An augmented reality dual-task intervention improves postural stability in individuals with Parkinson’s disease
The Dual-task Augmented Reality Treatment (DART) trial recently established that dual-task training (DTT) delivered by a physical therapist or the augmented reality DART platform was effective in improving spatiotemporal gait parameters under single- and dual-task conditions in individuals with Park...
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| Veröffentlicht in: | Gait & posture 2025-01, Vol.115, p.102-108 |
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| creator | Rosenfeldt, Anson B. Streicher, Matthew C. Kaya, Ryan D. Penko, Amanda L. Zimmerman, Eric M. Liao, James Y. Walter, Benjamin L. Alberts, Jay L. |
| description | The Dual-task Augmented Reality Treatment (DART) trial recently established that dual-task training (DTT) delivered by a physical therapist or the augmented reality DART platform was effective in improving spatiotemporal gait parameters under single- and dual-task conditions in individuals with Parkinson’s disease (PD). Data regarding postural stability were not reported in the primary outcome manuscript.
The aim of this secondary analysis was to compare the effects of a Traditional DTT intervention delivered by a physical therapist and DTT delivered by the DART platform on postural stability, functional mobility, and turning in individuals with PD. It was hypothesized that both groups would experience similar improvements.
Forty-seven individuals with PD were randomized to an 8-week (16 sessions) Traditional DTT or DART intervention. The limits of stability test and the instrumented Timed Up and Go (TUG) under single- and dual-task conditions were gathered at Baseline, End of Treatment (EOT), and 8-weeks after EOT.
At EOT, the Traditional DTT and DART groups experienced a 9 % and 14 % improvement in maximal excursion area and a 7 % and 12 % improvement in total TUG time under dual-task conditions, respectively (p |
| doi_str_mv | 10.1016/j.gaitpost.2024.11.007 |
| format | Article |
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The aim of this secondary analysis was to compare the effects of a Traditional DTT intervention delivered by a physical therapist and DTT delivered by the DART platform on postural stability, functional mobility, and turning in individuals with PD. It was hypothesized that both groups would experience similar improvements.
Forty-seven individuals with PD were randomized to an 8-week (16 sessions) Traditional DTT or DART intervention. The limits of stability test and the instrumented Timed Up and Go (TUG) under single- and dual-task conditions were gathered at Baseline, End of Treatment (EOT), and 8-weeks after EOT.
At EOT, the Traditional DTT and DART groups experienced a 9 % and 14 % improvement in maximal excursion area and a 7 % and 12 % improvement in total TUG time under dual-task conditions, respectively (p<0.05). Turn duration and average and peak turn velocity during the TUG improved for both groups under single- and dual-task conditions at EOT. Improvements in turn duration (dual-task) and average turn velocity (single- and dual-task) persisted 8-weeks after intervention cessation.
Improvements in postural stability, functional mobility, and turning under single- and dual-task conditions following traditional and DART DTT in individuals with PD indicate that cognitive-motor training can be used to effectively treat postural instability in this population. Improvements in the DART group were similar to traditional DTT, supporting our previous data demontrating that DART is an effective digital therapeutic to improve gait and postural instability in individuals with PD.
•Dual-task training (DTT) improves postural stability in Parkinson’s disease (PD).•Improvements were present in the traditional and augmented reality (AR) training groups.•DTT delivered via AR technology addresses several key barriers to clinical adoption.•The AR platform is a tool for therapist to treat PD and increase accessibility to care.</description><identifier>ISSN: 0966-6362</identifier><identifier>ISSN: 1879-2219</identifier><identifier>EISSN: 1879-2219</identifier><identifier>DOI: 10.1016/j.gaitpost.2024.11.007</identifier><identifier>PMID: 39571253</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>Aged ; Augmented reality ; Dual-task training ; Female ; Gait - physiology ; Gait Disorders, Neurologic - etiology ; Gait Disorders, Neurologic - physiopathology ; Gait Disorders, Neurologic - rehabilitation ; Humans ; Male ; Middle Aged ; Parkinson Disease - physiopathology ; Parkinson Disease - rehabilitation ; Parkinson Disease - therapy ; Parkinson’s disease ; Physical Therapy Modalities ; Postural Balance - physiology ; Postural instability ; Treatment Outcome</subject><ispartof>Gait & posture, 2025-01, Vol.115, p.102-108</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c293t-588a0fc79dea6580e814852a075c139a4e9e2a75e8354a775db59d897061f4c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0966636224006775$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39571253$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rosenfeldt, Anson B.</creatorcontrib><creatorcontrib>Streicher, Matthew C.</creatorcontrib><creatorcontrib>Kaya, Ryan D.</creatorcontrib><creatorcontrib>Penko, Amanda L.</creatorcontrib><creatorcontrib>Zimmerman, Eric M.</creatorcontrib><creatorcontrib>Liao, James Y.</creatorcontrib><creatorcontrib>Walter, Benjamin L.</creatorcontrib><creatorcontrib>Alberts, Jay L.</creatorcontrib><title>An augmented reality dual-task intervention improves postural stability in individuals with Parkinson’s disease</title><title>Gait & posture</title><addtitle>Gait Posture</addtitle><description>The Dual-task Augmented Reality Treatment (DART) trial recently established that dual-task training (DTT) delivered by a physical therapist or the augmented reality DART platform was effective in improving spatiotemporal gait parameters under single- and dual-task conditions in individuals with Parkinson’s disease (PD). Data regarding postural stability were not reported in the primary outcome manuscript.
The aim of this secondary analysis was to compare the effects of a Traditional DTT intervention delivered by a physical therapist and DTT delivered by the DART platform on postural stability, functional mobility, and turning in individuals with PD. It was hypothesized that both groups would experience similar improvements.
Forty-seven individuals with PD were randomized to an 8-week (16 sessions) Traditional DTT or DART intervention. The limits of stability test and the instrumented Timed Up and Go (TUG) under single- and dual-task conditions were gathered at Baseline, End of Treatment (EOT), and 8-weeks after EOT.
At EOT, the Traditional DTT and DART groups experienced a 9 % and 14 % improvement in maximal excursion area and a 7 % and 12 % improvement in total TUG time under dual-task conditions, respectively (p<0.05). Turn duration and average and peak turn velocity during the TUG improved for both groups under single- and dual-task conditions at EOT. Improvements in turn duration (dual-task) and average turn velocity (single- and dual-task) persisted 8-weeks after intervention cessation.
Improvements in postural stability, functional mobility, and turning under single- and dual-task conditions following traditional and DART DTT in individuals with PD indicate that cognitive-motor training can be used to effectively treat postural instability in this population. Improvements in the DART group were similar to traditional DTT, supporting our previous data demontrating that DART is an effective digital therapeutic to improve gait and postural instability in individuals with PD.
•Dual-task training (DTT) improves postural stability in Parkinson’s disease (PD).•Improvements were present in the traditional and augmented reality (AR) training groups.•DTT delivered via AR technology addresses several key barriers to clinical adoption.•The AR platform is a tool for therapist to treat PD and increase accessibility to care.</description><subject>Aged</subject><subject>Augmented reality</subject><subject>Dual-task training</subject><subject>Female</subject><subject>Gait - physiology</subject><subject>Gait Disorders, Neurologic - etiology</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Gait Disorders, Neurologic - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parkinson Disease - physiopathology</subject><subject>Parkinson Disease - rehabilitation</subject><subject>Parkinson Disease - therapy</subject><subject>Parkinson’s disease</subject><subject>Physical Therapy Modalities</subject><subject>Postural Balance - physiology</subject><subject>Postural instability</subject><subject>Treatment Outcome</subject><issn>0966-6362</issn><issn>1879-2219</issn><issn>1879-2219</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2025</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtuFDEQRS1ERIbAL0ResunGj3bb3hFFvKRIsCBry2PXhJr0Y2K7B2WX38jv8SV4mIQtK0uuc33Lh5BzzlrOeP9-2954LLs5l1Yw0bWct4zpF2TFjbaNENy-JCtm-77pZS9Oyeuct4yxThrxipxKqzQXSq7I3cVE_XIzwlQg0gR-wHJP4-KHpvh8S7Hep32d4jxRHHdp3kOmh94l-YHm4tf4N4J1PEXc4yGb6S8sP-l3n25xyvP0--Ex04gZfIY35GRTCXj7dJ6R608ff1x-aa6-ff56eXHVBGFlaZQxnm2CthF8rwwDwzujhGdaBS6t78CC8FqBkarzWqu4VjYaq1nPN11Q8oy8O75bd75bIBc3Yg4wDH6CeclOcslNZ7VkFe2PaEhzzgk2bpdw9OneceYOut3WPet2B92Oc1d11-D5U8eyHiH-iz37rcCHIwD1p3uE5HJAmAJETBCKizP-r-MPRM2YDQ</recordid><startdate>202501</startdate><enddate>202501</enddate><creator>Rosenfeldt, Anson B.</creator><creator>Streicher, Matthew C.</creator><creator>Kaya, Ryan D.</creator><creator>Penko, Amanda L.</creator><creator>Zimmerman, Eric M.</creator><creator>Liao, James Y.</creator><creator>Walter, Benjamin L.</creator><creator>Alberts, Jay L.</creator><general>Elsevier B.V</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202501</creationdate><title>An augmented reality dual-task intervention improves postural stability in individuals with Parkinson’s disease</title><author>Rosenfeldt, Anson B. ; Streicher, Matthew C. ; Kaya, Ryan D. ; Penko, Amanda L. ; Zimmerman, Eric M. ; Liao, James Y. ; Walter, Benjamin L. ; Alberts, Jay L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-588a0fc79dea6580e814852a075c139a4e9e2a75e8354a775db59d897061f4c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2025</creationdate><topic>Aged</topic><topic>Augmented reality</topic><topic>Dual-task training</topic><topic>Female</topic><topic>Gait - physiology</topic><topic>Gait Disorders, Neurologic - etiology</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Gait Disorders, Neurologic - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parkinson Disease - physiopathology</topic><topic>Parkinson Disease - rehabilitation</topic><topic>Parkinson Disease - therapy</topic><topic>Parkinson’s disease</topic><topic>Physical Therapy Modalities</topic><topic>Postural Balance - physiology</topic><topic>Postural instability</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rosenfeldt, Anson B.</creatorcontrib><creatorcontrib>Streicher, Matthew C.</creatorcontrib><creatorcontrib>Kaya, Ryan D.</creatorcontrib><creatorcontrib>Penko, Amanda L.</creatorcontrib><creatorcontrib>Zimmerman, Eric M.</creatorcontrib><creatorcontrib>Liao, James Y.</creatorcontrib><creatorcontrib>Walter, Benjamin L.</creatorcontrib><creatorcontrib>Alberts, Jay L.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Gait & posture</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rosenfeldt, Anson B.</au><au>Streicher, Matthew C.</au><au>Kaya, Ryan D.</au><au>Penko, Amanda L.</au><au>Zimmerman, Eric M.</au><au>Liao, James Y.</au><au>Walter, Benjamin L.</au><au>Alberts, Jay L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An augmented reality dual-task intervention improves postural stability in individuals with Parkinson’s disease</atitle><jtitle>Gait & posture</jtitle><addtitle>Gait Posture</addtitle><date>2025-01</date><risdate>2025</risdate><volume>115</volume><spage>102</spage><epage>108</epage><pages>102-108</pages><issn>0966-6362</issn><issn>1879-2219</issn><eissn>1879-2219</eissn><abstract>The Dual-task Augmented Reality Treatment (DART) trial recently established that dual-task training (DTT) delivered by a physical therapist or the augmented reality DART platform was effective in improving spatiotemporal gait parameters under single- and dual-task conditions in individuals with Parkinson’s disease (PD). Data regarding postural stability were not reported in the primary outcome manuscript.
The aim of this secondary analysis was to compare the effects of a Traditional DTT intervention delivered by a physical therapist and DTT delivered by the DART platform on postural stability, functional mobility, and turning in individuals with PD. It was hypothesized that both groups would experience similar improvements.
Forty-seven individuals with PD were randomized to an 8-week (16 sessions) Traditional DTT or DART intervention. The limits of stability test and the instrumented Timed Up and Go (TUG) under single- and dual-task conditions were gathered at Baseline, End of Treatment (EOT), and 8-weeks after EOT.
At EOT, the Traditional DTT and DART groups experienced a 9 % and 14 % improvement in maximal excursion area and a 7 % and 12 % improvement in total TUG time under dual-task conditions, respectively (p<0.05). Turn duration and average and peak turn velocity during the TUG improved for both groups under single- and dual-task conditions at EOT. Improvements in turn duration (dual-task) and average turn velocity (single- and dual-task) persisted 8-weeks after intervention cessation.
Improvements in postural stability, functional mobility, and turning under single- and dual-task conditions following traditional and DART DTT in individuals with PD indicate that cognitive-motor training can be used to effectively treat postural instability in this population. Improvements in the DART group were similar to traditional DTT, supporting our previous data demontrating that DART is an effective digital therapeutic to improve gait and postural instability in individuals with PD.
•Dual-task training (DTT) improves postural stability in Parkinson’s disease (PD).•Improvements were present in the traditional and augmented reality (AR) training groups.•DTT delivered via AR technology addresses several key barriers to clinical adoption.•The AR platform is a tool for therapist to treat PD and increase accessibility to care.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>39571253</pmid><doi>10.1016/j.gaitpost.2024.11.007</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Augmented reality Dual-task training Female Gait - physiology Gait Disorders, Neurologic - etiology Gait Disorders, Neurologic - physiopathology Gait Disorders, Neurologic - rehabilitation Humans Male Middle Aged Parkinson Disease - physiopathology Parkinson Disease - rehabilitation Parkinson Disease - therapy Parkinson’s disease Physical Therapy Modalities Postural Balance - physiology Postural instability Treatment Outcome |
| title | An augmented reality dual-task intervention improves postural stability in individuals with Parkinson’s disease |
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