Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial
The implementation of regular prolonged, and effective rehabilitation in people with Parkinson's disease is essential for ensuring a good quality of life. However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, tel...
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| Veröffentlicht in: | European journal of physical and rehabilitation medicine 2023-12, Vol.59 (6), p.689-696 |
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| creator | Goffredo, Michela Baglio, Francesca DE Icco, Roberto Proietti, Stefania Maggioni, Giorgio Turolla, Andrea Pournajaf, Sanaz Jonsdottir, Johanna Zeni, Federica Federico, Sara Cacciante, Luisa Cioeta, Matteo Tassorelli, Cristina Franceschini, Marco Calabrò, Rocco S |
| description | The implementation of regular prolonged, and effective rehabilitation in people with Parkinson's disease is essential for ensuring a good quality of life. However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, telerehabilitation could be a possible solution to guarantee the continuity of care.
To investigate the efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in people with Parkinson's disease, compared to at-home self-administered structured conventional motor activities.
Multicenter randomized controlled trial.
Five rehabilitation hospitals of the Italian Neuroscience and Rehabilitation Network.
Individuals diagnosed with Parkinson's disease.
Ninety-seven participants were randomized into two groups: 49 in the telerehabilitation group (non-immersive virtual reality-based telerehabilitation) and 48 in the control group (at-home self-administered structured conventional motor activities). Both treatments lasted 30 sessions (3-5 days/week for, 6-10 weeks). Static and dynamic balance, gait, and functional motor outcomes were registered before and after the treatments.
All participants improved the outcomes at the end of the treatments. The primary outcome (mini-Balance Evaluation Systems Test) registered a greater significant improvement in the telerehabilitation group than in the control group. The gait and endurance significantly improved in the telerehabilitation group only, with significant within-group and between-group differences.
Our results showed that non-immersive virtual reality-based telerehabilitation is feasible, improves static and dynamic balance, and is a reasonably valuable alternative for reducing postural instability in people with Parkinson's disease.
Non-immersive virtual reality-based telerehabilitation is an effective and well-tolerated modality of rehabilitation which may help to improve access and scale up rehabilitation services as suggested by the World Health Organization's Rehabilitation 2030 agenda. |
| doi_str_mv | 10.23736/S1973-9087.23.07954-6 |
| format | Article |
| fullrecord | <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10795069</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>37847247</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-1bc730d4bedfe706281b1cb1f23dc1ac6177fcc4105e3d7b514cf7665d0c04d3</originalsourceid><addsrcrecordid>eNpVkdtKAzEURYMotlZ_QfLm02jSzCQzvoiUegFBwb6HTC4anUlKkhbqp_i1pheLQiBhn7PXSbIBOMfockwYoVevuGGkaFDNsnCJWFOVBT0Aw53cVIf7c80G4CTGD4QowTU9BgPC6pKNSzYE31NjrBRyBb2BzrvC9r0O0S41XNqQFqKDQYvOplXRiqgVTLrTQb-L1mZRJOsdzGvuY1qE3BzTtrKC1sEXET6ti95dRKhs1BlwDQXsF12yUrukAwzCKd_br0yW3qXgu249JFjRnYIjI7qoz3b7CMzuprPJQ_H0fP84uX0qZImrVOBWMoJU2WplNEN0XOMWyxabMVESC0kxY0bmXlRpolhb4VIaRmmlkESlIiNws8XOF22v1fpe-SF8Hmwvwop7Yfn_irPv_M0vOV5_OqJNJtAtQQYfY9Bmb8aIb9Lim7T4Ooos8E1anGbj-d_Re9tvPOQH4WGXwA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Goffredo, Michela ; Baglio, Francesca ; DE Icco, Roberto ; Proietti, Stefania ; Maggioni, Giorgio ; Turolla, Andrea ; Pournajaf, Sanaz ; Jonsdottir, Johanna ; Zeni, Federica ; Federico, Sara ; Cacciante, Luisa ; Cioeta, Matteo ; Tassorelli, Cristina ; Franceschini, Marco ; Calabrò, Rocco S</creator><creatorcontrib>Goffredo, Michela ; Baglio, Francesca ; DE Icco, Roberto ; Proietti, Stefania ; Maggioni, Giorgio ; Turolla, Andrea ; Pournajaf, Sanaz ; Jonsdottir, Johanna ; Zeni, Federica ; Federico, Sara ; Cacciante, Luisa ; Cioeta, Matteo ; Tassorelli, Cristina ; Franceschini, Marco ; Calabrò, Rocco S ; RIN_TR_Group</creatorcontrib><description>The implementation of regular prolonged, and effective rehabilitation in people with Parkinson's disease is essential for ensuring a good quality of life. However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, telerehabilitation could be a possible solution to guarantee the continuity of care.
To investigate the efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in people with Parkinson's disease, compared to at-home self-administered structured conventional motor activities.
Multicenter randomized controlled trial.
Five rehabilitation hospitals of the Italian Neuroscience and Rehabilitation Network.
Individuals diagnosed with Parkinson's disease.
Ninety-seven participants were randomized into two groups: 49 in the telerehabilitation group (non-immersive virtual reality-based telerehabilitation) and 48 in the control group (at-home self-administered structured conventional motor activities). Both treatments lasted 30 sessions (3-5 days/week for, 6-10 weeks). Static and dynamic balance, gait, and functional motor outcomes were registered before and after the treatments.
All participants improved the outcomes at the end of the treatments. The primary outcome (mini-Balance Evaluation Systems Test) registered a greater significant improvement in the telerehabilitation group than in the control group. The gait and endurance significantly improved in the telerehabilitation group only, with significant within-group and between-group differences.
Our results showed that non-immersive virtual reality-based telerehabilitation is feasible, improves static and dynamic balance, and is a reasonably valuable alternative for reducing postural instability in people with Parkinson's disease.
Non-immersive virtual reality-based telerehabilitation is an effective and well-tolerated modality of rehabilitation which may help to improve access and scale up rehabilitation services as suggested by the World Health Organization's Rehabilitation 2030 agenda.</description><identifier>ISSN: 1973-9087</identifier><identifier>EISSN: 1973-9095</identifier><identifier>DOI: 10.23736/S1973-9087.23.07954-6</identifier><identifier>PMID: 37847247</identifier><language>eng</language><publisher>Italy: Edizioni Minerva Medica</publisher><subject>Humans ; Parkinson Disease - rehabilitation ; Physical Therapy Modalities ; Postural Balance ; Quality of Life ; Telerehabilitation - methods ; Virtual Reality</subject><ispartof>European journal of physical and rehabilitation medicine, 2023-12, Vol.59 (6), p.689-696</ispartof><rights>2023 THE AUTHORS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-1bc730d4bedfe706281b1cb1f23dc1ac6177fcc4105e3d7b514cf7665d0c04d3</citedby><cites>FETCH-LOGICAL-c415t-1bc730d4bedfe706281b1cb1f23dc1ac6177fcc4105e3d7b514cf7665d0c04d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10795069/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10795069/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37847247$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goffredo, Michela</creatorcontrib><creatorcontrib>Baglio, Francesca</creatorcontrib><creatorcontrib>DE Icco, Roberto</creatorcontrib><creatorcontrib>Proietti, Stefania</creatorcontrib><creatorcontrib>Maggioni, Giorgio</creatorcontrib><creatorcontrib>Turolla, Andrea</creatorcontrib><creatorcontrib>Pournajaf, Sanaz</creatorcontrib><creatorcontrib>Jonsdottir, Johanna</creatorcontrib><creatorcontrib>Zeni, Federica</creatorcontrib><creatorcontrib>Federico, Sara</creatorcontrib><creatorcontrib>Cacciante, Luisa</creatorcontrib><creatorcontrib>Cioeta, Matteo</creatorcontrib><creatorcontrib>Tassorelli, Cristina</creatorcontrib><creatorcontrib>Franceschini, Marco</creatorcontrib><creatorcontrib>Calabrò, Rocco S</creatorcontrib><creatorcontrib>RIN_TR_Group</creatorcontrib><title>Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial</title><title>European journal of physical and rehabilitation medicine</title><addtitle>Eur J Phys Rehabil Med</addtitle><description>The implementation of regular prolonged, and effective rehabilitation in people with Parkinson's disease is essential for ensuring a good quality of life. However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, telerehabilitation could be a possible solution to guarantee the continuity of care.
To investigate the efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in people with Parkinson's disease, compared to at-home self-administered structured conventional motor activities.
Multicenter randomized controlled trial.
Five rehabilitation hospitals of the Italian Neuroscience and Rehabilitation Network.
Individuals diagnosed with Parkinson's disease.
Ninety-seven participants were randomized into two groups: 49 in the telerehabilitation group (non-immersive virtual reality-based telerehabilitation) and 48 in the control group (at-home self-administered structured conventional motor activities). Both treatments lasted 30 sessions (3-5 days/week for, 6-10 weeks). Static and dynamic balance, gait, and functional motor outcomes were registered before and after the treatments.
All participants improved the outcomes at the end of the treatments. The primary outcome (mini-Balance Evaluation Systems Test) registered a greater significant improvement in the telerehabilitation group than in the control group. The gait and endurance significantly improved in the telerehabilitation group only, with significant within-group and between-group differences.
Our results showed that non-immersive virtual reality-based telerehabilitation is feasible, improves static and dynamic balance, and is a reasonably valuable alternative for reducing postural instability in people with Parkinson's disease.
Non-immersive virtual reality-based telerehabilitation is an effective and well-tolerated modality of rehabilitation which may help to improve access and scale up rehabilitation services as suggested by the World Health Organization's Rehabilitation 2030 agenda.</description><subject>Humans</subject><subject>Parkinson Disease - rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Postural Balance</subject><subject>Quality of Life</subject><subject>Telerehabilitation - methods</subject><subject>Virtual Reality</subject><issn>1973-9087</issn><issn>1973-9095</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkdtKAzEURYMotlZ_QfLm02jSzCQzvoiUegFBwb6HTC4anUlKkhbqp_i1pheLQiBhn7PXSbIBOMfockwYoVevuGGkaFDNsnCJWFOVBT0Aw53cVIf7c80G4CTGD4QowTU9BgPC6pKNSzYE31NjrBRyBb2BzrvC9r0O0S41XNqQFqKDQYvOplXRiqgVTLrTQb-L1mZRJOsdzGvuY1qE3BzTtrKC1sEXET6ti95dRKhs1BlwDQXsF12yUrukAwzCKd_br0yW3qXgu249JFjRnYIjI7qoz3b7CMzuprPJQ_H0fP84uX0qZImrVOBWMoJU2WplNEN0XOMWyxabMVESC0kxY0bmXlRpolhb4VIaRmmlkESlIiNws8XOF22v1fpe-SF8Hmwvwop7Yfn_irPv_M0vOV5_OqJNJtAtQQYfY9Bmb8aIb9Lim7T4Ooos8E1anGbj-d_Re9tvPOQH4WGXwA</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Goffredo, Michela</creator><creator>Baglio, Francesca</creator><creator>DE Icco, Roberto</creator><creator>Proietti, Stefania</creator><creator>Maggioni, Giorgio</creator><creator>Turolla, Andrea</creator><creator>Pournajaf, Sanaz</creator><creator>Jonsdottir, Johanna</creator><creator>Zeni, Federica</creator><creator>Federico, Sara</creator><creator>Cacciante, Luisa</creator><creator>Cioeta, Matteo</creator><creator>Tassorelli, Cristina</creator><creator>Franceschini, Marco</creator><creator>Calabrò, Rocco S</creator><general>Edizioni Minerva Medica</general><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>5PM</scope></search><sort><creationdate>20231201</creationdate><title>Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial</title><author>Goffredo, Michela ; 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However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, telerehabilitation could be a possible solution to guarantee the continuity of care.
To investigate the efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in people with Parkinson's disease, compared to at-home self-administered structured conventional motor activities.
Multicenter randomized controlled trial.
Five rehabilitation hospitals of the Italian Neuroscience and Rehabilitation Network.
Individuals diagnosed with Parkinson's disease.
Ninety-seven participants were randomized into two groups: 49 in the telerehabilitation group (non-immersive virtual reality-based telerehabilitation) and 48 in the control group (at-home self-administered structured conventional motor activities). Both treatments lasted 30 sessions (3-5 days/week for, 6-10 weeks). Static and dynamic balance, gait, and functional motor outcomes were registered before and after the treatments.
All participants improved the outcomes at the end of the treatments. The primary outcome (mini-Balance Evaluation Systems Test) registered a greater significant improvement in the telerehabilitation group than in the control group. The gait and endurance significantly improved in the telerehabilitation group only, with significant within-group and between-group differences.
Our results showed that non-immersive virtual reality-based telerehabilitation is feasible, improves static and dynamic balance, and is a reasonably valuable alternative for reducing postural instability in people with Parkinson's disease.
Non-immersive virtual reality-based telerehabilitation is an effective and well-tolerated modality of rehabilitation which may help to improve access and scale up rehabilitation services as suggested by the World Health Organization's Rehabilitation 2030 agenda.</abstract><cop>Italy</cop><pub>Edizioni Minerva Medica</pub><pmid>37847247</pmid><doi>10.23736/S1973-9087.23.07954-6</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1973-9087 |
| ispartof | European journal of physical and rehabilitation medicine, 2023-12, Vol.59 (6), p.689-696 |
| issn | 1973-9087 1973-9095 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10795069 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Humans Parkinson Disease - rehabilitation Physical Therapy Modalities Postural Balance Quality of Life Telerehabilitation - methods Virtual Reality |
| title | Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial |
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