Effects of Virtual Reality–Augmented Balance Training on Sensory Organization and Attentional Demand for Postural Control in People With Parkinson Disease: A Randomized Controlled Trial

Yen, Chang-Yi; Lin, Kwan-Hwa; Hu, Ming-Hsia; Wu, Ruey‐Meei; Lu, Tung‐Wu; Lin, Chia-Hwa

doi:10.2522/ptj.20100050

Cited by 168 publications

(184 citation statements)

References 38 publications

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“…Studies suggest that the dysfunctioning of the pedunculopontine nucleus, leads to the loss of anticipatory and compensatory postural responses automation, and disrupts sensory-motor integration (visual, proprioceptive and vestibular information processing and motor response selection) 3,7,8,9 . Postural control deficits enhance trunk and knees flexion and increase the need for attentional control over posture 4 . Postural instability is a major cause of disability in these patients, exposing them to increased fall risk, insecurity and restrictions on movement and daily life activities 10 .…”

mentioning

confidence: 99%

“…It is typically characterized by tremors, muscle rigidity, bradykinesia, diskinesia and loss of adaptive responses as muscle strength and aerobic capacity 1,2 . One of the most important disabilities that appear on the course of the disease is the postural instability, which is also one of the main challenges in PD rehabilitation 3,4 . Recent studies have shown that non-motor disorders are also present in these patients 1,5 , e.g.…”

mentioning

confidence: 99%

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The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease

Barbosa

Souza

Chen

et al. 2015

Arq. Neuro-Psiquiatr.

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Objectives: To estimate the impact of a sensory-motor-cognitive task on postural balance, in Parkinson disease patients (Hoehn and Yahr 2-3) and to investigate possible relationships between posturography and functional balance clinical scales. Method: Parkinson disease patients (n = 40) and healthy controls (n = 27) were evaluated with fluency tests, Berg Balance scale, Mini Best test and static posturography on the conditions eyes open, eyes closed and dual-task (simultaneous balance and fluency tasks). Results: Posturographic data showed that Parkinson disease patients performed worse than controls in all evaluations. In general, balance on dual-task was significantly poorer than balance with eyes closed. Posturographic data were weakly correlated to clinical balance scales. Conclusion: In clinical practice, Parkinson disease patients are commonly assessed with eyes closed, to sensitize balance. Our study showed that adding a cognitive task is even more effective. Static posturographic data should be carefully overgeneralized to infer functional balance impairments.

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confidence: 99%

mentioning

confidence: 99%

The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease

Barbosa

Souza

Chen

et al. 2015

Arq. Neuro-Psiquiatr.

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“…These findings possibly indicated that the individual's interaction with the games improves the performance of the exercises. It has also been suggested that dual-task exercises, either associated with VR, or not, have greater effect on motor behavior 24 , which could help with pain reduction in these individuals, and improve functionality.…”

Section: Discussionmentioning

confidence: 99%

Exercises With and Without Virtual Reality on Pain in Patients With Parkinson Disease: A Randomized, Controlled, Single-Blind Trial

d'Alencar¹,

Ribeiro²,

Cruz³

et al. 2017

BJMHH

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Introduction: Pain in individuals with Parkinson's Disease (PD) may result from factors such as progressive changes of the disease, originating from the Central Nervous System (CNS), until coming from classic symptoms such as stiffness, dyskinesia and dystonia, having possible correlations with important functional markers such as balance and gait. There is no consensus with regard to the treatment of pain in this condition, and exercises associated with virtual reality (VR) may be an effective intervention. Objective: To evaluate the influence of an exercise program associated with virtual reality (VR) on pain intensity, correlating changes in this symptom with the functional performance of elders with Parkinson Disease (PD). Design: randomized comparative clinical trial. Setting: clinical facility from a school of physiotherapy in Brazil. Participants: 29 elders with PD. Interventions: exercises with VR and exercises without VR. Main Outcome Measures: pain, balance and gait, evaluated before and after 10 sessions, by Visual Analog Scale (VAS), Berg Balance Scale and 10 Meter Walk Test. Results: Reduction in pain intensity in the VR Group, and groups improved their balance and gait performance. Significant correlation was between the improvement in pain intensity and reduction in gait timing in the non VR Group (r = 0.713; p < 0.005). Conclusion: VR in elders with PD may be a tool for reducing pain intensity, and independently of the type, physical exercises had positive impact on their functional performance.

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“…Lo anterior se realizó por medio de un estudio de posturografía computarizada, dentro del cual los pacientes debían realizar una o dos tareas relacionadas con el equilibrio, las relaciones sensoriales y la reacción verbal, factores medidos con test de integración sensorial (43).…”

Section: Experiencias Terapéuticas En Enfermedad De Parkinsonunclassified

Entrenamiento motor en el continuo de la realidad a la virtualidad

Narvaez¹,

Sánchez-Romero²,

Pérez-Viatela³

et al. 2018

Rev. Fac. Med.

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Introducción. La trasformación de la capacidad de movimiento de las personas es un reto que el fisioterapeuta asume como estrategia de aprendizaje motor.Objetivo. Plantear los referentes teóricos y prácticos más relevantes en el uso de ambientes terapéuticos en el continuo de la realidad a la virtualidad en el entrenamiento motor de pacientes con accidente cerebrovascular y enfermedad de Parkinson. Materiales y métodos. Revisión de la literatura que analiza y aporta de manera conceptual, en el área de la rehabilitación y la fisioterapia, información sobre entrenamiento y aprendizaje motor.Resultados. Se evidencia potencial en el uso de la realidad virtual para la rehabilitación de alteraciones del movimiento debidas a disfunciones neurológicas. Las herramientas tecnológicas propias de la realidad virtual permiten un mayor conocimiento de los resultados con respecto a las características del movimiento, lo cual ayuda a mejorar el aprendizaje motor, en comparación con el entrenamiento tradicional.Conclusiones. Se requiere objetivar el proceso de rehabilitación para medir con precisión los cambios que producen estrategias de aprendizaje en las capacidades de movimiento de las personas con deficiencias del sistema neuromuscular para generar evidencia del impacto que tienen los programas de entrenamiento motor en el continuo de la realidad a la virtualidad.

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Effects of Virtual Reality–Augmented Balance Training on Sensory Organization and Attentional Demand for Postural Control in People With Parkinson Disease: A Randomized Controlled Trial

Abstract: Both VR and CB training improved sensory integration for postural control in people with PD, especially when they were deprived of sensory redundancy. However, the attentional demand for postural control was not changed after either VR or CB training.

Cited by 168 publications

References 38 publications

The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease

The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease

Exercises With and Without Virtual Reality on Pain in Patients With Parkinson Disease: A Randomized, Controlled, Single-Blind Trial

Entrenamiento motor en el continuo de la realidad a la virtualidad

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