Effects of using the nintendo wii fit plus platform in the sensorimotor training of gait disorders in Parkinson's disease.
Effects of using the nintendo wii fit plus platform in the sensorimotor training of gait disorders in Parkinson's disease.
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DOI：
10.4081/ni.2014.5048
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发表时间：
2014-01-17
影响因子：
3
通讯作者：
Pereira JS
中科院分区：
文献类型：
--
作者：
Gonçalves GB;Leite MA;Orsini M;Pereira JS
使用任天堂Wii被认为是帕金森病（PD）患者运动康复的一个很好的选择，需要同时进行互动，以制定虚拟活动中的物理，视觉，听觉，认知，心理和社交活动策略，从而改善功能表现和步态。本研究的目的是分析虚拟感觉运动活动对帕金森病患者步态障碍的影响。15例临床诊断为PD的受试者接受统一帕金森病评定量表（UMRS III）、Schwab和England日常生活活动量表（SE）、功能独立性测量（Functional Independence Measure，FAI）和生物力学步态分析，使用治疗程序前后用摄像机拍摄的数字图像。任天堂Wii虚拟平台上的活动被标准化为三类：有氧运动、平衡和Wii+练习。参与者进行单独的虚拟练习40分钟，每周两次，共14次。该计划改善了PD步态的感觉运动表现，增加了步幅和步态速度，此外还减少了运动障碍，特别是在SE和SE量表评估的下肢刚性和灵活性项目中，以及更大的功能独立性。还观察到与运动和爬楼梯有关的项目的改善。该训练对慢性神经退行性疾病的运动恢复有效，显示PD患者的运动表现和功能独立性有所改善。
The use of the Nintendo Wii has been considered a good alternative in the motor rehabilitation of individuals with Parkinson’s disease (PD), requiring simultaneous interaction to develop strategies for physical, visual, auditory, cognitive, psychological and social activities in the performing of virtual activities, resulting in improvement in functional performance and gait. The aim of this study was to analyze the effect of virtual sensorimotor activity on gait disorders in people with PD. Fifteen subjects with a clinical diagnosis of PD were submitted to the Unified Parkinson’s Disease Rating Scale (UPDRS III), Schwab and England Activities of Daily Living Scale (SE), Functional Independence Measure (FIM), and biomechanical gait analysis using digital images taken with a video camera before and after the treatment program. The activities with the Nintendo Wii virtual platform were standardized into three categories: aerobics, balance and Wii plus exercises. Participants carried out separate virtual exercises for 40 min, twice a week, for a total of 14 sessions. The program improved sensorimotor performance in PD gait, with an increase in stride length and gait speed, in addition to a reduction in motor impairment, especially in items of rigidity and flexibility of the lower limbs evaluated by UPDRS III, and greater functional independence, as evidenced in the SE and FIM scales. Improvements in items related to locomotion and stair climbing were also observed. The training was effective in motor recovery in chronic neurodegenerative diseases, showing improvement in motor performance and functional independence in individuals with PD.