaches and New Perspectives

Vasconcelos¹

2020

Physical Therapy Effectiveness

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Parkinson's disease has been considered one of the most important and common neurodegenerative diseases in the world. Its motor and nonmotor signs determine a huge functional loss, leading the individuals to lose their independence. Although the treatment requires a pharmacological approach, physical therapy has confirmed its importance in this process. Today, neurorehabilitation is indispensable to increase many of the cardinal signs of the disease. Using traditional or technological approaches, physical therapy has reached good results in improving motor and nonmotor functions, as well as the quality of life of Parkinsonians. However, it is important to develop and to fortify the physical therapy approach so that we can provide stronger evidence about our practice.

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Virtual reality for rehabilitation in Parkinson's disease

Cited by 220 publications

References 82 publications

Cueing Paradigms to Improve Gait and Posture in Parkinson’s Disease: A Narrative Review

Cueing Paradigms to Improve Gait and Posture in Parkinson’s Disease: A Narrative Review

Virtual reality for improving balance in patients after stroke: A systematic review and meta-analysis

Parkinson’s Disease Rehabilitation: Effectiveness Approaches and New Perspectives

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