Back to Search
Start Over
Home-based step training using videogame technology in people with Parkinson’s disease: a single-blinded randomised controlled trial
- Publication Year :
- 2018
-
Abstract
- © 2017, © The Author(s) 2017. 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.
- Subjects :
- Male
030506 rehabilitation
medicine.medical_specialty
Parkinson's disease
Physical Therapy, Sports Therapy and Rehabilitation
Risk Assessment
Severity of Illness Index
law.invention
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Gait (human)
Randomized controlled trial
law
Reference Values
medicine
Humans
Single-Blind Method
Prospective Studies
ddc:610
Gait
Postural Balance
Aged
Rehabilitation
Neuropsychology
Australia
food and beverages
Parkinson Disease
Middle Aged
medicine.disease
Home based
Home Care Services
Exercise Therapy
Treatment Outcome
Video Games
Physical therapy
Accidental Falls
Female
Independent Living
0305 other medical science
Psychology
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....106b281755bb21f330ed2e8db3a6448e