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Gamified Dual-Task Training for Individuals with Parkinson Disease: An Exploratory Study on Feasibility, Safety, and Efficacy
- Source :
- International Journal of Environmental Research and Public Health, Vol 18, Iss 12384, p 12384 (2021), International Journal of Environmental Research and Public Health; Volume 18; Issue 23; Pages: 12384, International Journal of Environmental Research and Public Health
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Objectives: The feasibility and safety of the use of neurorehabilitation technology (SMARTfit® Trainer system) by physical therapists in implementing a gamified physical-cognitive dual-task training (DTT) paradigm for individuals with Parkinson disease (IWPD) was examined. Additionally, the efficacy of this gamified DTT was compared to physical single-task training (STT), both of which were optimized using physio-motivational factors, on changes in motor and cognitive outcomes, and self-assessed disability in activities of daily living. Methods: Using a cross-over study design, eight participants with mild-to-moderate idiopathic PD (including one with mild cognitive impairment) completed both training conditions (i.e., gamified DTT and STT). For each training condition, the participants attended 2–3 sessions per week over 8.8 weeks on average, with the total amount of training being equivalent to 24 1 h sessions. A washout period averaging 11.5 weeks was inserted between training conditions. STT consisted of task-oriented training involving the practice of functional tasks, whereas for gamified DTT, the same task-oriented training was implemented simultaneously with varied cognitive games using an interactive training system (SMARTfit®). Both training conditions were optimized through continual adaptation to ensure the use of challenging tasks and to provide autonomy support. Training hours, heart rate, and adverse events were measured to assess the feasibility and safety of the gamified DTT protocol. Motor and cognitive function as well as perceived disability were assessed before and after each training condition. Results: Gamified DTT was feasible and safe for this cohort. Across participants, significant improvements were achieved in more outcome measures after gamified DTT than they were after STT. Individually, participants with specific demographic and clinical characteristics responded differently to the two training conditions. Conclusion: Physical therapists’ utilization of technology with versatile hardware configurations and customizable software application selections was feasible and safe for implementing a tailor-made intervention and for adapting it in real-time to meet the individualized, evolving training needs of IWPD. Specifically in comparison to optimized STT, there was a preliminary signal of efficacy for gamified DTT in improving motor and cognitive function as well as perceived disability in IWPD.
- Subjects :
- gamified rehabilitation
medicine.medical_specialty
neurological rehabilitation
Activities of daily living
Trainer
Health, Toxicology and Mutagenesis
Training system
Exploratory research
integrated dual-task training
Parkinson’s disease
motor-cognitive training
neurotechnology
physical therapy modalities
optimized intervention
exergaming
patient-focused intervention
Article
Task (project management)
Physical medicine and rehabilitation
Activities of Daily Living
medicine
Humans
Cognitive Dysfunction
Neurorehabilitation
Protocol (science)
Cross-Over Studies
Public Health, Environmental and Occupational Health
Parkinson Disease
Cognition
Feasibility Studies
Medicine
Psychology
Subjects
Details
- Language :
- English
- ISSN :
- 16617827 and 16604601
- Volume :
- 18
- Issue :
- 12384
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....91a31556f86c941df100d30cd928489f