An Immersive Virtual Reality Exergame for People with Parkinson’s Disease (original) (raw)
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Can Immersive Virtual Reality Videogames Help Parkinson’s Disease Patients? A Case Study
Sensors (Basel, Switzerland), 2021
Video games have proven useful in physical rehabilitation therapy. Accessibility, however, is limited for some groups such as the elderly or patients with Parkinson’s disease (PD). We explore the potential of fully immersive video games as a rehabilitation tool in PD patients. Four patients with mild-moderate PD (3 males:1 female, 53–71 years) participated in the study. Training consisted in two immersive virtual reality video gaming sessions. Outcomes were evaluated using System Usability Scale (SUS), Simulator Sickness Questionnaire (SSQ), Game Experience Questionnaire-post game (GEQ), an ad hoc satisfaction questionnaire and perceived effort. All participants completed the sessions without adverse effects (100%), without SSQ symptoms reported. Post-gaming SUS was >75% in both sessions (range 75–80%). Post-gaming GEQ scores were 3.3–4.0/4 in both sessions. Immersive virtual reality video gaming is feasible in patients with mild-moderate PD, with positive usability and patient s...
Sensors
Parkinson’s disease (PD) is a neurological disorder that usually appears in the 6th decade of life and affects up to 2% of older people (65 years and older). Its therapeutic management is complex and includes not only pharmacological therapies but also physiotherapy. Exercise therapies have shown good results in disease management in terms of rehabilitation and/or maintenance of physical and functional capacities, which is important in PD. Virtual reality (VR) could promote physical activity in this population. We explore whether a commercial wearable head-mounted display (HMD) and the selected VR exergame could be suitable for people with mild–moderate PD. In all, 32 patients (78.1% men; 71.50 ± 11.80 years) were a part of the study. Outcomes were evaluated using the Simulator Sickness Questionnaire (SSQ), the System Usability Scale (SUS), the Game Experience Questionnaire (GEQ post-game module), an ad hoc satisfaction questionnaire, and perceived effort. A total of 60 sessions wer...
Frontiers in Artificial Intelligence and Applications
Parkinson’s Disease is a progressive, irreversible disease that is only slowed down with the use of medications and therapy. These are the only way to slow down the progression of the disease to more severe situation. Currently, virtual reality is being use on games and entertainment. Some doctors prefer the use of virtual reality like Wii to help supplement the therapy done on rehabilitation. However, devices to cater virtual reality for mid-class to lower-class patients cannot afford such devices. An alternative device, usually accessible to everyone is proposed to cater these virtual reality applications that can help in therapy of Parkinson’s patients. With that, the capabilities of VR can be accessible to more patients who cannot avail expense medication and devices for virtual reality.
International Journal of Environmental Research and Public Health
(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 ± 0.7vs13.5 ± 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.
Sensors
Background: Parkinson’s disease is a neurodegenerative disorder that causes impaired motor functions. Virtual reality technology may be recommended to optimize motor learning in a safe environment. The objective of this paper was to evaluate the effects of a novel immersive virtual reality technology used for serious games (Oculus Rift 2 plus leap motion controller—OR2-LMC) for upper limb outcomes (muscle strength, coordination, speed of movements, fine and gross dexterity). Another objective was to obtain qualitative data for participants’ experiences related to the intervention. Methods: A mixed methods intervention (embedded) study was used, with a qualitative design after a technology intervention (quantitative design). The intervention and qualitative design followed international guidelines and were integrated into the method and reporting subheadings. Results: Significant improvements were observed in strength (p = 0.028), fine (p = 0.026 to 0.028) and gross coordination dext...
Virtual rehabilitation system for people with Parkinson’s disease
Patients that suffer from Parkinson's disease (PD) have different symptoms such as tremors, stiffness and slowness in the execution of first movements and absence of balance control. Traditional therapies show improvements in postural control, mobility and gait. Currently, the use of video games with low cost devices such as Nintendo® Wii Balance Board® and Kinect increases the rehabilitation process in PD patients against traditional rehabilitation. However, video games are designed for healthy people, and they are not appropriate in balance rehabilitation therapy. In this paper, we describe ABAR system, a custom, motivational and adaptive tool to rehabilitate PD patients, to help them recover from balance disorders and regain postural control. To achieve this goal, we will test patients at the beginning and at the end of the clinical study. Clinical tests include: Anterior Reach Test, the Time "Up and Go", the Stepping Test, the 30-second Sit-to Stand Test and functional reach test.
International Journal of Innovative Research in Engineering & Multidisciplinary Physical Sciences, 2021
This study evaluates the effectiveness of virtual reality (VR) rehabilitation on motor function and quality of life in patients with Parkinson's disease (PD). Methods: A randomized controlled trial was conducted with 20 PD patients, who were assigned to either a VR rehabilitation group (n=10) or a traditional physical therapy control group (n=10). The VR intervention consisted of 30-minute sessions, three times per week for 12 weeks, using a commercially available VR system. Motor function was assessed using the Unified Parkinson's Disease Rating Scale (UPDRS) Part III, and quality of life was measured with the Parkinson's Disease Questionnaire-39 (PDQ-39). Assessments were conducted at baseline, 6 weeks, and 12 weeks. Results: The VR group exhibited significant improvements in UPDRS Part III scores (27.5 ±6.2) compared to the control group (31.5 ±9.0) at 12 weeks (p = 0.03). Additionally, the VR group showed a greater reduction in PDQ-39 total scores (37.8 ±9.5) compared to the control group (43.5 ±12.1) (p = 0.04). Conclusion: VR rehabilitation significantly enhances motor function and quality of life in PD patients compared to traditional physical therapy. The interactive and engaging nature of VR may contribute to improved therapeutic outcomes.
Virtual reality in physical rehabilitation of patients with Parkinson’s disease
Revista Brasileira De Crescimento E Desenvolvimento Humano, 2014
ORIGINAL RESEARCH rigidity and, at a later date, postural instability 3. According to the progressive evolution of this disease, patients tend to reduce the quantity and variety of their activities and consequently, a reduction in physical fitness 4. For this reason, drugs and physical therapies are indicated in PD. It has also been hypothesized that physical activity performed in
Rehabilitation Process for Parkinson Disease Patient using Exergames
International Journal of Computer Applications, 2016
The increasing rate of PD patient requires more creative approach to assist in the rehabilitation process. Support group such as Malaysian Parkinson Disease Association or MPDA normally carry out activities such as dancing and Tai Chi have limited space to cater to all PD patient at once. Rehabilitation process involves cost including cost for transportation and registration fees for patient to go to rehab center. On the other hand, rehabilitation processes are boring and that makes the patient unable to carry out the rehabilitation process consistently. Although exergames have been in the market for three decades now, it still lacks on focus on users with special needs. Most exergames are developed for healthy people. There are a few exergames developed for PD patient but the tools involved for them to play or indirectly rehab them is not suitable since it requires them to hold an item. PD patient have tremors and this will make it difficult for them to enjoy the game. It is crucial for developer to design games with the objectives for particular rehabilitation needs and capabilities as well as the target population. Certain exergames developed for PD patient are too challenging and this fails to motivate PD patient. Up to this point, limited research has been conducted for hand eye coordination. The purpose of this research is to identify and propose a framework that enables development of application for patient with Parkinson disease to carry out rehab based on their stages.
International Archives of Otorhinolaryngology, 2020
Introduction Parkinson disease (PD) is a progressive degeneration characterized by motor disorders, such as tremor, bradykinesia, stiffness and postural instability. Objective To evaluate the independence, confidence and balance in the development of daily activities in patients with PD before and after rehabilitation. Methods A descriptive, retrospective cross-sectional study was carried out with 16 patients (mean 57.6 ± 18.7 years), submitted to anamnesis, otolaryngological evaluation and vestibular assessment. The Vestibular Disorders Activities of Daily Living (VADL) and the Activities-Specific Balance Confidence (ABC) scales were applied before and after rehabilitation with virtual reality. Results a) The instrumental subscale of the questionnaire showed statistically significant result (p = 0.022; 95% CI 1.21; 2.21) between the first and second assessments; b) The correlation between the questionnaires showed statistically significant result in the ambulation subscale (p = 0.0...