Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease

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 vi...

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Main Authors: Giovanna Barros Gonçalves, Marco Antônio A. Leite, Marco Orsini, João Santos Pereira
Format: Article
Language:English
Published: MDPI AG 2014-01-01
Series:Neurology International
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/ni/article/view/5048
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author Giovanna Barros Gonçalves
Marco Antônio A. Leite
Marco Orsini
João Santos Pereira
author_facet Giovanna Barros Gonçalves
Marco Antônio A. Leite
Marco Orsini
João Santos Pereira
author_sort Giovanna Barros Gonçalves
collection DOAJ
description 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.
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spelling doaj.art-e20efdf64b294d1dabba96ae6035f6422023-02-02T11:49:17ZengMDPI AGNeurology International2035-83852035-83772014-01-016110.4081/ni.2014.50482705Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s diseaseGiovanna Barros Gonçalves0Marco Antônio A. Leite1Marco Orsini2João Santos Pereira3Neurology Department, Fluminense Federal University, Niteroi; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State UniversityNeurology Department, Fluminense Federal University, NiteroiNeurology Department, Fluminense Federal University, Niteroi; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State University; Science Rehabilitation, Centro Universitário Augusto Motta, UMISUAM, Bonsucesso, Rio de JaneiroNeurology Department, Fluminense Federal University, Niteroi; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State UniversityThe 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.http://www.pagepress.org/journals/index.php/ni/article/view/5048Parkinson's disease, gait disorders, sensorimotor training, Nintendo Wii Fit Plus
spellingShingle Giovanna Barros Gonçalves
Marco Antônio A. Leite
Marco Orsini
João Santos Pereira
Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease
Neurology International
Parkinson's disease, gait disorders, sensorimotor training, Nintendo Wii Fit Plus
title Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease
title_full Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease
title_fullStr Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease
title_full_unstemmed Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease
title_short Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease
title_sort effects of using the nintendo wii fit plus platform in the sensorimotor training of gait disorders in parkinson s disease
topic Parkinson's disease, gait disorders, sensorimotor training, Nintendo Wii Fit Plus
url http://www.pagepress.org/journals/index.php/ni/article/view/5048
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