Cognitive and motor effects of Kinect‐based games training in people with and without Parkinson disease: A preliminary study

Abstract

ObjectivePurpose of this study is to evaluate the effects of training with six commercial Xbox KinectTM games on cognitive and motor aspects in Parkinson's disease (PD) patients and to compare the effects with a group of paired healthy subjects.MethodsThis study was a quasi‐experimental, controlled trial. Eight individuals with PD (mean age 68.9 ± 7.9) and eight older adults without PD, matched by age (mean age 67.6 ± 7.3) were enrolled in the study. Ten sessions of six Xbox 360 KinectTM commercial games were performed for 5 weeks. Subjects were evaluated before and 7 and 30 days after intervention. They were assessed using Montreal Cognitive Assessment, Frontal Assessment Battery (FAB), Timed Up and Go test, Ten Meters Walking test, and Balance Berg Scale. The Freezing of Gait Questionnaire, the Movement Disorder Society Unified Parkinson Disease Rating Scale, and the Parkinson's disease Questionnaire were also applied to PD group.ResultsSignificant improvement was found for cognitive aspects measured by Montreal Cognitive Assessment and FAB in both groups but without retention on FAB in PD group. No significant improvements were found for motor aspects in none group.ConclusionMotor–cognitive training using Xbox KinectTM games is a feasible resource to improve executive functions in PD patients and in older healthy people.

A Health-improving and educational effect of gamified physical activities (Efecto educativo y de mejora de la salud de la actividad física del juego)

“…The time children devote to physical activity and physical games can also be an important factor in physical development (de Melo Cerqueira et al, 2020). Many children do not have enough time to develop motor skills because their days are filled with computer games, television, homework, and school.…”

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

“…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, to stimulate the patient with motor exercises while performing concurrent cognitive tasks, has been also investigated [26][27][28]. In general, exergames are designed to promote movement in virtual game environments, with the aim of exploiting the motivational, rewarding, and fun aspects of videogames, but adapting them to the patient's current needs and condition, with significant benefits when combined with traditional rehabilitation strategies [29] or cognitive training [30].…”

“…Optical approaches have also been widely used in motor rehabilitation for specific pathologies [61,62], including PD [15,63], due to their portability, versatility, high usability, and easy integration into virtual environments. Examples of rehabilitation using optical approaches include upper and lower limbs [64,65], balance disorders [66], cognitive and motor dysfunctions [67], and walking [63]. However, to our knowledge, there are no technological solutions for PD that uses optical approaches to simultaneously address quantitative assessment of motor status and its rehabilitation/training, especially suitable for home settings.…”

Efeitos do treinamento físico e de dupla tarefa na ptophobia e no equilíbrio de idosos

“…In addition to training to improve physical capacity, 6 cognitive activities to refine movements also contribute to improving balance. 7 The dual task is one of those associations that simultaneously perform a primary task with other secondary tasks. Primary tasks are generally motor, while secondary tasks can be motor, cognitive or motor-cognitive, being associated with an executive function at the cortical level.…”