An interactive videogame for arm and hand exercise in people with Parkinson's disease: A randomized controlled trial

Allen, NE; Song, J; Paul, SS; Smith, S; O'Duffy, J; Schmidt, M; Love, R; Sherrington, C; Canning, CG

An interactive videogame for arm and hand exercise in people with Parkinson's disease: A randomized controlled trial

Allen, NE Song, J

Paul, SS Smith, S O'Duffy, J Schmidt, M Love, R Sherrington, C Canning, CG

Permalink

Publication Type:: Journal Article
Citation:: Parkinsonism and Related Disorders, 2017, 41 pp. 66 - 72
Issue Date:: 2017-08-01

Closed Access

	Filename	Description	Size
	park.pdf	Published Version	708.22 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Allen, NE	en_US
dc.contributor.author	Song, J https://orcid.org/0000-0002-9971-0541	en_US
dc.contributor.author	Paul, SS	en_US
dc.contributor.author	Smith, S	en_US
dc.contributor.author	O'Duffy, J	en_US
dc.contributor.author	Schmidt, M	en_US
dc.contributor.author	Love, R	en_US
dc.contributor.author	Sherrington, C	en_US
dc.contributor.author	Canning, CG	en_US
dc.date.available	2017-05-14	en_US
dc.date.issued	2017-08-01	en_US
dc.identifier.citation	Parkinsonism and Related Disorders, 2017, 41 pp. 66 - 72	en_US
dc.identifier.issn	1353-8020	en_US
dc.identifier.uri	http://hdl.handle.net/10453/123455
dc.description.abstract	© 2017 Elsevier Ltd Introduction People with Parkinson's disease (PD) have difficulty performing upper extremity (UE) activities. The aim of this study was to investigate if exergames targeting the UE improve arm and hand activities and impairments and to establish the acceptability and feasibility of these games in people with PD. Methods Two tablet-based exergames were developed which were controlled with finger movements or unimanual whole arm movements. Participants with PD were randomized to an exergame (n = 19) or control (n = 19) group. The exergame group performed UE exergames at home, 3 times per week for 12 weeks. The primary outcome measure was the nine hole peg test. Secondary outcomes included measures of UE activities and impairments, including the tapping test [speed (taps/60s), and error (weighted error score/speed)]. Results There were no between group differences in the nine hole peg test, or in any secondary outcome measures except for the tapping test. Horizontal tapping test results showed that exergame participants improved their speed (mean difference = 10.9 taps/60s, p < 0.001) but increased error (mean difference = 0.03, p = 0.03) compared to the control group. Participants enjoyed the games and improved in their ability to play the games. There were no adverse events. Conclusion The UE exergames were acceptable and safe, but did not translate to improvement in functional activities. It is likely that the requirement of the games resulted in increased movement speed at the detriment of accuracy. The design of exergames should consider task specificity.	en_US
dc.relation.ispartof	Parkinsonism and Related Disorders	en_US
dc.relation.isbasedon	10.1016/j.parkreldis.2017.05.011	en_US
dc.subject.classification	Neurology & Neurosurgery	en_US
dc.subject.mesh	Arm	en_US
dc.subject.mesh	Hand	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Parkinson Disease	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Exercise Therapy	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Patient Compliance	en_US
dc.subject.mesh	Psychomotor Performance	en_US
dc.subject.mesh	Mental Status Schedule	en_US
dc.subject.mesh	Video Games	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	An interactive videogame for arm and hand exercise in people with Parkinson's disease: A randomized controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	41	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1702 Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
utslib.copyright.status	closed_access
pubs.publication-status	Published	en_US
pubs.volume	41	en_US

Abstract:

© 2017 Elsevier Ltd Introduction People with Parkinson's disease (PD) have difficulty performing upper extremity (UE) activities. The aim of this study was to investigate if exergames targeting the UE improve arm and hand activities and impairments and to establish the acceptability and feasibility of these games in people with PD. Methods Two tablet-based exergames were developed which were controlled with finger movements or unimanual whole arm movements. Participants with PD were randomized to an exergame (n = 19) or control (n = 19) group. The exergame group performed UE exergames at home, 3 times per week for 12 weeks. The primary outcome measure was the nine hole peg test. Secondary outcomes included measures of UE activities and impairments, including the tapping test [speed (taps/60s), and error (weighted error score/speed)]. Results There were no between group differences in the nine hole peg test, or in any secondary outcome measures except for the tapping test. Horizontal tapping test results showed that exergame participants improved their speed (mean difference = 10.9 taps/60s, p < 0.001) but increased error (mean difference = 0.03, p = 0.03) compared to the control group. Participants enjoyed the games and improved in their ability to play the games. There were no adverse events. Conclusion The UE exergames were acceptable and safe, but did not translate to improvement in functional activities. It is likely that the requirement of the games resulted in increased movement speed at the detriment of accuracy. The design of exergames should consider task specificity.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/123455