Virtual Reality Telerehabilitation for Postural Instability in Parkinson's Disease: A Multicenter, Single-Blind, Randomized, Controlled Trial

被引：189

作者：

Gandolfi, Marialuisa ^{[1
,2
]}

Geroin, Christian ^{[1
]}

Dimitrova, Eleonora ^{[1
]}

Boldrini, Paolo ^{[3
,4
]}

Waldner, Andreas ^{[5
,6
]}

Bonadiman, Silvia ^{[7
]}

Picelli, Alessandro ^{[1
,2
]}

Regazzo, Sara ^{[8
]}

Stirbu, Elena ^{[8
]}

Primon, Daniela ^{[9
]}

Bosello, Christian ^{[9
]}

Gravina, Aristide Roberto ^{[9
]}

Peron, Luca ^{[9
]}

Trevisan, Monica ^{[9
]}

Garcia, Alberto Carreno ^{[9
]}

Menel, Alessia ^{[10
]}

Bloccari, Laura ^{[10
]}

Vale, Nicola ^{[1
]}

Saltuari, Leopold ^{[6
,11
]}

Tinazzi, Michele ^{[12
]}

Smania, Nicola ^{[1
,2
]}

机构：

[1] Univ Verona, Neuromotor & Cognit Rehabil Res Ctr CRRNC, Dept Neurosci Biomed & Movement Sci, Ple LA Scuro 10, I-37134 Verona, Italy

[2] Azienda Osped Univ Integrata, Neurorehabil Unit, Ple Scuro 10, I-37134 Verona, Italy

[3] ULSS2 Marca Trevigiana, Dept Rehabil Med, Treviso, Italy

[4] Rehabil Hosp Motta Livenza, Motta Di Livenza, Italy

[5] Private Clin Villa Melitta, Neurol Rehabil, I-39100 Bolzano, Italy

[6] Res Dept Neurorehabil South Tyrol, I-39100 Bolzano, Italy

[7] Univ Verona, Sch Specializat Phys Med & Rehabil, Verona, Italy

[8] Azienda ULSS N 9, Treviso, Italy

[9] Azienda ULSS N 15, Rehabil Unit, Alta Padovana, Cittadella, Italy

[10] Azienda ULSS N 1, Belluno, Italy

[11] Hochzirl Hosp, Dept Neurol, Zirl, Austria

[12] Univ Verona, Dept Neurosci Biomed & Movement Sci, Movement Disorders Div, Neurol Unit, Verona, Italy

来源：

BIOMED RESEARCH INTERNATIONAL | 2017年 / 2017卷

关键词：

BALANCE BOARD; INTEGRATED APPROACH; MULTIPLE-SCLEROSIS; PISA SYNDROME; WII FIT; REHABILITATION; MOTOR; GAIT; RESPONSIVENESS; PERFORMANCE;

D O I：

10.1155/2017/7962826

中图分类号：

Q81 [生物工程学（生物技术）]; Q93 [微生物学];

学科分类号：

071005 ; 0836 ; 090102 ; 100705 ;

摘要：

Introduction. Telerehabilitation enables patients to access remote rehabilitation services for patient-physiotherapist videoconferencing in their own homes. Home-based virtual reality (VR) balance training has been shown to reduce postural instability in patients with Parkinson's disease (PD). The primary aim was to compare improvements in postural stability after remotely supervised in-home VR balance training and in-clinic sensory integration balance training (SIBT). Methods. In this multicenter study, 76 PD patients (modified Hoehn and Yahr stages 2.5-3) were randomly assigned to receive either in-home VR telerehabilitation (n = 38) or in-clinic SIBT (n = 38) in 21 sessions of 50 minutes each, 3 days/week for 7 consecutive weeks. VR telerehabilitation consisted of graded exergames using the Nintendo Wii Fit system; SIBT included exercises to improve postural stability. Patients were evaluated before treatment, after treatment, and at 1-month follow-up. Results. Analysis revealed significant between-group differences in improvement on the Berg Balance Scale for the VR telerehabilitation group (p = 0.04) and significant Time x Group interactions in the Dynamic Gait Index (p = 0.04) for the in-clinic group. Both groups showed differences in all outcome measures over time, except for fall frequency. Cost comparison yielded between-group differences in treatment and equipment costs. Conclusions. VR is a feasible alternative to in-clinic SIBT for reducing postural instability in PD patients having a caregiver.

引用

页数：11

共 33 条

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