Abstract

ABSTRACTThis systematic review examined the evidence about the effects of virtual reality (VR) on dual-task gait training in Parkinson's disease (PD).Methods:this study (PROSPERO registration CRD42019114736) aimed to answer the question: “Is VR beneficial for dual-task gait training in patients with PD?” We searched for studies from 2008 to 2018 on Medline/PubMed and Web of Science/Web of knowledge databases. The keywords were Parkinson AND gait training AND virtual reality OR Parkinson AND gait training AND game. A total of 55 articles were retrieved, of which 11 systematic reviews, 11 opinions, letters to the editor, posters or conferences abstracts and 17 studies not evaluating the effects of VR gait training were excluded. Three further studies addressing VR dual-task gait training in PD (found in references of studies selected) were also included. Therefore, 19 studies were included and analysed.Results:all studies reported gait improvement after VR training. Many clinical scales were used, hampering comparison of the effects of each protocol.Conclusion:VR dual-task gait training should be part of rehabilitation protocols for PD. The studies showed that VR training was effective, although specific guidelines have not yet been established.

Highlights

  • This systematic review examined the evidence about the effects of virtual reality (VR) on dual-task gait training in Parkinson’s disease (PD)

  • The study was registered on the International Prospective Register of Systematic Reviews (PROSPERO) under registration number CRD42019114736

  • The present study investigated whether VR dual-task gait training would promote gait improvement in PD patients

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Summary

Introduction

This systematic review examined the evidence about the effects of virtual reality (VR) on dual-task gait training in Parkinson’s disease (PD). A REALIDADE VIRTUAL É BENÉFICA PARA O TREINO DE MARCHA COM TAREFA DUPLA EM PACIENTES COM DOENÇA DE PARKINSON? Essa revisão sistemática examinou as evidências sobre os efeitos da realidade virtual (RV) no treinamento de marcha com tarefa-dupla na doença de Parkinson (DP). Métodos: esse estudo (registro PROSPERO: CRD42019114736) visou responder à questão: “A RV é benéfica no treinamento de marcha com tarefa-dupla em pacientes com DP?” A busca, de 2008 a 2018, foi feita nos bancos de dados Medline/PubMed e Web of Science/Web of Knowledge. Foram encontrados 55 artigos e eliminadas 11 revisões sistemáticas, 11 cartas ao editor, resumos de pôsteres ou conferências e 17 estudos que não avaliaram os efeitos do treinamento da marcha em RV.

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