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Titre : | Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinsons disease : a randomised controlled trial (2020) |
Auteurs : | Costanza Pazzaglia ; Isabella Imbimbo ; Eliana Tranchita ; Carlo Minganti ; Diego Ricciardi ; R. Lo Monaco ; A. Parisi ; Luca Padua |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 106, n° 1, Mars 2020) |
Article en page(s) : | p. 36-42 |
Note générale : | https://doi.org/10.1016/j.physio.2019.12.007 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Maladie de Parkinson ; Médecine physique et de réadaptation ; Réadaptation ; Réalité de synthèse ; Résultat thérapeutique ; Thérapeutique |
Mots-clés: | Thérapeutique conventionnelle |
Résumé : |
Objective
To compare a 6-week virtual reality (VR) rehabilitation programme with a conventional rehabilitation programme in patients with Parkinsons disease. Design Prospective, single-blinded, randomised controlled trial. Setting Outpatients. Participants Fifty-one patients with Parkinsons disease were assigned at random to a VR rehabilitation programme or a conventional rehabilitation programme. Interventions Both programmes ran for 6 consecutive weeks, with a 40-minute session three times per week. Main outcome measures The Balance Berg Scale (BBS) was used to measure balance. Secondary outcome measures were: Dynamic Gait Index (DGI) to evaluate ability to adapt gait to complex walking tasks; Disabilities of the Arm, Shoulder and Hand (DASH) scale to measure performance of the upper limb; and Short Form 36 (SF-36) to evaluate quality of life. Results The VR rehabilitation programme led to an increase in BBS score {45.6 [standard deviation (SD) 7.9] vs 49.2 (SD 8.1), mean difference 3.6, 95% confidence interval (CI) 1.3 to 5.9; P = 0.003}, DGI score [18.7 (SD 4.7) vs 20.2 (SD 4.2), mean difference 1.6, 95% CI 0.6 to 2.5; P = 0.003] and SF-36 mental composite score [37.7 (SD 11.4) vs 43.5 (SD 9.2), mean difference 5.8, 95% CI 0.4 to 11.3; P = 0.037], and a decrease in DASH scale score [29.6 (SD 17.5) vs 21.6 (SD 15.1), mean difference −7.9, 95% CI −13.7 to −2.2; P = 0.009]. In contrast, the conventional rehabilitation programme only led to a decrease in DASH scale score [30.3 (SD 18.1) vs 25.1 (SD 15.8), mean difference −5.2, 95% CI −8.8 to −1.5; P = 0.007]. Conclusion These findings suggest that rehabilitation is useful in Parkinsons disease, and the VR rehabilitation programme was more effective in determining overall improvement than the conventional rehabilitation programme. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940618301287#! |