Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial.

Autor:	Goffredo M; Neurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy., Baglio F; IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy - fbaglio@dongnocchi.it., DE Icco R; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.; Movement Analysis Research Unit, IRCCS Mondino Foundation, Pavia, Italy., Proietti S; Neurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.; Department of Human Sciences and Promotion of the Quality of Life, San Raffaele University, Rome, Italy., Maggioni G; Unità di Neuroriabilitazione, ICS Maugeri SB IRCCS Veruno, Veruno, Novara, Italy., Turolla A; Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater University of Bologna, Bologna, Italy.; Unit of Occupational Medicine, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Pournajaf S; Neurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy., Jonsdottir J; IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy., Zeni F; Unità di Neuroriabilitazione, ICS Maugeri SB IRCCS Veruno, Veruno, Novara, Italy., Federico S; Laboratory of Healthcare Innovation Technology, IRCCS San Camillo Hospital, Venice, Italy., Cacciante L; Laboratory of Healthcare Innovation Technology, IRCCS San Camillo Hospital, Venice, Italy., Cioeta M; Neurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy., Tassorelli C; Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.; Movement Analysis Research Unit, IRCCS Mondino Foundation, Pavia, Italy., Franceschini M; Neurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.; Department of Human Sciences and Promotion of the Quality of Life, San Raffaele University, Rome, Italy., Calabrò RS; IRCCS Bonino-Pulejo, Messina, Italy.
Jazyk:	angličtina
Zdroj:	European journal of physical and rehabilitation medicine [Eur J Phys Rehabil Med] 2023 Dec; Vol. 59 (6), pp. 689-696. Date of Electronic Publication: 2023 Oct 17.
DOI:	10.23736/S1973-9087.23.07954-6
Abstrakt:	Background: The implementation of regular prolonged, and effective rehabilitation in people with Parkinson's disease is essential for ensuring a good quality of life. However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, telerehabilitation could be a possible solution to guarantee the continuity of care. Aim: To investigate the efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in people with Parkinson's disease, compared to at-home self-administered structured conventional motor activities. Design: Multicenter randomized controlled trial. Setting: Five rehabilitation hospitals of the Italian Neuroscience and Rehabilitation Network. Population: Individuals diagnosed with Parkinson's disease. Methods: Ninety-seven participants were randomized into two groups: 49 in the telerehabilitation group (non-immersive virtual reality-based telerehabilitation) and 48 in the control group (at-home self-administered structured conventional motor activities). Both treatments lasted 30 sessions (3-5 days/week for, 6-10 weeks). Static and dynamic balance, gait, and functional motor outcomes were registered before and after the treatments. Results: All participants improved the outcomes at the end of the treatments. The primary outcome (mini-Balance Evaluation Systems Test) registered a greater significant improvement in the telerehabilitation group than in the control group. The gait and endurance significantly improved in the telerehabilitation group only, with significant within-group and between-group differences. Conclusions: Our results showed that non-immersive virtual reality-based telerehabilitation is feasible, improves static and dynamic balance, and is a reasonably valuable alternative for reducing postural instability in people with Parkinson's disease. Clinical Rehabilitation Impact: Non-immersive virtual reality-based telerehabilitation is an effective and well-tolerated modality of rehabilitation which may help to improve access and scale up rehabilitation services as suggested by the World Health Organization's Rehabilitation 2030 agenda.
Databáze:	MEDLINE
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