Effect of Nintendo Wii™-based motor and cognitive training on activities of daily living in patients with Parkinson's disease: A randomised clinical trial

被引：229

作者：

Pompeu, Jose Eduardo ^{[1
]}

dos Santos Mendes, Felipe Augusto ^{[1
]}

da Silva, Keyte Guedes ^{[1
]}

Lobo, Alexandra Modenesi ^{[1
]}

Oliveira, Tatiana de Paula ^{[1
]}

Zomignani, Andrea Peterson ^{[1
]}

Pimentel Piemonte, Maria Elisa ^{[1
]}

机构：

[1] Univ Sao Paulo, BR-05360000 Sao Paulo, Brazil

来源：

PHYSIOTHERAPY | 2012年 / 98卷 / 03期

关键词：

Parkinson's disease; Virtual reality; Balance; Executive function; Motor learning; Wii Fit; UPDRS-II; VIRTUAL-REALITY; OLDER-ADULTS; POSTURAL INSTABILITY; BRAZILIAN VERSION; PHYSICAL-THERAPY; FALL RISK; BALANCE; PERFORMANCE; EXERCISE; TASK;

D O I：

10.1016/j.physio.2012.06.004

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

Objectives To investigate the effect of Nintendo Wii (TM)-based motor cognitive training versus balance exercise therapy on activities of daily living in patients with Parkinson's disease. Design Parallel, prospective, single-blind, randomised clinical trial. Setting Brazilian Parkinson Association. Participants Thirty-two patients with Parkinson's disease (Hoehn and Yahr stages 1 and 2). Interventions Fourteen training sessions consisting of 30 minutes of stretching, strengthening and axial mobility exercises, plus 30 minutes of balance training. The control group performed balance exercises without feedback or cognitive stimulation, and the experimental group performed 10 Wii Fit (TM) games. Main outcome measure Section II of the Unified Parkinson's Disease Rating Scale (UPDRS-II). Randomisation Participants were randomised into a control group (n = 16) and an experimental group (n = 16) through blinded drawing of names. Statistical analysis Repeated-measures analysis of variance (RM-ANOVA). Results Both groups showed improvement in the UPDRS-II with assessment effect (RM-ANOVA P < 0.001, observed power = 0.999). There was no difference between the control group and the experimental group before training {8.9 [standard deviation (SD) 2.9] vs 10.1 (SD 3.8)}, after training [7.6 (SD 2.9) vs 8.1 (SD 3.5)] or 60 days after training [8.1 (SD 3.2) vs 8.3 (SD 3.6)]. The mean difference of the whole group between before training and after training was -0.9 (SD 2.3, 95% confidence interval -1.7 to -0.6). Conclusion Patients with Parkinson's disease showed improved performance in activities of daily living after 14 sessions of balance training, with no additional advantages associated with the Wii-based motor and cognitive training. Registered on http://www.clinicaltrials.gov (identifier: NCT01580787). (C) 2012 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.

引用

页码：196 / 204

页数：9

共 40 条

[1] Impaired attention predicts falling in Parkinson's disease [J].