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Recent advances in rehabilitation for Parkinson’s Disease with Exergames: A Systematic Review

Garcia-Agundez, Augusto ; Folkerts, Ann-Kristin ; Konrad, Robert ; Caserman, Polona ; Tregel, Thomas ; Goosses, Mareike ; Göbel, Stefan ; Kalbe, Elke (2022):
Recent advances in rehabilitation for Parkinson’s Disease with Exergames: A Systematic Review. (Publisher's Version)
In: Journal of NeuroEngineering and Rehabilitation, 16, BioMed Central, ISSN 1743-0003,
DOI: 10.26083/tuprints-00013147,

Copyright Information: CC BY 4.0 International - Creative Commons, Attribution.

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Item Type: Article
Origin: Secondary publication
Status: Publisher's Version
Title: Recent advances in rehabilitation for Parkinson’s Disease with Exergames: A Systematic Review
Language: English

Objective: The goal of this contribution is to gather and to critically analyze recent evidence regarding the potential of exergaming for Parkinson’s disease (PD) rehabilitation and to provide an up-to-date analysis of the current state of studies on exergame-based therapy in PD patients.

Methods: We performed our search based on the conclusions of a previous systematic review published in 2014. Inclusion criteria were articles published in the indexed databases Pubmed, Scopus, Sciencedirect, IEEE and Cochrane published since January 1, 2014. Exclusion criteria were papers with a target group other than PD patients exclusively, or contributions not based on exergames. Sixty-four publications out of 525 matches were selected.

Results: The analysis of the 64 selected publications confirmed the putative improvement in motor skills suggested by the results of the previous review. The reliability and safety of both Microsoft Kinect and Wii Balance Board in the proposed scenarios was further confirmed by several recent studies. Clinical trials present better (n = 5) or similar (n = 3) results than control groups (traditional rehabilitation or regular exercise) in motor (TUG, BBS) and cognitive (attention, alertness, working memory, executive function), thus emphasizing the potential of exergames in PD. Pilot studies (n = 11) stated the safety and feasibility of both Microsoft Kinect and Wii Balance Board, potentially in home scenarios as well. Technical papers (n = 30) stated the reliability of balance and gait data captured by both devices. Related metaanalyses and systematic reviews (n = 15) further support these statements, generally citing the need for adaptation to patient’s skills and new input devices and sensors as identified gaps.

Conclusion: Recent evidence indicates exergame-based therapy has been widely proven to be feasible, safe, and at least as effective as traditional PD rehabilitation. Further insight into new sensors, best practices and different cognitive stadiums of PD (such as PD with Mild Cognitive Impairment), as well as task specificity, are required. Also, studies linking game parameters and results with traditional assessment methods, such as UPDRS scores, are required. Outcomes for randomized controlled trials (RCTs) should be standardized, and follow-up studies are required, particularly for motor outcomes.

Journal or Publication Title: Journal of NeuroEngineering and Rehabilitation
Volume of the journal: 16
Place of Publication: Darmstadt
Publisher: BioMed Central
Collation: 17 Seiten
Classification DDC: 600 Technik, Medizin, angewandte Wissenschaften > 620 Ingenieurwissenschaften
Divisions: 20 Department of Computer Science > Embedded Systems and Applications
Date Deposited: 28 Mar 2022 12:08
Last Modified: 28 Feb 2023 12:39
DOI: 10.26083/tuprints-00013147
Corresponding Links:
URN: urn:nbn:de:tuda-tuprints-131479
Additional Information:

Keywords: Parkinson’s Disease, Cognitive Impairment, Rehabilitation, Cognitive training, Exergames, Serious Games

URI: https://tuprints.ulb.tu-darmstadt.de/id/eprint/13147
PPN: 505351064
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