02/07/2017 An Interactive Videogame for Arm and Hand Exercise in People With Parkinson's Disease: A Randomized Controlled Trial

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An Interactive Videogame for Arm and Hand

Exercise in People With Parkinson's Disease: A
Randomized Controlled Trial
NE Allen et al. Parkinsonism Relat Disord. 2017 May 15. more

Get Full Text: Journal site

INTRODUCTION: People with Parkinson's disease (PD) have di iculty 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)].

https://www.ncbi.nlm.nih.gov/labs/articles/28528804/ 1/4
02/07/2017 An Interactive Videogame for Arm and Hand Exercise in People With Parkinson's Disease: A Randomized Controlled Trial - Journals - NCBI

RESULTS: There were no between group di erences 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 di erence = 10.9 taps/60s, p
< 0.001) but increased error (mean di erence = 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.

Copyright 2017 Elsevier Ltd. All rights reserved.

PubMed: 28528804 DOI: 10.1016/j.parkreldis.2017.05.011

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