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

(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...

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Autores principales: Maranesi, Elvira, Casoni, Elisa, Baldoni, Renato, Barboni, Ilaria, Rinaldi, Nadia, Tramontana, Barbara, Amabili, Giulio, Benadduci, Marco, Barbarossa, Federico, Luzi, Riccardo, Di Donna, Valentina, Scendoni, Pietro, Pelliccioni, Giuseppe, Lattanzio, Fabrizia, Riccardi, Giovanni Renato, Bevilacqua, Roberta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690935/
https://www.ncbi.nlm.nih.gov/pubmed/36429537
http://dx.doi.org/10.3390/ijerph192214818
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author Maranesi, Elvira
Casoni, Elisa
Baldoni, Renato
Barboni, Ilaria
Rinaldi, Nadia
Tramontana, Barbara
Amabili, Giulio
Benadduci, Marco
Barbarossa, Federico
Luzi, Riccardo
Di Donna, Valentina
Scendoni, Pietro
Pelliccioni, Giuseppe
Lattanzio, Fabrizia
Riccardi, Giovanni Renato
Bevilacqua, Roberta
author_facet Maranesi, Elvira
Casoni, Elisa
Baldoni, Renato
Barboni, Ilaria
Rinaldi, Nadia
Tramontana, Barbara
Amabili, Giulio
Benadduci, Marco
Barbarossa, Federico
Luzi, Riccardo
Di Donna, Valentina
Scendoni, Pietro
Pelliccioni, Giuseppe
Lattanzio, Fabrizia
Riccardi, Giovanni Renato
Bevilacqua, Roberta
author_sort Maranesi, Elvira
collection PubMed
description (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.
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spelling pubmed-96909352022-11-25 The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial Maranesi, Elvira Casoni, Elisa Baldoni, Renato Barboni, Ilaria Rinaldi, Nadia Tramontana, Barbara Amabili, Giulio Benadduci, Marco Barbarossa, Federico Luzi, Riccardo Di Donna, Valentina Scendoni, Pietro Pelliccioni, Giuseppe Lattanzio, Fabrizia Riccardi, Giovanni Renato Bevilacqua, Roberta Int J Environ Res Public Health Article (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. MDPI 2022-11-10 /pmc/articles/PMC9690935/ /pubmed/36429537 http://dx.doi.org/10.3390/ijerph192214818 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Maranesi, Elvira
Casoni, Elisa
Baldoni, Renato
Barboni, Ilaria
Rinaldi, Nadia
Tramontana, Barbara
Amabili, Giulio
Benadduci, Marco
Barbarossa, Federico
Luzi, Riccardo
Di Donna, Valentina
Scendoni, Pietro
Pelliccioni, Giuseppe
Lattanzio, Fabrizia
Riccardi, Giovanni Renato
Bevilacqua, Roberta
The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial
title The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial
title_full The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial
title_fullStr The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial
title_full_unstemmed The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial
title_short The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial
title_sort effect of non-immersive virtual reality exergames versus traditional physiotherapy in parkinson’s disease older patients: preliminary results from a randomized-controlled trial
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690935/
https://www.ncbi.nlm.nih.gov/pubmed/36429537
http://dx.doi.org/10.3390/ijerph192214818
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