Reviewing the Evidence: In Pursuit of a Framework for Parkinson Disease Rehabilitation with Games (original) (raw)
Related papers
2020
Games are of interest for health interventions including but not limited to physical activity and rehabilitation, behavior change, motor-cognitive training, and mood elevation. Despite increased interest in using games to produce positive health outcomes, the development or selection process of games, or their suitability for a target demographic in a context of health and rehabilitation, remains ad-hoc. As a result, game-based interventions lacking application specificity produce variable outcomes that obscure the true treatment effect of game-based therapies. To address this issue, we present a design strategy for game-based rehabilitation that uses a player-centric approach to develop/select games for specific contexts such as for improving functional deficits in patients with Parkinson’s disease. This strategy establishes a relationship between the exercise rehabilitation regimen and gameplay by incorporating the rehabilitation requirements, patient condition, and player afforda...
State of the Art on Games for Health Focus on Parkinson’s Disease Rehabilitation
IFMBE Proceedings, 2014
This paper explores current trends and available solutions in the field of games for health focus on Parkinson's disease (PD). According to the Parkinson's Disease Foundation it is estimated that seven to ten million people worldwide are living with PD. Besides this statistics tend to get worse as the population gets older and older. In the last decades the active ageing term has gained extreme importance. As the ageing of the population growths the healthcare policies and strategies need to adapt to this new situation. In that sense, active ageing aims to extend healthy life expectancy and quality of life for all people as they age. Games for health have been proved to be an excellent approach to maintain autonomy and independence for the older people.
Use of Game Console for Rehabilitation of Parkinson's Disease
Balkan Medical Journal, 2016
Background: Parkinson's disease (PD) predisposes to falls due to postural instability and decreased coordination. Postural and coordination exercises could ameliorate the incoordination and decrease falls. Aims: In this study, we explored the efficiency of a game console as an adjunct to an exercise program in treating incoordination in patients with PD. Study Design: Case-control study. Methods: In this single-blind, prospective clinical trial, rehabilitation with the Xbox (Microsoft; Washington, USA) game console was used as an adjunct to a standard rehabilitation program. Thirty-three patients with PD at stages 1-3 were enrolled in the study. All patients received the threetimes weekly exercise program and electrotherapy to back and hip extensors for 5 weeks. Study patients played catch the ball and obstacle games on the Xbox in addition to the standard exercise program. Patients were evaluated based on the scores from the Timed Up-and-Go Test, the Berg Balance Scale (BBS), and the Unified Parkinson's Disease Rating Scale-II (UPDRS-II). Post-treatment scores were compared between groups. Results: Thirty-three patients were enrolled in the study (15 in the game-console group, and 18 controls). Patients in both groups had improvements in all scores. The end-oftreatment scores were significantly better in the study group compared to the control group in all parameters: UPDRS (10±5 versus 16±6, p=0.002), BBS (53±4 versus 47±8, p=0.004), and TUG (11±4 seconds versus 20±8 seconds, p<0.001). Conclusion: Game-exercise with a game-console was noted to be a significant adjunct to the rehabilitation program in patients with PD in this study.
Mini Review on Outcome of Exergaming on Parkinson’s Disease Patient’s Rehabilitation
Journal of Pharmaceutical Negative Results
This short review focuses on the effects of exergaming on rehabilitation in Parkinson’s disease (PD). Exergames came from combining exercises and games. PD is a neurodegenerative condition. It is caused by loss of dopaminergic neurons in substantia nigra. 1-2 of 1000 people suffer from PD. It can be inherited genetically or sporadically. Physiotherapy involves several modalities in whichexergames is one of the intervention. It is important for us to find new interventions for treating the impairments caused due to PD. Exergames are virtual reality-based games and use sensors for motion recognition. These are the emerging technology and incorporating them in our treatment can make them exciting, can give them visual as well as audio feedback and provide differentchallenges for patients. Although exergames are emerging technology and in high demands, its advantages, challenges and its effect on treatment of impairments caused by PD are discussed in this review.
Motion-Based Games for Parkinson's Disease Patients
… ComputingICEC 2011, 2011
Games for rehabilitation are developing rapidly in recent years. It has been shown that utilization of therapy and gaming technology affects positively on the patients' physical and mental condition. However, to this day there are only few playable games for Parkinson's disease patients. This paper presents the development process of WuppDi!a collection of five motion-based games for Parkinson's disease patients, aimed at supporting their exercises routines in various playful environments. We describe the game design challenges for Parkinson's disease patients and our solutions used in the games. Finally, we present the results of a conducted field test showing a very positive motivational effect among the majority of the patients but also highlighting remaining issues and technical difficulties, which can be beneficial for the future development in this field.
Feasibility of a Cognitive Training Game in Parkinson’s Disease: The Randomized Parkin’Play Study
European Neurology, 2020
Cognitive training (CT) shows modest positive effects on cognitive function in patients with Parkinson’s disease (PD). Gamification may enhance adherence to traditional CT, but this has not been studied yet. Here, we investigated the feasibility of a gamified CT. We performed a randomized controlled trial including PD patients with mild cognitive impairment. Participants were randomly allocated to a 12-week home-based gamified CT intervention or waiting-list control group. Assessments were performed at baseline and at weeks 12 and 24. Forty-one patients were included (21 intervention and 20 waiting-list controls). Sixty-three percent of the intervention group trained >50% of the recommended sessions, while 81% voluntarily continued training after 12 weeks. After 24 weeks, 87.5% graded the game to be satisfactory. Global cognition scores improved after 24 weeks. Home-based gamified CT shows acceptable feasibility in patients with PD, and we observed preliminary indications for eff...
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...
The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence
Journal of NeuroEngineering and Rehabilitation, 2014
Evidence for exercise based computer games (exergaming) as a rehabilitation tool for people with Parkinson's disease (PD) is only now emerging and is yet to be synthesised. To this end, we conducted a systematic review of the exergaming literature to establish what is known about the safety, feasibility and effectiveness of exergaming for rehabilitation of motor symptoms experienced by people with PD. Seven electronic databases were searched for key terms surrounding exergaming and PD. Data were extracted by two reviewers independently. From an initial yield of 1217 articles, seven were included in the review. Six studies used commercial games with the Nintendo Wii fit platform. The scientific quality of reporting was generally good, however the overall methodological design of studies was weak, with only one randomised controlled trial being reported. Safety: Participant safety was not measured in any of the studies. Feasibility: People with PD were able to play exergames, improve their performance of gameplay and enjoyed playing. However, one study observed that people with PD had difficulty with fast and complex games. Effectiveness: Six studies showed that exergaming elicited improvements in a range of clinical balance measures or reduction in the severity of motor symptoms. Results from the only randomised controlled trial showed that exergaming was as effective as traditional balance training for people with PD to improve the UPDRS II, standing balance and cognition, with improvements in both groups retained 60 days after the training ended. In conclusion, exergaming is an emerging tool to help rehabilitate motor skills in people with PD. Although we were able to establish that exergaming is feasible in people with PD, more research is needed to establish its safety and clinical effectiveness, particularly in the home. The use of commercial games may be too difficult for some people with PD and exergames tailored specifically to the rehabilitation needs and capabilities of people with PD are required for optimal efficacy, adherence and safety.
Entertainment Computing, 2014
The research presented in this paper proposes a set of design guidelines in the context of a Parkinson's Disease (PD) rehabilitation design framework for the development of serious games for the physical therapy of people with PD. The game design guidelines provided in the paper are informed by the study of the literature review and lessons learned from the pilot testing of serious games designed to suit the requirements of rehabilitation of patients with Parkinson's Disease. The proposed PD rehabilitation design framework employed for the games pilot testing utilises a low-cost, customized and off-the-shelf motion capture system (employing commercial game controllers) developed to cater for the unique requirement of the physical therapy of people with PD. Although design guidelines have been proposed before for the design of serious games in health, this is the first research paper to present guidelines for the design of serious games specifically for PD motor rehabilitation.
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.