Is virtual reality beneficial for dual-task gait training in patients with Parkinson's disease? A systematic review

Freitag, Fernanda; Brucki, Sônia Maria Dozzi; Barbosa, Alessandra Ferreira; Chen, Janini; Souza, Carolina de; Valente, Debora; Chien, Hsin Fen; Bedeschi, Cynthia; Voos, Mariana Callil

doi:10.1590/1980-57642018dn13-030002

Cited by 17 publications

(17 citation statements)

References 45 publications

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“…For people living with PD, VR has mainly been used for gait and balance training [ 12 , 13 ]. According to the recent systematic literature review [ 14 ] which examined eight trials with Virtual Reality therapy involving a total of 263 participants with PD, benefits of VR therapy include increased step and stride length and improvement in gait and balance.…”

Section: Related Workmentioning

confidence: 99%

An Immersive Virtual Reality Exergame for People with Parkinson’s Disease

Chen

Bang

Krivonos

et al. 2020

Lecture Notes in Computer Science

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Parkinson’s disease is a neurodegenerative disorder that affects primarily motor system. Physical exercise is considered important for people with Parkinson’s disease (PD) to slow down disease progression and maintain abilities and quality of life. However, people with PD often experience barriers to exercises that causes low-level adherence to exercise plans and programs. Virtual Reality (VR) is an innovative and promising technology for motor and cognitive rehabilitation. Immersive VR exergames have potential advantages by allowing for individualized skill practice in a motivating interactive environment without distractions from outside events. This paper presents an immersive virtual reality (VR) exergame aiming at motor training on fingers and hand-and-eye coordination. The results from the usability study indicate that immersive VR exergames have potential to provide motivating and engaging physical exercise for people with PD. Through this research, we hope to contribute to evidence-based design principles for task-specific immersive VR exergames for patients with Parkinson’s Disease.

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Section: Related Workmentioning

confidence: 99%

An Immersive Virtual Reality Exergame for People with Parkinson’s Disease

Chen

Bang

Krivonos

et al. 2020

Lecture Notes in Computer Science

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“…To overcome this issue, virtual reality (VR) represents an interesting alternative in order to expose individuals with disabilities to different scenarios simulating community walking [30]. The acceptability and feasibility of using VR-based assessment and training have been previously demonstrated in diverse populations with physical limitations [30][31][32]. In regard to dual-task assessment, this technology may enable the development of standard DT assessment protocols in meaningful simulated environments [30].…”

mentioning

confidence: 99%

Virtual reality‐based assessment of cognitive‐locomotor interference in healthy young adults

Deblock-Bellamy

Lamontagne

McFadyen

et al. 2021

J NeuroEngineering Rehabil

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Background A recent literature review emphasized the importance of assessing dual-task (DT) abilities with tasks that are representative of community ambulation. Assessing DT ability in real-life activities using standardized protocols remains difficult. Virtual reality (VR) may represent an interesting alternative enabling the exposure to different scenarios simulating community walking. To better understand dual-task abilities in everyday life activities, the aims of this study were (1) to assess locomotor and cognitive dual-task cost (DTC) during representative daily living activities, using VR, in healthy adults; and 2) to explore the influence of the nature and complexity of locomotor and cognitive tasks on DTC. Methods Fifteen healthy young adults (24.9 ± 2.7 years old, 8 women) were recruited to walk in a virtual 100 m shopping mall corridor, while remembering a 5-item list (DT condition), using an omnidirectional platform and a VR headset. Two levels of difficulty were proposed for the locomotor task (with vs. without virtual agent avoidance) and for the cognitive task (with vs. without items modification). These tasks were also performed in single task (ST) condition. Locomotor and cognitive DTC were measured by comparing performances in ST and DT conditions. Locomotor performance was characterized using walking speed, walking fluidity, and minimal distance between the participant and the virtual agent during avoidance. Cognitive performance was assessed with the number of items correctly recalled. Presence of DTC were determined with one-sample Wilcoxon signed-rank tests. To explore the influence of the tasks’ complexity and nature on DTC, a nonparametric two-way repeated measure ANOVA was performed. Results No locomotor interference was measured for any of the outcomes. A cognitive DTC of 6.67% was measured (p = .017) while participants performed simultaneously both complex locomotor and cognitive tasks. A significant interaction between locomotor task complexity and cognitive task nature (p = .002) was identified on cognitive DTC. Conclusions In challenging locomotor and cognitive conditions, healthy young adults present DTC in cognitive accuracy, which was influenced by the locomotor task complexity task and the cognitive task nature. A similar VR-based protocol might be used to investigate DT abilities in older adults and individuals with a stroke.

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“…Dual task training (DT) did not improve motor symptoms, balance, gait and QoL. Although this last finding might seem conflicting with proven benefits of DT 55 , 58 , 59 , DTT should be implemented in PD rehabilitation, because of the motor learning principle 60 . Patients improve mobility and cognitive function when both motor and cognitive activities are integrated during DT training 55 .…”

Section: Parkinson Disease Rehabilitationmentioning

confidence: 98%

How I treat Parkinson's disease

Barbosa

Limongi

Chien

et al. 2022

Arq. Neuro-Psiquiatr.

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Background: Parkinson’s disease (PD) is a complex neurodegenerative condition. Treatment strategies through all stages of disease progression could affect quality of life and influence the development of future complications, making it crucial for the clinician to be on top of the literature. Objective: This paper reviews the current treatment of PD, from early to advanced stages. Methods: A literature review was conducted focusing on the treatment of PD, in the different stages of progression. Results: Every individual with a new diagnosis of PD should be encouraged to start exercising regularly. In the early stage, treatment should focus on using the lowest dose of levodopa or combination therapy that provides maximum functional capacity, and does not increase the risk of complications, such as peak dose dyskinesias and impulse control disorders. At the moderate and advanced stages, motor fluctuations and complications of treatment dominate the picture, making quality of life one important issue. Rehabilitation programs can improve motor symptoms and should be offered to all patients at any stage of disease progression. Conclusion: Many factors need to be considered when deciding on the best treatment strategy for PD, such as disease progression, presence of risk factors for motor and behavioral complications, potential side effects from dopaminergic therapy and phenotypical variabilities. Treatment should focus on functional capacity and quality of life throughout the whole disease course.

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Is virtual reality beneficial for dual-task gait training in patients with Parkinson's disease? A systematic review

Cited by 17 publications

References 45 publications

An Immersive Virtual Reality Exergame for People with Parkinson’s Disease

An Immersive Virtual Reality Exergame for People with Parkinson’s Disease

Virtual reality‐based assessment of cognitive‐locomotor interference in healthy young adults

How I treat Parkinson's disease

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