Can telerehabilitation games lead to functional improvement of upper extremities in individuals with Parkinson's disease?

被引:28
作者
Cikajlo, Imre [1 ,3 ]
Hukic, Alma [1 ]
Dolinsek, Irena [1 ]
Zajc, Dejana [1 ]
Vesel, Mateja [1 ]
Krizmanic, Tatjana [1 ]
Blazica, Bojan [2 ]
Biasizzo, Anton [2 ]
Novak, Franc [2 ]
Potisk, Karmen Peterlin [1 ]
机构
[1] Univ Rehabil Inst, Res & Dev Unit, Ljubljana, Slovenia
[2] Jozef Stefan Inst, Dept Comp Syst, Ljubljana, Slovenia
[3] Univ Nova Gorica, Sch Engn & Management, Nova Gorica, Slovenia
基金
欧盟地平线“2020”;
关键词
Kinect; Parkinson's disease; physiotherapy; serious games; telerehabilitation; upper extremities; virtual reality; VIRTUAL-REALITY; SERIOUS GAMES; FEASIBILITY; PEOPLE; HEALTH; TASK;
D O I
10.1097/MRR.0000000000000291
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Parkinson's disease (PD) is treated by medication, less with deep brain stimulation and physiotherapy. Different opinions on the clinical meaningfulness of the physiotherapy or recommended intensive physiotherapy were found. Our objectives were to design intensive target-based physiotherapy for upper extremities suitable for telerehabilitation services and examine the clinical meaningfulness of the exergaming at an unchanged medication plan. A telerehabilitation exergaming system using the Kinect sensor was developed; 28 patients with PD participated in the study. The system followed the participants' movements and adapted the difficulty level of the game in real time. The outcomes of the study showed that seven out of 26 participants could set up the equipment at home alone. Clinical outcomes of Box and Blocks Test (mean: 47 vs. 52, P=0.002, Cohen's d=0.40), UPDRS III (mean: 27 vs. 29, P=0.001, d=0.22), and daily activity Jebsen's test; writing a letter (mean: 24.0 vs. 20.6, P=0.003, d=0.23); and moving light objects (mean: 4.4 vs. 3.9, P=0.006, d=0.46) were statistically significant (P<0.05) and considered clinically meaningful. The Nine-Hole Peg Test showed a statistically nonsignificant improvement (mean: 28.0 vs. 26.5, P=0.089, d=0.22). The participants claimed problems with mobility but less with activities of daily living and emotional well-being (PDQ-39). The findings lead to preliminary conclusions that exergaming is feasible, but may require technical assistance, whereas clinically meaningful results could be achieved according to validated instruments and an unchanged medication plan in individuals with PD.
引用
收藏
页码:230 / 238
页数:9
相关论文
共 29 条
[1]   The effects of motor rehabilitation training on clinical symptoms and serum BDNF levels in Parkinson's disease subjects [J].
Angelucci, Francesco ;
Piermaria, Jacopo ;
Gelfo, Francesca ;
Shofany, Jacob ;
Tramontano, Marco ;
Fiore, Marco ;
Caltagirone, Carlo ;
Peppe, Antonella .
CANADIAN JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY, 2016, 94 (04) :455-461
[2]  
Barry G, 2014, J NEUROENG REHABIL, V11, DOI [10.1186/1743-0003-11-33, 10.1186/1743-0003-11-60]
[3]   Telerehabilitation using virtual reality task can improve balance in patients with stroke [J].
Cikajlo, Imre ;
Rudolf, Marko ;
Goljar, Nika ;
Burger, Helena ;
Matjacic, Zlatko .
DISABILITY AND REHABILITATION, 2012, 34 (01) :13-18
[4]   Physiotherapy and Occupational Therapy vs No Therapy in Mild to Moderate Parkinson Disease A Randomized Clinical Trial [J].
Clarke, Carl E. ;
Patel, Smitaa ;
Ives, Natalie ;
Rick, Caroline E. ;
Dowling, Francis ;
Woolley, Rebecca ;
Wheatley, Keith ;
Walker, Marion F. ;
Sackley, Catherine M. .
JAMA NEUROLOGY, 2016, 73 (03) :291-299
[5]  
Cohen J, 1988, STAT POWER ANAL BEHA, P567
[6]   The economics of telerehabilitation [J].
Dhurjaty, S .
TELEMEDICINE JOURNAL AND E-HEALTH, 2004, 10 (02) :196-199
[7]   Virtual reality for rehabilitation in Parkinson's disease [J].
Dockx, Kim ;
Bekkers, Esther M. J. ;
Van den Bergh, Veerle ;
Ginis, Pieter ;
Rochester, Lynn ;
Hausdorff, Jeffrey M. ;
Mirelman, Anat ;
Nieuwboer, Alice .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2016, (12)
[8]   Measuring participation in individuals with Parkinson disease: relationships with disease severity, quality of life, and mobility [J].
Duncan, Ryan P. ;
Earhart, Gammon M. .
DISABILITY AND REHABILITATION, 2011, 33 (15-16) :1440-1446
[9]  
Earhard G.M., 2011, Journal of Neurologic Physical Therapy, V35, P157
[10]   Training BIG to move faster: the application of the speed-amplitude relation as a rehabilitation strategy for people with Parkinson's disease [J].
Farley, BG ;
Koshland, GF .
EXPERIMENTAL BRAIN RESEARCH, 2005, 167 (03) :462-467