Universität zu Köln

Garcia-Agundez, Augusto, Folkerts, Ann-Kristin, Konrad, Robert, Caserman, Polona, Tregel, Thomas, Goosses, Mareike, Goebel, Stefan and Kalbe, Elke (2019). Recent advances in rehabilitation for Parkinson's Disease with Exergames: A Systematic Review. J. NeuroEng. Rehabil., 16. LONDON: BMC. ISSN 1743-0003

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Abstract

ObjectiveThe goal of this contribution is to gather and to critically analyze recent evidence regarding the potential of exergaming for Parkinson's disease (PD) rehabilitation and to provide an up-to-date analysis of the current state of studies on exergame-based therapy in PD patients.MethodsWe performed our search based on the conclusions of a previous systematic review published in 2014. Inclusion criteria were articles published in the indexed databases Pubmed, Scopus, Sciencedirect, IEEE and Cochrane published since January 1, 2014. Exclusion criteria were papers with a target group other than PD patients exclusively, or contributions not based on exergames. Sixty-four publications out of 525 matches were selected.ResultsThe analysis of the 64 selected publications confirmed the putative improvement in motor skills suggested by the results of the previous review. The reliability and safety of both Microsoft Kinect and Wii Balance Board in the proposed scenarios was further confirmed by several recent studies. Clinical trials present better (n=5) or similar (n=3) results than control groups (traditional rehabilitation or regular exercise) in motor (TUG, BBS) and cognitive (attention, alertness, working memory, executive function), thus emphasizing the potential of exergames in PD. Pilot studies (n=11) stated the safety and feasibility of both Microsoft Kinect and Wii Balance Board, potentially in home scenarios as well. Technical papers (n=30) stated the reliability of balance and gait data captured by both devices. Related meta-analyses and systematic reviews (n=15) further support these statements, generally citing the need for adaptation to patient's skills and new input devices and sensors as identified gaps.ConclusionRecent evidence indicates exergame-based therapy has been widely proven to be feasible, safe, and at least as effective as traditional PD rehabilitation. Further insight into new sensors, best practices and different cognitive stadiums of PD (such as PD with Mild Cognitive Impairment), as well as task specificity, are required. Also, studies linking game parameters and results with traditional assessment methods, such as UPDRS scores, are required. Outcomes for randomized controlled trials (RCTs) should be standardized, and follow-up studies are required, particularly for motor outcomes.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Garcia-Agundez, Augusto UNSPECIFIED UNSPECIFIED UNSPECIFIED Folkerts, Ann-Kristin UNSPECIFIED UNSPECIFIED UNSPECIFIED Konrad, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Caserman, Polona UNSPECIFIED UNSPECIFIED UNSPECIFIED Tregel, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Goosses, Mareike UNSPECIFIED UNSPECIFIED UNSPECIFIED Goebel, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Kalbe, Elke UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-158822
DOI:	10.1186/s12984-019-0492-1
Journal or Publication Title:	J. NeuroEng. Rehabil.
Volume:	16
Date:	2019
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1743-0003
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language MILD COGNITIVE IMPAIRMENT; MICROSOFT KINECT; DEPTH SENSORS; WII FIT; GAIT; PEOPLE; BALANCE; VIDEOGAME; HEALTHY; METAANALYSIS Multiple languages Engineering, Biomedical; Neurosciences; Rehabilitation Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15882