Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis

Parkinson's disease (PD) is a neurodegenerative condition with both motor and non-motor symptoms affecting the quality of life (QoL) of older adults. Exergaming rehabilitation allows the interaction of the subject with digital games through the implementation of repetitive functional activities...

Full description

Bibliographic Details
Main Authors: Papamichael Elena, Solou Demetris, Michailidou Christina, Papamichail Marios
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2021.683385/full
_version_ 1818607164376219648
author Papamichael Elena
Solou Demetris
Michailidou Christina
Papamichail Marios
author_facet Papamichael Elena
Solou Demetris
Michailidou Christina
Papamichail Marios
author_sort Papamichael Elena
collection DOAJ
description Parkinson's disease (PD) is a neurodegenerative condition with both motor and non-motor symptoms affecting the quality of life (QoL) of older adults. Exergaming rehabilitation allows the interaction of the subject with digital games through the implementation of repetitive functional activities. Conventional physiotherapy uses patient-centered programs that include a variety of active exercises. The aim of this review was to look into the effectiveness of exergaming rehabilitation on the QoL of people with PD and compare it with conventional physiotherapy. Five electronic databases were searched for eligible studies until February 2021. For the statistical analysis, the mean, standard deviation, and 95% confidence interval were used to calculate effect sizes between groups. To determine heterogeneity, statistical index I2 was used. A total of 548 participants were included in 14 studies. Exergaming rehabilitation related with improved QoL (p = 0.687, 95% CI: −1.682 to −0.734), balance (p = 0.039, 95% CI: 0.364–13.689), (p = 0.018, 95% CI: 0.446–4.830), and gait (p = 0.005, 95% CI: 0.351–1.924). No significant difference was found between groups regarding the Unified Parkinson's Disease Rating Scale (p = 0.196, 95% CI: −5.970 to 1.225) and for the Timed Up and Go Test (p = 0.12, 95% CI: 0.446–4.830). Exergames as a rehabilitation method can be used to provide alternative interactive intervention with positive results for QoL in people with PD. Further investigation is needed to assess the effect on mental health in this population group.
first_indexed 2024-12-16T14:22:24Z
format Article
id doaj.art-54268836df954443827e7c703afe4a10
institution Directory Open Access Journal
issn 1664-2295
language English
last_indexed 2024-12-16T14:22:24Z
publishDate 2021-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Neurology
spelling doaj.art-54268836df954443827e7c703afe4a102022-12-21T22:28:27ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-08-011210.3389/fneur.2021.683385683385Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-AnalysisPapamichael Elena0Solou Demetris1Michailidou Christina2Papamichail Marios3Department of Life and Health Sciences, School of Sciences and Engineering, University of Nicosia, Nicosia, CyprusFaculty of Medicine, University of Freiburg, Freiburg im Breisgau, GermanyDepartment of Life and Health Sciences, School of Sciences and Engineering, University of Nicosia, Nicosia, CyprusPricewaterhouseCoopers Company Central Cyprus, Nicosia, CyprusParkinson's disease (PD) is a neurodegenerative condition with both motor and non-motor symptoms affecting the quality of life (QoL) of older adults. Exergaming rehabilitation allows the interaction of the subject with digital games through the implementation of repetitive functional activities. Conventional physiotherapy uses patient-centered programs that include a variety of active exercises. The aim of this review was to look into the effectiveness of exergaming rehabilitation on the QoL of people with PD and compare it with conventional physiotherapy. Five electronic databases were searched for eligible studies until February 2021. For the statistical analysis, the mean, standard deviation, and 95% confidence interval were used to calculate effect sizes between groups. To determine heterogeneity, statistical index I2 was used. A total of 548 participants were included in 14 studies. Exergaming rehabilitation related with improved QoL (p = 0.687, 95% CI: −1.682 to −0.734), balance (p = 0.039, 95% CI: 0.364–13.689), (p = 0.018, 95% CI: 0.446–4.830), and gait (p = 0.005, 95% CI: 0.351–1.924). No significant difference was found between groups regarding the Unified Parkinson's Disease Rating Scale (p = 0.196, 95% CI: −5.970 to 1.225) and for the Timed Up and Go Test (p = 0.12, 95% CI: 0.446–4.830). Exergames as a rehabilitation method can be used to provide alternative interactive intervention with positive results for QoL in people with PD. Further investigation is needed to assess the effect on mental health in this population group.https://www.frontiersin.org/articles/10.3389/fneur.2021.683385/fullParkinson's diseaseconventional physiotherapyquality of lifefunctionalityexergaming
spellingShingle Papamichael Elena
Solou Demetris
Michailidou Christina
Papamichail Marios
Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis
Frontiers in Neurology
Parkinson's disease
conventional physiotherapy
quality of life
functionality
exergaming
title Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis
title_full Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis
title_fullStr Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis
title_full_unstemmed Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis
title_short Differences Between Exergaming Rehabilitation and Conventional Physiotherapy on Quality of Life in Parkinson's Disease: A Systematic Review and Meta-Analysis
title_sort differences between exergaming rehabilitation and conventional physiotherapy on quality of life in parkinson s disease a systematic review and meta analysis
topic Parkinson's disease
conventional physiotherapy
quality of life
functionality
exergaming
url https://www.frontiersin.org/articles/10.3389/fneur.2021.683385/full
work_keys_str_mv AT papamichaelelena differencesbetweenexergamingrehabilitationandconventionalphysiotherapyonqualityoflifeinparkinsonsdiseaseasystematicreviewandmetaanalysis
AT soloudemetris differencesbetweenexergamingrehabilitationandconventionalphysiotherapyonqualityoflifeinparkinsonsdiseaseasystematicreviewandmetaanalysis
AT michailidouchristina differencesbetweenexergamingrehabilitationandconventionalphysiotherapyonqualityoflifeinparkinsonsdiseaseasystematicreviewandmetaanalysis
AT papamichailmarios differencesbetweenexergamingrehabilitationandconventionalphysiotherapyonqualityoflifeinparkinsonsdiseaseasystematicreviewandmetaanalysis