Effectiveness of exergaming in improving functional balance,fatigue and quality of life in Parkinson's disease: A pilot randomized controlled trial |
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| Institution: | 1. Department of Physical Therapy, Universidade Federal Do Paraná (UFPR), Curitiba, Paraná, Brazil;2. Department of Neurology, Universidade Federal Do Paraná (UFPR), Curitiba, PR, Brazil;1. Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA;2. Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA;3. Department of Molecular & Medical Genetics, Oregon Health & Science University, Portland, USA;4. Department of Neurology, Oregon Health & Science University, Portland, USA;5. Biomedical Signal Processing Laboratory, Portland State University, Portland, OR, USA;6. The Institute for Neurodegenerative Disorders, New Haven, CT, USA;7. Eli Lilly and Company, New York, NY, USA;1. Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH, USA;2. Center for Neurological Restoration, Cleveland Clinic, Cleveland, OH, USA;1. Neuroscience and Motor Control Group (NEUROcom), Faculty of Health Sciences, INEF-Galicia, and Faculty of Physiotherapy; Universidade da Coruña (Spain) and Institute of Biomedical Research of A Coruña, Spain;2. Movement Disorders Unit, University of A Coruña Hospital, A Coruña, Spain;3. Instituto de Investigaciones Tecnológicas, University of Santiago de Compostela, Spain;4. Centro de Estimulación Cerebral de Galicia, Spain;1. Department of Clinical and Experimental Sciences, University of Brescia, Italy;2. IRCCS Don Gnocchi Foundation, Milan, Italy;3. Casa di Cura Domus Salutis, Brescia, Italy;4. Joints & Points Healthcare, Bromborough, Wirral, UK;5. Department of Physical Therapy, University of Florida, USA;1. The University of Sydney, Faculty of Health Sciences, Sydney, Australia;2. University of Technology Sydney, Graduate School of Health, Sydney, Australia;3. The University of Sydney, Musculoskeletal Division, The George Institute for Global Health, Sydney Medical School, Sydney, Australia;4. Southern Cross University, Coffs Harbour, Australia;5. University of Tasmania, School of Health Sciences, Hobart, Australia;6. Temper Tantrum, Hobart, Australia |
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| Abstract: | Although motor symptoms in Parkinson's disease (PD) are well established, few studies have described the effects of exergaming on the clinical and functional outcomes of PD.ObjectivesTo analyze the effectiveness of exergaming in improving functional balance, fatigue, functional exercise capacity and quality of life in PD.MethodsThe study population consisted of 20 patients (12 males and 8 females) aged 61 ± 9.11 years allocated into two groups: an exergaming group (EGG) (n = 10) and a conventional exercise, or control, group (CG) (n = 10). The following variables were evaluated: functional balance (Berg Scale), fatigue (Fatigue Severity Scale), functional exercise capacity (Six-Minute Walk Test) and quality of life (PDQ-39 Quality of Life Questionnaire).ResultsRM-ANOVA showed that balance and fatigue differed significantly between time points: balance F(1.29, 23.33) = 4.16, p = 0.043] and fatigue F(2,36) = 5.96, p = 0.006]. In both cases post hoc Bonferroni testing revealed an improvement after 12 weeks of exergaming (p = 0.033 and p = 0.000, respectively). However, this benefit was not sustained after 60 days of follow-up for either outcome. There were no differences in functional exercise capacity or quality of life between the two groups after 12 weeks of treatment.ConclusionExergaming was effective in enhancing balance and reducing fatigue in PD patients after 12 weeks of treatment, but this benefit was not sustained in the long-term. |
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| Keywords: | Parkinson's disease Exergames Fatigue Quality of life |
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