The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence
Identifieur interne : 000045 ( Main/Exploration ); précédent : 000044; suivant : 000046The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence
Auteurs : Gillian Barry [Royaume-Uni] ; Brook Galna [Royaume-Uni] ; Lynn Rochester [Royaume-Uni]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2014.
Abstract
Evidence for exercise based computer games (exergaming) as a rehabilitation tool for people with Parkinson’s disease (PD) is only now emerging and is yet to be synthesised. To this end, we conducted a systematic review of the exergaming literature to establish what is known about the safety, feasibility and effectiveness of exergaming for rehabilitation of motor symptoms experienced by people with PD. Seven electronic databases were searched for key terms surrounding exergaming and PD. Data were extracted by two reviewers independently. From an initial yield of 1217 articles, seven were included in the review. Six studies used commercial games with the Nintendo Wii fit platform. The scientific quality of reporting was generally good, however the overall methodological design of studies was weak, with only one randomised controlled trial being reported. Safety: Participant safety was not measured in any of the studies. Feasibility: People with PD were able to play exergames, improve their performance of gameplay and enjoyed playing. However, one study observed that people with PD had difficulty with fast and complex games. Effectiveness: Six studies showed that exergaming elicited improvements in a range of clinical balance measures or reduction in the severity of motor symptoms. Results from the only randomised controlled trial showed that exergaming was as effective as traditional balance training for people with PD to improve the UPDRS II, standing balance and cognition, with improvements in both groups retained 60 days after the training ended. In conclusion, exergaming is an emerging tool to help rehabilitate motor skills in people with PD. Although we were able to establish that exergaming is feasible in people with PD, more research is needed to establish its safety and clinical effectiveness, particularly in the home. The use of commercial games may be too difficult for some people with PD and exergames tailored specifically to the rehabilitation needs and capabilities of people with PD are required for optimal efficacy, adherence and safety.
Url:
DOI: 10.1186/1743-0003-11-33
PubMed: 24602325
PubMed Central: 3984732
Affiliations:
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5PL</wicri:noRegion></affiliation></author><author><name sortKey="Galna, Brook" sort="Galna, Brook" uniqKey="Galna B" first="Brook" last="Galna">Brook Galna</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinical Ageing Research Unit, Institute for Ageing and Health, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne NE4 5PL, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Ageing Research Unit, Institute for Ageing and Health, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne NE4 5PL</wicri:regionArea><wicri:noRegion>Newcastle upon Tyne NE4 5PL</wicri:noRegion></affiliation></author><author><name sortKey="Rochester, Lynn" sort="Rochester, Lynn" uniqKey="Rochester L" first="Lynn" last="Rochester">Lynn Rochester</name><affiliation wicri:level="1"><nlm:aff id="I1">Clinical Ageing Research Unit, Institute for Ageing and Health, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne NE4 5PL, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Clinical Ageing Research Unit, Institute for Ageing and Health, Campus for Ageing and Vitality, Newcastle University, Newcastle upon Tyne NE4 5PL</wicri:regionArea><wicri:noRegion>Newcastle upon Tyne NE4 5PL</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Evidence for exercise based computer games (exergaming) as a rehabilitation tool for people with Parkinson’s disease (PD) is only now emerging and is yet to be synthesised. To this end, we conducted a systematic review of the exergaming literature to establish what is known about the safety, feasibility and effectiveness of exergaming for rehabilitation of motor symptoms experienced by people with PD. Seven electronic databases were searched for key terms surrounding exergaming and PD. Data were extracted by two reviewers independently. From an initial yield of 1217 articles, seven were included in the review. Six studies used commercial games with the Nintendo Wii fit platform. The scientific quality of reporting was generally good, however the overall methodological design of studies was weak, with only one randomised controlled trial being reported. Safety: Participant safety was not measured in any of the studies. Feasibility: People with PD were able to play exergames, improve their performance of gameplay and enjoyed playing. However, one study observed that people with PD had difficulty with fast and complex games. Effectiveness: Six studies showed that exergaming elicited improvements in a range of clinical balance measures or reduction in the severity of motor symptoms. Results from the only randomised controlled trial showed that exergaming was as effective as traditional balance training for people with PD to improve the UPDRS II, standing balance and cognition, with improvements in both groups retained 60 days after the training ended. In conclusion, exergaming is an emerging tool to help rehabilitate motor skills in people with PD. Although we were able to establish that exergaming is feasible in people with PD, more research is needed to establish its safety and clinical effectiveness, particularly in the home. The use of commercial games may be too difficult for some people with PD and exergames tailored specifically to the rehabilitation needs and capabilities of people with PD are required for optimal efficacy, adherence and safety.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Goodwin, Va" uniqKey="Goodwin V">VA Goodwin</name></author><author><name sortKey="Richards, Sh" uniqKey="Richards S">SH Richards</name></author><author><name sortKey="Taylor, Rs" uniqKey="Taylor R">RS Taylor</name></author><author><name sortKey="Taylor, Ah" uniqKey="Taylor A">AH Taylor</name></author><author><name sortKey="Campbell, Jl" uniqKey="Campbell J">JL Campbell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rochester, L" uniqKey="Rochester L">L Rochester</name></author><author><name sortKey="Nieuwboer, A" uniqKey="Nieuwboer A">A Nieuwboer</name></author><author><name sortKey="Lord, S" uniqKey="Lord S">S 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sortKey="Nyenhuis, D" uniqKey="Nyenhuis D">D Nyenhuis</name></author><author><name sortKey="Olanow, Cw" uniqKey="Olanow C">CW Olanow</name></author><author><name sortKey="Rascol, O" uniqKey="Rascol O">O Rascol</name></author><author><name sortKey="Schrag, A" uniqKey="Schrag A">A Schrag</name></author><author><name sortKey="Teresi, Ja" uniqKey="Teresi J">JA Teresi</name></author><author><name sortKey="Van Hilten, Jj" uniqKey="Van Hilten J">JJ van Hilten</name></author><author><name sortKey="Lapelle, N" uniqKey="Lapelle N">N LaPelle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lange, Bs" uniqKey="Lange B">BS Lange</name></author><author><name sortKey="Requejo, P" uniqKey="Requejo P">P Requejo</name></author><author><name sortKey="Flynn, Sm" uniqKey="Flynn S">SM Flynn</name></author><author><name sortKey="Rizzo, Aa" uniqKey="Rizzo A">AA Rizzo</name></author><author><name sortKey="Valero Cuevas, Fj" uniqKey="Valero Cuevas F">FJ Valero-Cuevas</name></author><author><name sortKey="Baker, L" uniqKey="Baker L">L Baker</name></author><author><name sortKey="Winstein, C" uniqKey="Winstein C">C Winstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bateni, H" uniqKey="Bateni H">H Bateni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dos Santos, A" uniqKey="Dos Santos A">A dos Santos</name></author><author><name sortKey="Pegollo, F" uniqKey="Pegollo F">F Pegollo</name></author><author><name sortKey="Alencar, R" uniqKey="Alencar R">R Alencar</name></author><author><name sortKey="Avanzi, R" uniqKey="Avanzi R">R Avanzi</name></author><author><name sortKey="Pompeu, Je" uniqKey="Pompeu J">JE Pompeu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Alvarez, Mv" uniqKey="Alvarez M">MV Alvarez</name></author><author><name sortKey="Grogan, Pm" uniqKey="Grogan P">PM Grogan</name></author><author><name sortKey="Rodriguez, M" uniqKey="Rodriguez M">M Rodriguez</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Barry, Gillian" sort="Barry, Gillian" uniqKey="Barry G" first="Gillian" last="Barry">Gillian Barry</name></noRegion><name sortKey="Galna, Brook" sort="Galna, Brook" uniqKey="Galna B" first="Brook" last="Galna">Brook Galna</name><name sortKey="Rochester, Lynn" sort="Rochester, Lynn" uniqKey="Rochester L" first="Lynn" last="Rochester">Lynn Rochester</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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