Abstract
BackgroundThis study aimed to evaluate the effectiveness of a customized interactive video game-based (IVGB) training on balance in older adults with mild-to-moderate Parkinson’s disease (PD).MethodsIn this 12-week crossover trial, PD patients ≥65 years of age were randomly divided into Group A (a 6-week intervention phase followed by a 6-week control phase) and Group B (a 6-week control phase followed by a 6-week intervention phase). Participants received IVGB exercise training during the intervention phase and no exercise during the control phase. Functional outcomes were measured using behavioral evaluation scales and questionnaires at baseline, week 6 and week 12.ResultsTwenty-four PD patients were included in this study, and were evenly divided into two groups. After Bonferroni adjustment, the changes in Modified Falls Efficacy Scale (MFES) and two subscales of Multi-Directional Reach Test were significantly different between two groups in the first 6-week period. In addition, the changes in Berg Balance Scale, MFES, and two subscales of Maximum Step Length were significantly different between two groups in the second 6-week period. Compared to controls, 6-week IVGB exercise intervention significantly improved different but overlapping functional outcomes in two groups of PD patients.ConclusionsThe customized IVGB exercise training improves balance, postural stability and confidence in preventing falls in older adults with mild-to-moderate PD. However, this IVGB exercise doesn’t have a significant impact on quality of life.Trial registrationClinicalTrials.gov. NCT03689764. Registered 27 September 2018, retrospectively registered.
Highlights
This study aimed to evaluate the effectiveness of a customized interactive video game-based (IVGB) training on balance in older adults with mild-to-moderate Parkinson’s disease (PD)
We found that IVGB intervention enhanced Berg Balance Scale (BBS) scores and reduces Timed Up and Go (TUG) task completion time significantly in diabetic patients with peripheral neuropathy [23]
A total of 24 community-living older adults with mildto-moderate PD were included in this prospective crossover study and were randomly divided into two groups: Group A and Group B (Fig. 1)
Summary
This study aimed to evaluate the effectiveness of a customized interactive video game-based (IVGB) training on balance in older adults with mild-to-moderate Parkinson’s disease (PD). It is clinically important to develop an exercise program that is easy and interesting to older adults with mild-to-moderate PD, thereby encouraging patient participation and subsequently ameliorating PDrelated motor symptoms. Auditory and visual biofeedback effectively improves postural stability and balance in healthy adults [10]. A study of older patients with HY stage 2–3 PD suggested that either auditory or visual cues increase exercise intensity in a virtual cycling system [12]; the superiority of auditory over visual cues in ameliorating PD motor symptoms was indicated by a meta-analysis [13]. A systematic review concluded that gamifying visual feedback and providing performance feedback in real-time facilitate movement rehabilitation in PD [14]
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