Can telerehabilitation games lead to functional improvement of upper extremities in individuals with Parkinson's disease?

International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation
Imre CikajloKarmen Peterlin Potisk

Abstract

Parkinson's disease (PD) is treated by medication, less with deep brain stimulation and physiotherapy. Different opinions on the clinical meaningfulness of the physiotherapy or recommended intensive physiotherapy were found. Our objectives were to design intensive target-based physiotherapy for upper extremities suitable for telerehabilitation services and examine the clinical meaningfulness of the exergaming at an unchanged medication plan. A telerehabilitation exergaming system using the Kinect sensor was developed; 28 patients with PD participated in the study. The system followed the participants' movements and adapted the difficulty level of the game in real time. The outcomes of the study showed that seven out of 26 participants could set up the equipment at home alone. Clinical outcomes of Box and Blocks Test (mean: 47 vs. 52, P=0.002, Cohen's d=0.40), UPDRS III (mean: 27 vs. 29, P=0.001, d=0.22), and daily activity Jebsen's test; writing a letter (mean: 24.0 vs. 20.6, P=0.003, d=0.23); and moving light objects (mean: 4.4 vs. 3.9, P=0.006, d=0.46) were statistically significant (P<0.05) and considered clinically meaningful. The Nine-Hole Peg Test showed a statistically nonsignificant improvement (mean: 28.0 vs. 26.5, P=0...Continue Reading

References

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Aug 21, 2004·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Sreeram Dhurjaty
Sep 17, 2004·Movement Disorders : Official Journal of the Movement Disorder Society·Christopher G GoetzUNKNOWN Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease
Mar 18, 2008·Journal of Neurology, Neurosurgery, and Psychiatry·J Jankovic
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Aug 26, 2011·Disability and Rehabilitation·Imre CikajloZlatko Matjačić
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Feb 11, 2016·Canadian Journal of Physiology and Pharmacology·Francesco AngelucciAntonella Peppe
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Nov 9, 2016·Journal of Medical Engineering·Ioannis PachoulakisAnastasia Analyti

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Citations

May 17, 2019·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Crt Marincek, Franco Franchignoni
Nov 14, 2018·Biomedical Engineering Online·A H ButtF Cavallo
Jan 31, 2019·Journal of Neuroengineering and Rehabilitation·Augusto Garcia-AgundezElke Kalbe
Mar 10, 2021·NPJ Parkinson's Disease·Agnes LangerHeidemarie Zach
Aug 4, 2021·BMC Sports Science, Medicine and Rehabilitation·Marcos Maldonado-DíazTania Gutierrez-Panchana

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Methods Mentioned

BETA
pharmacotherapy

Clinical Trials Mentioned

NCT03175107

Software Mentioned

Matlab
Kinect Adventures
Kinect
MySQL
Nintendo Wii
Apache http server
Linux
Kinect Xbox
Matlab Statistical Toolbox
Excel

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