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Effectiveness of Wii sports- based strategy training in reducing risk of falling, falls and improving quality of life in adults with idiopathic Parkinson's disease- a randomized comparative trial.

Authors :
Alagumoorthi, G.
D., Beulah Jebakani
Thirunavukarasu, Suresh
V., Ramachandaran
A., Kumaresan
Source :
Clinical Rehabilitation; Aug2022, Vol. 36 Issue 8, p1097-1109, 13p
Publication Year :
2022

Abstract

Objective: To assess the effectiveness of Wii sports-based strategy training on risk of falling, falls and quality of life in adults with idiopathic Parkinson's disease. Design: Single blind, Randomised comparative trial. Setting: Hospital and home Subjects: Diagnosed as idiopathic Parkinson's disease, Hoehn-Yahr stage 2.5 to 4, history of at least 3 falls in the last 3 months. Intervention: Experimental group participated in 30–40 min of Wii training, 3 session/week for 12 weeks and control group participated for the same duration in traditional balance training. During each session both the group received 30 min of conventional physiotherapy. Outcomes: Number of fallers, Fall rate, Berg balance scale, Timed up and go test, Parkinson's disease questionnaire 39, at baseline, 12<superscript>th</superscript> and 36<superscript>th</superscript> week after baseline. Results: We randomised 192 participants. Participant's characteristics were similar between Wii and control group at base line, in age 69.7 ± 10, 68.5 ± 9.8, disease severity 3.43 ± 0.56, 3.42 ± 0.59, and fall rate 10.47 ± 15.78, 11.80 ± 18.95 (in mean ± SD). At 12<superscript>th</superscript> week 28%(27), 51%(49) & 36<superscript>th</superscript> week 45%(42), 60%(57) in Wii-group, control group fell at least once, respectively. Wii group improved more than control group at 12<superscript>th</superscript>, 36<superscript>th</superscript> week in number of fallers (−23%, p < 0.001) (−15%, p < 0.039), fall rates −2.635(−5.38 to 0.112), −1.476(−5.09 to 2.142) (difference in mean, Confidence Interval) and bodily discomfort component of PDQ 39. Conclusion: A 12 weeks exercise training using the Wii sports-based strategy decreases the number of fallers, fall rate, measures of risk of falling but did not alter the quality of life in adults with idiopathic Parkinson's disease. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
02692155
Volume :
36
Issue :
8
Database :
Complementary Index
Journal :
Clinical Rehabilitation
Publication Type :
Academic Journal
Accession number :
157868443
Full Text :
https://doi.org/10.1177/02692155221089030