Recent advances in rehabilitation for Parkinson’s Disease with Exergames: A Systematic Review
| Autor: | Mareike Goosses, Robert Konrad, Elke Kalbe, Thomas Tregel, Stefan Göbel, Augusto Garcia-Agundez, Polona Caserman, Ann-Kristin Folkerts |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty medicine.medical_treatment Health Informatics Review cognitive Impairment lcsh:RC321-571 law.invention rehabilitation exergames cognitive training 03 medical and health sciences Physical medicine and rehabilitation Randomized controlled trial law medicine Humans lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Motor skill Rehabilitation Serious Games Parkinson Disease Cognition Cognitive training Exercise Therapy Clinical trial Alertness Systematic review Video Games Parkinson’s disease nevrologiske lidelser 0305 other medical science Psychology |
| Zdroj: | Journal of NeuroEngineering and Rehabilitation, Vol 16, Iss 1, Pp 1-17 (2019) Journal of NeuroEngineering and Rehabilitation |
| Popis: | Objective The goal of this contribution is to gather and to critically analyze recent evidence regarding the potential of exergaming for Parkinson’s disease (PD) rehabilitation and to provide an up-to-date analysis of the current state of studies on exergame-based therapy in PD patients. Methods We performed our search based on the conclusions of a previous systematic review published in 2014. Inclusion criteria were articles published in the indexed databases Pubmed, Scopus, Sciencedirect, IEEE and Cochrane published since January 1, 2014. Exclusion criteria were papers with a target group other than PD patients exclusively, or contributions not based on exergames. Sixty-four publications out of 525 matches were selected. Results The analysis of the 64 selected publications confirmed the putative improvement in motor skills suggested by the results of the previous review. The reliability and safety of both Microsoft Kinect and Wii Balance Board in the proposed scenarios was further confirmed by several recent studies. Clinical trials present better (n = 5) or similar (n = 3) results than control groups (traditional rehabilitation or regular exercise) in motor (TUG, BBS) and cognitive (attention, alertness, working memory, executive function), thus emphasizing the potential of exergames in PD. Pilot studies (n = 11) stated the safety and feasibility of both Microsoft Kinect and Wii Balance Board, potentially in home scenarios as well. Technical papers (n = 30) stated the reliability of balance and gait data captured by both devices. Related meta-analyses and systematic reviews (n = 15) further support these statements, generally citing the need for adaptation to patient’s skills and new input devices and sensors as identified gaps. Conclusion Recent evidence indicates exergame-based therapy has been widely proven to be feasible, safe, and at least as effective as traditional PD rehabilitation. Further insight into new sensors, best practices and different cognitive stadiums of PD (such as PD with Mild Cognitive Impairment), as well as task specificity, are required. Also, studies linking game parameters and results with traditional assessment methods, such as UPDRS scores, are required. Outcomes for randomized controlled trials (RCTs) should be standardized, and follow-up studies are required, particularly for motor outcomes. Electronic supplementary material The online version of this article (10.1186/s12984-019-0492-1) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|