Session Information
Date: Saturday, October 6, 2018
Session Title: Parkinson’s Disease: Clinical Trials, Pharmacology And Treatment
Session Time: 1:45pm-3:15pm
Location: Hall 3FG
Objective: The aim of this study was to compare the efficiency of two different combination of games to improve the gait performance in PPD.
Background: According to current evidences, the training based on VR may be efficient to improve the gait performance in people with Parkinson’s disease (PPD). However, there is no study that had investigated the influence of game’s choice for therapeutic results. In our opinion, it is a fundamental issue to establish the guidelines for the therapeutic use for this kind of intervention in PD.
Methods: Parallel, prospective, single-blind, randomized clinical trial was conducted with 35 PPD in stages 2 and 3 according to Hoehn and Yahr Classification, treated with levodopa; following adequate inclusion criteria. PPD were randomly allocated into a walk group (WG) that performed the 3 games from X-Box Kinect system® which offer games more demanding for gait, and a balance group (BG) that performed the 4 games from X-Box Kinect system® which offer games more demanding for balance. All participants performed 8 individual session of training (twice week for 4 weeks) under supervision of a physiotherapist, which consisted of 9 trials of each games (3 trials per game). The gait performance under single task i.e., without a secondary task, and under dual-task, i.e., with a concurrent verbal fluency task were measure during 30 seconds walking test before (BT) , and 1 (AT) and 4 (FU) weeks after the end of training.
Results: The general model for repeated measure ANOVA (RM ANOVA) showed a significant interaction among group (WG, BG), time (BT, AT and FU), and condition (ST, DT) for maximal reached distance in meters ( F(2, 66)=3.4016, p=.03). However, the pos hoc Tukey test showed a significant improvement under ST after training which was remained at FU, only for the BG and a significant improvement under DT after the training for both groups, which remained in FU only for BG.
Conclusions: The choice of games can influence the therapeutic results of training to improve gait performance. Based on our results, the more challenger games for balance were more efficient to improve the gait performance in ST and DT.
To cite this abstract in AMA style:
P. Barbosa, A. da Costa, A. Falconi, M. d'Alencar, M E. Piemonte. Can choice of games influence the therapeutic results obtained by training in virtual reality for gait improvement in people with Parkinson’s disease? [abstract]. Mov Disord. 2018; 33 (suppl 2). https://www.mdsabstracts.org/abstract/can-choice-of-games-influence-the-therapeutic-results-obtained-by-training-in-virtual-reality-for-gait-improvement-in-people-with-parkinsons-disease/. Accessed June 15, 2025.« Back to 2018 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/can-choice-of-games-influence-the-therapeutic-results-obtained-by-training-in-virtual-reality-for-gait-improvement-in-people-with-parkinsons-disease/