Home-based step training using videogame technology in people with Parkinson’s disease: a single-blinded randomised controlled trial

Song, J; Paul, SS; Caetano, MJD; Smith, S; Dibble, LE; Love, R; Schoene, D; Menant, JC; Sherrington, C; Lord, SR; Canning, CG; Allen, NE

Home-based step training using videogame technology in people with Parkinson’s disease: a single-blinded randomised controlled trial

Song, J

Paul, SS Caetano, MJD Smith, S Dibble, LE Love, R Schoene, D Menant, JC Sherrington, C Lord, SR Canning, CG Allen, NE

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Publication Type:: Journal Article
Citation:: Clinical Rehabilitation, 2018, 32 (3), pp. 299 - 311
Issue Date:: 2018-03-01

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Field	Value	Language
dc.contributor.author	Song, J https://orcid.org/0000-0002-9971-0541	en_US
dc.contributor.author	Paul, SS	en_US
dc.contributor.author	Caetano, MJD	en_US
dc.contributor.author	Smith, S	en_US
dc.contributor.author	Dibble, LE	en_US
dc.contributor.author	Love, R	en_US
dc.contributor.author	Schoene, D	en_US
dc.contributor.author	Menant, JC	en_US
dc.contributor.author	Sherrington, C	en_US
dc.contributor.author	Lord, SR	en_US
dc.contributor.author	Canning, CG	en_US
dc.contributor.author	Allen, NE	en_US
dc.date.issued	2018-03-01	en_US
dc.identifier.citation	Clinical Rehabilitation, 2018, 32 (3), pp. 299 - 311	en_US
dc.identifier.issn	0269-2155	en_US
dc.identifier.uri	http://hdl.handle.net/10453/124885
dc.description.abstract	© 2017, © The Author(s) 2017. Objectives: To determine whether 12-week home-based exergame step training can improve stepping performance, gait and complementary physical and neuropsychological measures associated with falls in Parkinson’s disease. Design: A single-blinded randomised controlled trial. Setting: Community (experimental intervention), university laboratory (outcome measures). Subjects: Sixty community-dwelling people with Parkinson’s disease. Interventions: Home-based step training using videogame technology. Main measures: The primary outcomes were the choice stepping reaction time test and Functional Gait Assessment. Secondary outcomes included physical and neuropsychological measures associated with falls in Parkinson’s disease, number of falls over six months and self-reported mobility and balance. Results: Post intervention, there were no differences between the intervention (n = 28) and control (n = 25) groups in the primary or secondary outcomes except for the Timed Up and Go test, where there was a significant difference in favour of the control group (P = 0.02). Intervention participants reported mobility improvement, whereas control participants reported mobility deterioration—between-group difference on an 11-point scale = 0.9 (95% confidence interval: −1.8 to −0.1, P = 0.03). Interaction effects between intervention and disease severity on physical function measures were observed (P = 0.01 to P = 0.08) with seemingly positive effects for the low-severity group and potentially negative effects for the high-severity group. Conclusion: Overall, home-based exergame step training was not effective in improving the outcomes assessed. However, the improved physical function in the lower disease severity intervention participants as well as the self-reported improved mobility in the intervention group suggest home-based exergame step training may have benefits for some people with Parkinson’s disease.	en_US
dc.relation.ispartof	Clinical Rehabilitation	en_US
dc.relation.isbasedon	10.1177/0269215517721593	en_US
dc.subject.classification	Rehabilitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Parkinson Disease	en_US
dc.subject.mesh	Gait	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Exercise Therapy	en_US
dc.subject.mesh	Severity of Illness Index	en_US
dc.subject.mesh	Risk Assessment	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Single-Blind Method	en_US
dc.subject.mesh	Accidental Falls	en_US
dc.subject.mesh	Reference Values	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	Home Care Services	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Postural Balance	en_US
dc.subject.mesh	Independent Living	en_US
dc.title	Home-based step training using videogame technology in people with Parkinson’s disease: a single-blinded randomised controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	32	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1106 Human Movement and Sports Sciences	en_US
utslib.for	11 Medical and Health 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.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	32	en_US

Abstract:

© 2017, © The Author(s) 2017. Objectives: To determine whether 12-week home-based exergame step training can improve stepping performance, gait and complementary physical and neuropsychological measures associated with falls in Parkinson’s disease. Design: A single-blinded randomised controlled trial. Setting: Community (experimental intervention), university laboratory (outcome measures). Subjects: Sixty community-dwelling people with Parkinson’s disease. Interventions: Home-based step training using videogame technology. Main measures: The primary outcomes were the choice stepping reaction time test and Functional Gait Assessment. Secondary outcomes included physical and neuropsychological measures associated with falls in Parkinson’s disease, number of falls over six months and self-reported mobility and balance. Results: Post intervention, there were no differences between the intervention (n = 28) and control (n = 25) groups in the primary or secondary outcomes except for the Timed Up and Go test, where there was a significant difference in favour of the control group (P = 0.02). Intervention participants reported mobility improvement, whereas control participants reported mobility deterioration—between-group difference on an 11-point scale = 0.9 (95% confidence interval: −1.8 to −0.1, P = 0.03). Interaction effects between intervention and disease severity on physical function measures were observed (P = 0.01 to P = 0.08) with seemingly positive effects for the low-severity group and potentially negative effects for the high-severity group. Conclusion: Overall, home-based exergame step training was not effective in improving the outcomes assessed. However, the improved physical function in the lower disease severity intervention participants as well as the self-reported improved mobility in the intervention group suggest home-based exergame step training may have benefits for some people with Parkinson’s disease.

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http://hdl.handle.net/10453/124885