Home-based virtual reality balance training and conventional balance training in Parkinson's disease: A randomized controlled trial

Yang, Wen-Chieh; Wang, Hsing‐Kuo; Wu, Ruey‐Meei; Lo, Chien-Shun; Lin, Kwan-Hwa

doi:10.1016/j.jfma.2015.07.012

Cited by 147 publications

(280 citation statements)

References 29 publications

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“…116 By contrast a home-based VR intervention for balance and mobility was no different than standard of care home physical therapy in changing the PDQ. 124 The frequency with which participation is used as an outcome in studies of people post-stroke was lower than that reported for people with PD or MS. This may in part be explained because of the progressive nature of MS and PD and the belief that participation may be altered but body structure/function may not.…”

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 88%

“…Another study suggested no difference when comparing home-based therapy to home based VR therapy. 124 In a study with dancing (with the K Pop Dance Festival from the Wii) added to the standard of care, participants had reduced symptoms of depression and improved balance. 125 The results of the largest multi-center clinical trial on walking with VR, VTIME, are pending.…”

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

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Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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Use of virtual reality (VR) and serious games (SGs) interventions within rehabilitation as motivating tools for task specific training for individuals with neurological conditions are fast-developing. Within this perspective paper we use the framework of the IV STEP conference to summarize the literature on VR and SG for children and adults by three topics: Prevention; Outcomes: Body-Function-Structure, Activity and Participation; and Plasticity. Overall the literature in this area offers support for use of VR and SGs to improve body functions and to some extent activity domain outcomes. Critical analysis of clients' goals and selective evaluation of VR and SGs are necessary to appropriately take advantage of these tools within intervention. Further research on prevention, participation, and plasticity is warranted. We offer suggestions for bridging the gap between research and practice integrating VR and SGs into physical therapist education and practice.

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Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 88%

Section: Outcomes Of Vr and Sg Interventionsmentioning

confidence: 99%

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Deutsch

McCoy

2017

Pediatric Physical Therapy

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“…While the 100% adherence and 0% dropout rates make a high exercise intensity feasible [8], therapists delivered exercise sessions in a designated hospital facility, conditions often unavailable to PD patients. However, patients could perform agility exercises or cycle on an ergometer at home with remote supervision, reducing costs and staff burdens [26,35]. In this randomized comparative effectiveness trial the assessors were blinded to the patients' group assignment; there could still be a bias in the assessments because there was no assessment of masking maintenance.…”

Section: Limitationsmentioning

confidence: 99%

Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial

2018

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Objectives: To directly compare the effects of agility exergaming (EXE) and stationary cycling (CYC) exercise training on Parkinson’s disease (PD) patients’ mobility and clinical symptoms. Design: Randomized clinical trial. Setting: Outpatient physiotherapy clinic in a hospital. Participants: Seventy-four stage 2–3, nondemented PD patients were included in this study. Intervention: The groups were as follows: EXE (n = 25), CYC (n = 25), and a wait-listed control group (CON; n = 24). The EXE and CYC groups exercised 5×/week for 5 weeks, matched at 80% of the age-predicted maximal heart rate. Main Outcomes: The primary outcome was the Movement Disorders Society Unified Parkinson’s Disease Rating Scale (UPDRS-II) score. Secondary outcomes were Parkinson’s Disease Quastionnaire-39 (PDQ-39), the Beck Depression Inventory (BDI), the Schwab and England Activities of Daily Living (SE-ADL) scale, Euro-Quality of Life-5 Dimensions (EQ-5D) questionnaire, the Berg Balance Scale (BBS), the Balance Evaluation Systems Test (BESTest), the Tinetti Assessment Tool (TAT), the Dynamic Gait Index, the 6-min walk test (6MWT), and standing posturography. Results: After treatment, UPDRS-II scores improved (mean change: EXE, –4.5 points; CYC, –3.2 points). The results for the other outcomes (EXE and CYC, respectively) were: PDQ, 13 and 17%; BDI, –2.5 and –2.1 points; 6MWT, 129.6 and 141.6 m; and EQ-5D, 12 and 9% (all p < 0.05, but there was no difference between groups). EXE vs. CYC resulted in improved SE-ADL (8.4 and 4.0 points, effect size [ES]: 0.12), BBS (8.8 and 4.2 points, ES: 0.44), and 2 measures of posturography (ES: 0.11 and 0.21) (p < 0.05). BESTtest, TAT, the Dynamic Gait Index, and 4 out of 6 posturography measures did not change (p > 0.05). Conclusion: Two highly different exercise programs resulted in similar improvement of most motor and clinical symptoms in PD patients.

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“…Los logros persistieron al menos un mes post-entrenamiento; sin embargo, no se encontraron diferencias significativas con el grupo de ejercicio convencional a excepción del sistema visual, el cual obtuvo mejores resultados, quizás asociados al flujo masivo óptico generado por el entorno virtual (36,37).…”

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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Home-based virtual reality balance training and conventional balance training in Parkinson's disease: A randomized controlled trial

Cited by 147 publications

References 29 publications

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Virtual Reality and Serious Games in Neurorehabilitation of Children and Adults: Prevention, Plasticity, and Participation

Vastly Different Exercise Programs Similarly Improve Parkinsonian Symptoms: A Randomized Clinical Trial

Entrenamiento motor en el continuo de la realidad a la virtualidad

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