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The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial

Author

Listed:
  • Elvira Maranesi

    (Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy)

  • Elisa Casoni

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 60127 Ancona, Italy)

  • Renato Baldoni

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 60127 Ancona, Italy)

  • Ilaria Barboni

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 60127 Ancona, Italy)

  • Nadia Rinaldi

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 63900 Fermo, Italy)

  • Barbara Tramontana

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 63900 Fermo, Italy)

  • Giulio Amabili

    (Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy)

  • Marco Benadduci

    (Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy)

  • Federico Barbarossa

    (Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy)

  • Riccardo Luzi

    (Medical Direction, IRCCS INRCA, 60127 Ancona, Italy)

  • Valentina Di Donna

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 63900 Fermo, Italy)

  • Pietro Scendoni

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 63900 Fermo, Italy)

  • Giuseppe Pelliccioni

    (Neurology Unit, IRCCS INRCA, 60127 Ancona, Italy)

  • Fabrizia Lattanzio

    (Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy)

  • Giovanni Renato Riccardi

    (Clinical Unit of Physical Rehabilitation, IRCCS INRCA, 60127 Ancona, Italy)

  • Roberta Bevilacqua

    (Scientific Direction, IRCCS INRCA, 60124 Ancona, Italy)

Abstract

(1) Background: Parkinson’s disease (PD) is one of the most frequent causes of disability among older people. Recently, virtual reality and exergaming have been emerged as promising tools for gait and balance rehabilitation in PD patients. Our purpose is to evaluate an innovative treatment for older patients with PD, based on non-immersive virtual reality exergames, improving gait and balance and reducing falling risk. (2) Methods: Thirty PD patients were recruited and randomly divided into two groups, to receive a traditional rehabilitation (CG) or a technological rehabilitation (TG). (3) Results: A statistical improvement of balance at the end of treatments was observed in both groups (CG: 12.4 ± 0.7 vs. 13.5 ± 0.8, p = 0.017; TG: 13.8 ± 0.5 vs. 14.7 ± 0.4, p = 0.004), while the overall risk of falling was significantly reduced only in the TG (POMA Total: 24.6 ± 0.9 vs. 25.9 ± 0.7, p = 0.010). The results between groups shows that all POMA scores differ in a statistically significant manner in the TG, emphasizing improvement not only in balance but also in gait characteristics (9.7 ± 0.8 vs. 11.4 ± 0.2, p = 0.003). Moreover, TG also improves the psychological sphere, measured thorough MSC-(17.1 ± 0.4 vs. 16.5 ± 0.4, p = 0.034). Although an improvement in FES-I and Gait Speed can be observed, this increase does not turn out to be significant. (4) Conclusions: Results suggest how non-immersive virtual reality exergaming technology offers the opportunity to effectively train cognitive and physical domains at the same time.

Suggested Citation

  • Elvira Maranesi & Elisa Casoni & Renato Baldoni & Ilaria Barboni & Nadia Rinaldi & Barbara Tramontana & Giulio Amabili & Marco Benadduci & Federico Barbarossa & Riccardo Luzi & Valentina Di Donna & Pi, 2022. "The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial," IJERPH, MDPI, vol. 19(22), pages 1-11, November.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:14818-:d:969314
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    References listed on IDEAS

    as
    1. Monika Zawadka-Kunikowska & Jacek J. Klawe & Małgorzata Tafil-Klawe & Monika Bejtka & Łukasz Rzepiński & Mirosława Cieślicka, 2022. "Cognitive Function and Postural Control Strategies in Relation to Disease Progression in Patients with Parkinson’s Disease," IJERPH, MDPI, vol. 19(19), pages 1-18, October.
    2. Chenxi Zhao & Chenglei Zhao & Minmin Zhao & Lin Wang & Jiawei Guo & Longhai Zhang & Yunfeng Li & Yuliang Sun & Ling Zhang & Zheng’ao Li & Wenfei Zhu, 2022. "Effect of Exergame Training on Working Memory and Executive Function in Older Adults," Sustainability, MDPI, vol. 14(17), pages 1-11, August.
    3. Elvira Maranesi & Valentina Di Donna & Giuseppe Pelliccioni & Valentina Cameriere & Elisa Casoni & Renato Baldoni & Marco Benadduci & Nadia Rinaldi & Lorenzo Fantechi & Cinzia Giammarchi & Riccardo Lu, 2022. "Acceptability and Preliminary Results of Technology-Assisted Balance Training in Parkinson’s Disease," IJERPH, MDPI, vol. 19(5), pages 1-11, February.
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