Effectiveness of Nintendo Wii in functional and health outcomes of individuals with Parkinson’s disease: a systematic review
DOI:
https://doi.org/10.1590/1809-2950/17131825012018Keywords:
Parkinson’s Disease, Virtual Reality, Neurology, Rehabilitation, Physical TherapyAbstract
The objective of this study was to conduct a systematic review of the literature on the effectiveness of Nintendo Wii in the improvement of functional and health outcomes of individuals with Parkinson’s disease. A systematic review of the literature was developed following the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses), with research in MEDLINE, SciELO, LILACS, PEDro through a search strategy that combined the terms Wii, Parkinson’s Disease, rehabilitation, and physical therapy, followed by manual search. Inclusion criteria were: experimental studies or quasi-experiments related to interventions involving the use of Nintendo Wii to improve functional outcomes in individuals with Parkinson’s disease, published until February 2016, without language restriction. The methodological quality of the studies was assessed with the PEDro scale. Of the 701 studies found, we included seven that met the inclusion criteria - most of the articles (57.14%) had bad methodological quality and were quasi-experiments. The results suggest that the use of Wii seems effective to improve functional outcomes (balance, mobility, motor performance and independence) and health (reducing the risk of falls), being more consistent the results for the improvement of balance. Studies with better methodological quality are needed for the establishment of evidence. Standardization on the types of games, intensity and frequency suitable for each type of patient with PD are still required.Downloads
References
Fukunaga JY, Quitschal RM, Doná F, Ferraz HB, Ganança
MM, Caovilla HH. Postural control in Parkinson’s disease.
Braz J Otorhinolaryngol. 2014;80(6):508-14. doi: 10.1016/j.
bjorl.2014.05.032
Pringsheim T, Jette N, Frolkis A, Steeves TD. The prevalence
of Parkinson’s disease: a systematic review and meta-analysis.
Mov Disord. 2014;29(13):1583-90. doi: 10.1002/mds.25945
Postuma RB, Berg D, Stern M, Poewe W, Olanow W, Oertel W,
et al. MDS clinical diagnostic criteria for Parkinson’s disease.
Mov Disord. 2015;30(12):1591-601. doi: 10.1002/mds.26424
Chapuis S, Ouchchane L, Metz O, Gerbaud L, Durif F. Impact of
the motor complications of Parkinson’s disease on the quality
of life. Mov Disord. 2005;20(2):224-30. doi: 10.1002/mds.20279
Boland DF, Stacy M. The economic and quality of life burden
associated with Parkinson’s disease: a focus on symptoms.
Am J Manag Care. 2012;18(Suppl. 7):S168-75.
Rinalduzzi S, Trompetto C, Marinelli L, Alibardi A, Missori P,
Fattapposta F, et al. Balance dysfunction in Parkinson’s disease.
Biomed Res Int. 2015:1-10. doi: 10.1155/2015/434683
Santos TB, Peracini T, Franco PM, Nogueira RL, Souza
LAPS. Facilitação neuromuscular proprioceptiva na doença
de Parkinson: relato de eficácia terapêutica. Fisioter Mov.
;25(2):281-89.
Saposnik NG, Teasell R, Mamdani M, Hall J, McIlroy W, Cheung
D, et al. Effectiveness of virtual reality using Wii gaming
technology in stroke rehabilitation: a pilot randomized clinical
trial and proof of principle. Stroke. 2010;41(7):1477-84. doi:
1161/STROKEAHA.110.584979
Mendes FAS, Pompeu JE, Lobo AM, Silva KG, Oliveira TP,
Zomignani AP, et al. Motor learning, retention and transfer
after virtual-reality-based training in Parkinson’s disease-effect
of motor and cognitive demands of games: a longitudinal,
controlled clinical study. Physiotherapy. 2012;98(3):217-23.
doi: 10.1016/j.physio.2012.06.001
Godinho C, Domingos J, Cunha G, Santos AT, Fernandes RM,
Abreu D, et al. A systematic review of the characteristics and
validity of monitoring technologies to assess Parkinson’s
disease. J Neuroeng Rehabil. 2016;13(24):1-10. doi: 10.1186/
s12984-016-0136-7
Lopes GLB, Yano KM, Tavares NSA, Rego IAO, Marinho RI,
Melo LP, et al. Influência do tratamento por realidade virtual
no equilíbrio de um paciente com paralisia cerebral. Rev Ter
Ocup Univ São Paulo. 2013;24(2):121-6. doi: 10.11606/issn.2238-
v24i2p121-126
Esculier JF, Vaudrin J, Beriault P, Gagnon K, Tremblay LE.
Home-based balance training programme using Wii Fit with
balance board for Parkinson’s disease: a pilot study. J Rehabil
Med. 2012;44(2):144-50. doi: 10.2340/16501977-0922
Mirelman A, Maidan I, Herman T, Deutsch JE, Giladi N, Hausdorff
JM. Virtual reality for gait training: can it induce motor learning
to enhance complex walking and reduce fall risk in patients
with Parkinson’s disease? J Gerontol A Biol Sci Med Sci.
;66(2):234-40. doi: 10.1093/gerona/glq201
Shiwa SR, Costa LOP, Moser ADL, Aguiar IC, Oliveira LVF. PEDro:
a base de dados de evidências em fisioterapia. Fisioter Mov.
;24(3):523-33. doi: 10.1590/S0103-51502011000300017
Loureiro APC, Ribas CG, Zotz TGG, Chen R, Ribas F. Feasibility of
virtual therapy in rehabilitation of Parkinson’s disease patients:
pilot study. Fisioter Mov. 2012;25(3):659-66. doi: 10.1590/
S0103-51502012000300021
Pompeu JE, Mendes FAS, Silva KG, Lobo AM, Oliveira TP,
Zomignari AP, et al. Effect of Nintendo Wii-based motor and
cognitive training on activities of daily living in patients with
Parkinson’s disease: a randomised clinical trial. Physiotherapy.
;98(3):196-204. doi: 10.1016/j.physio.2012.06.004
Mhatre PV, Vilares I, Stibb SM, Albert MV, Pickering L, Marciniak
CM, et al. Wii fit balance board playing improves balance and
gait in Parkinson disease. PM R. 2013;5(9):769-77. doi: 10.1016/j.
pmrj.2013.05.019
Zalecki T, Gorecka-Mazur A, Pietraszko W, Surowka AD,
Novak P, Moskala M. Visual feedback training using Wii Fit
improves balance in Parkinson’s disease. Folia Med Cracov.
;53(1):65-78.
Gonçalves BG, Leite MA, Orsini M, Pereira JS. Effects of using the
Nintendo Wii Fit Plus platform in the sensorimotor training of
gait disorders in Parkinson’s disease. Neurol Int. 2014;6(1):5048.
doi:10.4081/ni.2014.5048
Liao YY, Yang YR, Cheng SJ, Wu YR, Fuh JL, Wang RY.
Virtual reality-based training to improve obstacle-crossing
performance and dynamic balance in patients with Parkinson’s
disease. Neurorehabil Neural Repair. 2015;29(7):658-67. doi:
1177/1545968314562111
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and
mortality. 1967. Neurology. 2001;57(10 Suppl 3):S11-26.
Goetz CG, Tilley BC, Shaftman SR, Poewe W, Sampaio C,
Stebbins GT, et al. Movement Disorder Society UPDRS Revision
Task Force: movement disorder society-sponsored revision of
the unified Parkinson’s disease rating scale (MDS-UPDRS):
scale presentation and clinimetric testing results. Mov Disord.
;23(15):2129-70. doi: 10.1002/mds.22340
Shulman LM, Armstrong M, Ellis T, Gruber-Baldini A, Horak F,
Nieuwboer A, et al. Disability rating scales in Parkinson’s disease:
critique and recommendations. Mov Disord. 2016;31(10):1455-
doi: 10.1002/mds.26649
Bloem BR, Marinus J, Almeida Q, Dibble L, Nieuwboer A, Post
B, et al. Measurement instruments to assess posture, gait, and
balance in Parkinson’s disease: critique and recommendations.
Mov Disord. 2016;31(9):1342-55. doi: 10.1002/mds.26572
Goulart F, Pereira LX. Uso de escalas para avaliação da doença
de Parkinson em fisioterapia. Fisioter Pesqui. 2005;11(1):49-56.
doi: 10.1590/fpusp.v11i1.76385
Holden M, Dyar T. Virtual environment training: a new tool for
neurorehabilitation. J Neurol Phys Ther. 2002;26(2):62-71.
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