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Home-based step training using videogame technology in people with Parkinson's disease: a single-blinded randomised controlled trial.
Song, Jooeun; Paul, Serene S; Caetano, Maria Joana D; Smith, Stuart; Dibble, Leland E; Love, Rachelle; Schoene, Daniel; Menant, Jasmine C; Sherrington, Cathie; Lord, Stephen R; Canning, Colleen G; Allen, Natalie E.
Afiliação
  • Song J; 1 Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
  • Paul SS; 2 Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia.
  • Caetano MJD; 1 Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
  • Smith S; 3 Musculoskeletal Health Sydney, School of Public Health, The University of Sydney, Sydney, NSW, Australia.
  • Dibble LE; 4 Falls, Balance and Injury Research Centre, Neuroscience Research Australia, The University of New South Wales, Sydney, NSW, Australia.
  • Love R; 5 Southern Cross University, Coffs Harbour, NSW, Australia.
  • Schoene D; 6 Department of Physical Therapy, University of Utah, Salt Lake City, UT, USA.
  • Menant JC; 1 Faculty of Health Sciences, The University of Sydney, Sydney, NSW, Australia.
  • Sherrington C; 7 Institute for Biomedicine of Ageing, Friedrich-Alexander University Erlangen-Nürnberg, Erlangen, Germany.
  • Lord SR; 4 Falls, Balance and Injury Research Centre, Neuroscience Research Australia, The University of New South Wales, Sydney, NSW, Australia.
  • Canning CG; 3 Musculoskeletal Health Sydney, School of Public Health, The University of Sydney, Sydney, NSW, Australia.
  • Allen NE; 4 Falls, Balance and Injury Research Centre, Neuroscience Research Australia, The University of New South Wales, Sydney, NSW, Australia.
Clin Rehabil ; 32(3): 299-311, 2018 Mar.
Article em En | MEDLINE | ID: mdl-28745063
ABSTRACT

OBJECTIVES:

To determine whether 12-week home-based exergame step training can improve stepping performance, gait and complementary physical and neuropsychological measures associated with falls in Parkinson's disease.

DESIGN:

A single-blinded randomised controlled trial.

SETTING:

Community (experimental intervention), university laboratory (outcome measures).

SUBJECTS:

Sixty community-dwelling people with Parkinson's disease.

INTERVENTIONS:

Home-based step training using videogame technology. MAIN

MEASURES:

The primary outcomes were the choice stepping reaction time test and Functional Gait Assessment. Secondary outcomes included physical and neuropsychological measures associated with falls in Parkinson's disease, number of falls over six months and self-reported mobility and balance.

RESULTS:

Post intervention, there were no differences between the intervention ( n = 28) and control ( n = 25) groups in the primary or secondary outcomes except for the Timed Up and Go test, where there was a significant difference in favour of the control group ( P = 0.02). Intervention participants reported mobility improvement, whereas control participants reported mobility deterioration-between-group difference on an 11-point scale = 0.9 (95% confidence interval -1.8 to -0.1, P = 0.03). Interaction effects between intervention and disease severity on physical function measures were observed ( P = 0.01 to P = 0.08) with seemingly positive effects for the low-severity group and potentially negative effects for the high-severity group.

CONCLUSION:

Overall, home-based exergame step training was not effective in improving the outcomes assessed. However, the improved physical function in the lower disease severity intervention participants as well as the self-reported improved mobility in the intervention group suggest home-based exergame step training may have benefits for some people with Parkinson's disease.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Acidentes por Quedas / Jogos de Vídeo / Terapia por Exercício / Marcha / Serviços de Assistência Domiciliar Tipo de estudo: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: Clin Rehabil Assunto da revista: REABILITACAO Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Austrália
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Acidentes por Quedas / Jogos de Vídeo / Terapia por Exercício / Marcha / Serviços de Assistência Domiciliar Tipo de estudo: Clinical_trials / Diagnostic_studies / Etiology_studies / Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Revista: Clin Rehabil Assunto da revista: REABILITACAO Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Austrália