Comparison of virtual reality rehabilitation and conventionalrehabilitation in Parkinson’s disease: a randomised controlledtrial
| Autor: | Costanza Pazzaglia, Diego Ricciardi, Carlo Minganti, R. Lo Monaco, Isabella Imbimbo, Eliana Tranchita, Luca Padua, Attilio Parisi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Settore M-PSI/02 - PSICOBIOLOGIA E PSICOLOGIA FISIOLOGICA medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Virtual reality law.invention 03 medical and health sciences Disability Evaluation 0302 clinical medicine Randomized controlled trial Quality of life law Dash Medicine Humans Single-Blind Method Conventional therapy 030212 general & internal medicine Prospective Studies Prospective cohort study Gait Postural Balance Physical Therapy Modalities Aged Rehabilitation business.industry Parkinson Disease Rehabilitation in Parkinson's disease Middle Aged Functional outcome Confidence interval Settore MED/26 - NEUROLOGIA Physical therapy Quality of Life Parkinson’s disease Female 0305 other medical science business Settore MED/34 - MEDICINA FISICA E RIABILITATIVA |
| Popis: | Objective To compare a 6-week virtual reality (VR) rehabilitation programme with a conventional rehabilitation programme in patients with Parkinson’s disease. Design Prospective, single-blinded, randomised controlled trial. Setting Outpatients. Participants Fifty-one patients with Parkinson’s disease were assigned at random to a VR rehabilitation programme or a conventional rehabilitation programme. Interventions Both programmes ran for 6 consecutive weeks, with a 40-minute session three times per week. Main outcome measures The Balance Berg Scale (BBS) was used to measure balance. Secondary outcome measures were: Dynamic Gait Index (DGI) to evaluate ability to adapt gait to complex walking tasks; Disabilities of the Arm, Shoulder and Hand (DASH) scale to measure performance of the upper limb; and Short Form 36 (SF-36) to evaluate quality of life. Results The VR rehabilitation programme led to an increase in BBS score {45.6 [standard deviation (SD) 7.9] vs 49.2 (SD 8.1), mean difference 3.6, 95% confidence interval (CI) 1.3 to 5.9; P = 0.003}, DGI score [18.7 (SD 4.7) vs 20.2 (SD 4.2), mean difference 1.6, 95% CI 0.6 to 2.5; P = 0.003] and SF-36 mental composite score [37.7 (SD 11.4) vs 43.5 (SD 9.2), mean difference 5.8, 95% CI 0.4 to 11.3; P = 0.037], and a decrease in DASH scale score [29.6 (SD 17.5) vs 21.6 (SD 15.1), mean difference −7.9, 95% CI −13.7 to −2.2; P = 0.009]. In contrast, the conventional rehabilitation programme only led to a decrease in DASH scale score [30.3 (SD 18.1) vs 25.1 (SD 15.8), mean difference −5.2, 95% CI −8.8 to −1.5; P = 0.007]. Conclusion These findings suggest that rehabilitation is useful in Parkinson’s disease, and the VR rehabilitation programme was more effective in determining overall improvement than the conventional rehabilitation programme. Clinical trial registration number : NCT02807740. |
| Databáze: | OpenAIRE |
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