The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson's Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial

被引：39

作者：

Maranesi, Elvira ^{[1
]}

Casoni, Elisa ^{[2
]}

Baldoni, Renato ^{[2
]}

Barboni, Ilaria ^{[2
]}

Rinaldi, Nadia ^{[3
]}

Tramontana, Barbara ^{[3
]}

Amabili, Giulio ^{[1
]}

Benadduci, Marco ^{[1
]}

Barbarossa, Federico ^{[1
]}

Luzi, Riccardo ^{[4
]}

Di Donna, Valentina ^{[3
]}

Scendoni, Pietro ^{[3
]}

Pelliccioni, Giuseppe ^{[5
]}

Lattanzio, Fabrizia ^{[1
]}

Riccardi, Giovanni Renato ^{[2
]}

Bevilacqua, Roberta ^{[1
]}

机构：

[1] IRCCS INRCA, Sci Direct, I-60124 Ancona, Italy

[2] IRCCS INRCA, Clin Unit Phys Rehabil, I-60127 Ancona, Italy

[3] IRCCS INRCA, Clin Unit Phys Rehabil, I-63900 Fermo, Italy

[4] IRCCS INRCA, Med Direct, I-60127 Ancona, Italy

[5] IRCCS INRCA, Neurol Unit, I-60127 Ancona, Italy

来源：

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH | 2022年 / 19卷 / 22期

关键词：

older people; Parkinson's disease; balance; gait; technology-based intervention; non-immersive virtual reality exergame; virtual reality; exergame; risk of falling; randomized controlled trial; WII-FIT; BALANCE; MOTOR; PROGRESSION; VALIDATION; MOBILITY; SCALE; BRAIN;

D O I：

10.3390/ijerph192214818

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

(1) Background: Parkinson's disease (PD) is one of the most frequent causes of disability among older people. Recently, virtual reality and exergaming have been emerged as promising tools for gait and balance rehabilitation in PD patients. Our purpose is to evaluate an innovative treatment for older patients with PD, based on non-immersive virtual reality exergames, improving gait and balance and reducing falling risk. (2) Methods: Thirty PD patients were recruited and randomly divided into two groups, to receive a traditional rehabilitation (CG) or a technological rehabilitation (TG). (3) Results: A statistical improvement of balance at the end of treatments was observed in both groups (CG: 12.4 +/- 0.7 vs. 13.5 +/- 0.8, p = 0.017; TG: 13.8 +/- 0.5 vs. 14.7 +/- 0.4, p = 0.004), while the overall risk of falling was significantly reduced only in the TG (POMA Total: 24.6 +/- 0.9 vs. 25.9 +/- 0.7, p = 0.010). The results between groups shows that all POMA scores differ in a statistically significant manner in the TG, emphasizing improvement not only in balance but also in gait characteristics (9.7 +/- 0.8 vs. 11.4 +/- 0.2, p = 0.003). Moreover, TG also improves the psychological sphere, measured thorough MSC-(17.1 +/- 0.4 vs. 16.5 +/- 0.4, p = 0.034). Although an improvement in FES-I and Gait Speed can be observed, this increase does not turn out to be significant. (4) Conclusions: Results suggest how non-immersive virtual reality exergaming technology offers the opportunity to effectively train cognitive and physical domains at the same time.

引用

页数：11

共 47 条

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