Effect of virtual reality in Parkinson's disease: a prospective observational study

Severiano, Maria Izabel Rodrigues; Zeigelboim, Bianca Simone; Teive, Hélio Afonso Ghizoni; Santos, Geslaine Janaína Barbosa; Fonseca, Vinícius Ribas

doi:10.1590/0004-282x20170195

Cited by 38 publications

(27 citation statements)

References 22 publications

(17 reference statements)

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“…Balance has been shown to improve by VR training in a number of other studies [13,18,20,31]. VR training also improved unipedal stance test (p = 0.050) [20] and Balance Evaluation System Test score from 74.1 to 88.9 [32].…”

Section: Balance and Co-ordinationmentioning

confidence: 78%

“…VR training also improved unipedal stance test (p = 0.050) [20] and Balance Evaluation System Test score from 74.1 to 88.9 [32]. Severiano et al found improvement in the Dizziness Handicap Inventory (p = 0.022) after VR intervention [31]. Gandolfi et al investigated the effect of VR and Sensory Balance Integration Training on balance showing both methods led to significant (p = 0.040) improvement of Berg Balance Scale scores: VR group improved by 3.74 and Sensory Balance Integration Training group by 4.21 points.…”

Section: Balance and Co-ordinationmentioning

confidence: 92%

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The role of virtual reality on outcomes in rehabilitation of Parkinson’s disease: meta-analysis and systematic review in 1031 participants

et al. 2019

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Introduction Parkinson's disease (PD) is managed primarily by dopamine agonists and physiotherapy while virtual reality (VR) has emerged recently as a complementary method. The present study reviewed the effectiveness of VR in rehabilitation of patients with PD. Methods Literature search up to June 2019 identified ten studies (n = 343 participants) suitable for meta-analysis and 27 studies (n = 688 participants) for systematic review. Standard mean difference (SMD) and 95% confidence intervals (CI) were calculated using a random effects model. Results In meta-analysis, compared with active rehabilitation intervention, VR training led to greater improvement of stride length, SMD = 0.70 (95%CI = 0.32-1.08, p = 0.0003), and was as effective for gait speed, balance and coordination, cognitive function and mental health, quality of life and activities of daily living. Compared with passive rehabilitation intervention, VR had greater effects on balance: SMD = 1.02 (95%CI = 0.38-1.65, p = 0.002). Results from single randomised controlled trials showed that VR training was better than passive rehabilitation intervention for improving gait speed SMD = 1.43 (95%CI = 0.51-2.34, p = 0.002), stride length SMD = 1.27 (95%CI = 0.38-2.16, p = 0.005) and activities of daily living SMD = 0.96 (95%CI = 0.02-1.89). Systematic review showed that VR training significantly (p < 0.05) improved motor function, balance and coordination , cognitive function and mental health, and quality of life and activities of daily living. Conclusion VR used in rehabilitation for patients with PD improves a number of outcomes and may be considered for routine use in rehabilitation.

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Section: Balance and Co-ordinationmentioning

confidence: 78%

Section: Balance and Co-ordinationmentioning

confidence: 92%

The role of virtual reality on outcomes in rehabilitation of Parkinson’s disease: meta-analysis and systematic review in 1031 participants

et al. 2019

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“…Johnnatas Mikael Lopes 1 Reading the paper "Effect of virtual reality in Parkinson's disease: a prospective observational study" 1 published in volume 76, number 2, of this journal, it is important to emphasize that it is relevant to the physiotherapeutic practice. This publication has included innovation in physiotherapy prescription in recent years, not only in Parkinson's disease care but for other neurological 2 and musculoskeletal diseases 3 as well.…”

Section: Is Virtual Reality Really Effective In Parkinson's Disease?mentioning

confidence: 99%

Is virtual reality really effective in Parkinson's disease?

Lopes

2018

Arq. Neuro-Psiquiatr.

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“…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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Effect of virtual reality in Parkinson's disease: a prospective observational study

Abstract: The Tightrope Walk and Ski Slalom virtual games were shown to be the most effective for this population.

Cited by 38 publications

References 22 publications

The role of virtual reality on outcomes in rehabilitation of Parkinson’s disease: meta-analysis and systematic review in 1031 participants

The role of virtual reality on outcomes in rehabilitation of Parkinson’s disease: meta-analysis and systematic review in 1031 participants

Is virtual reality really effective in Parkinson's disease?

Parkinson’s Disease Rehabilitation: Effectiveness Approaches and New Perspectives

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