Restricted accessReview articleFirst published online 2019-07-17
Effects of the Nintendo Wii training on balance rehabilitation and quality of life of patients with Parkinson’s disease: A systematic review and meta-analysis
Randomized clinical trials (RCTs) used the Nintendo Wii (NW) in the treatment of Parkinson Disease, however, no meta-analysis was developed to determine the effects in these patients.
OBJECTIVE:
To analyze RCTs that investigated the effects of NW versus traditional physiotherapy on balance rehabilitation and quality of life of patients with PD.
METHODS:
Electronic research was conducted between December 2018 and January 2019 in the MEDLINE, PEDro, CENTRAL, LILACS and SciELO databases. The methodological quality was evaluated by the PEDro scale and the completeness of the description of the interventions by the TIDieR checklist. Weighted mean differences (WMD) and 95% confidence interval (CI) were calculated.
RESULTS:
Five studies were included and presented an average of 5.4 (1.5) on the PEDro scale and 6.7 (1.4) on the TIDieR. Compared to traditional physiotherapy, combined NW and traditional physiotherapy resulted in improvement in balance WMD 1.24 (95% CI: CI: 0.2 to 2.3 N = 72) and quality of life WMD– 8.9 (95% CI: –15.2 to –2.6 N = 56).
CONCLUSION:
combined NW and traditional physiotherapy was more effective on balance rehabilitation and quality of life of patients with PD, but the values demonstrated a poor methodological quality and a low level of completeness of the intervention descriptions.
Chandler,J.,
Higgins,J.P.T.,
Deeks,J.J.,
Davenport,C., & Clarke,M.J., (2017). Chapter 1: Introduction. In:
HigginsJPT,
ChurchillR,
ChandlerJ,
CumpstonMS (editors). Cochrane Handbook for Systematic Reviews of Interventions Version 5.2.0, 1–11.
2.
DockxK., BekkersE.M., Van den BerghV., GinisP., RochesterL., HausdorffJ.M.,... NieuwboerA. (2016). Virtual reality for rehabilitation in Parkinson’s disease. Cochrane Database of Systematic Reviews, 12, CD010760. https://doi.org/10.1002/14651858.CD010760.pub2
3.
Dos SantosL. R. A., CarregosaA.A., MasruhaM.R., Dos SantosP.A., Da Silveira CoêlhoM. L., FerrazD. D., & Da Silva RibeiroN.M. (2015). The Use of Nintendo Wii in the Rehabilitation of Poststroke Patients: A Systematic Review. Journal of Stroke and Cerebrovascular Diseases, 24(10), 2298–2305. https://doi.org/10.1016/j.jstrokecerebrovasdis.2015.06.010
4.
FernandezH.H. (2012). Updates in the medical management of Parkinson disease. Cleveland Clinic Journal of Medicine, 79(1), 28–35. https://doi.org/10.3949/ccjm.78gr.11005
5.
FerrazD.D., TrippoK., DominguezA., SantosA., Oliveira FilhoJ., FerrazD.D.,... Oliveira FilhoJ. (2017). Nintendo Wii training on postural balance and mobility rehabilitation of adults with Parkinson’s disease: A systematic review. Fisioterapia Em Movimento, 30(suppl 1), 383–393. https://doi.org/10.1590/1980-5918.030.s01.ar07
6.
GuerreroE., VasudevarajuP., HegdeM.L., BrittonG.B., & RaoK.S. (2013). Recent Advances in α-Synuclein Functions, Advanced Glycation, and Toxicity: Implications for Parkinson’s Disease. Molecular Neurobiology, 47(2), 525–536. https://doi.org/10.1007/s12035-012-8328-z
HoffmannT.C., GlasziouP.P., BoutronI., MilneR., PereraR., MoherD.,... MichieS. (2014). Better reporting of interventions: Template for intervention description and replication (TIDieR) checklist and guide. g1687. Retrieved from. BMJ (Clinical Research Ed.), 348, g1687. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/24609605
9.
KimH.J., KimJ., KangK.S., LeeK.T., & YangH.O. (2014). Neuroprotective Effect of Chebulagic Acid via Autophagy Induction in SH-SY5Y Cells. Biomolecules & Therapeutics, 22(4), 275–281. https://doi.org/10.4062/biomolther.2014.068
10.
KwakkelG., de GoedeC. J. T., & van WegenE. E. H. (2007). Impact of physical therapy for Parkinson’s disease: A critical review of the literature. Parkinsonism&Related Disorders, 13, S478–S487. https://doi.org/10.1016/S1353-8020(08)70053-1
11.
LeeN.-Y., LeeD.-K., & SongH.-S. (2015). Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson’s disease patients. Journal of Physical Therapy Science, 27(1), 145–147. https://doi.org/10.1589/jpts.27.145
12.
LiaoY.-Y., YangY.-R., ChengS.-J., WuY.-R., FuhJ.-L., & WangR.-Y. (2015). Virtual Reality-Based Training to Improve Obstacle-Crossing Performance and Dynamic Balance in Patients With Parkinson’s Disease. Neurorehabilitation and Neural Repair, 29(7), 658–667. https://doi.org/10.1177/1545968314562111
13.
LohseK.R., HildermanC.G. E., CheungK.L., TatlaS., & Van der LoosH. F. M. (2014). Virtual Reality Therapy for Adults Post-Stroke: A Systematic Review and Meta-Analysis Exploring Virtual Environments and Commercial Games in Therapy. PLoS ONE, 9(3), e93318. https://doi.org/10.1371/journal.pone.0093318
14.
MaherC.G., SherringtonC., HerbertR.D., MoseleyA.M., & ElkinsM. (2003). Reliability of the PEDro scale for rating quality of randomized controlled trials. Physical Therapy, 83(8), 713–721. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12882612
15.
MoherD., LiberatiA., TetzlaffJ., AltmanD.G., & PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ (Clinical Research Ed.), 339, b2535. https://doi.org/10.1136/BMJ.B2535
PedreiraG., PrazeresA., CruzD., GomesI., MonteiroL., & MeloA. (2013). Virtual games and quality of life in Parkinson’s disease: A randomised controlled trial. Advances in Parkinson’s Disease, 02(04), 97–101. https://doi.org/10.4236/apd.2013.24018
18.
PompeuJ.E., MendesF. A. dos S., SilvaK. G. da, LoboA.M., OliveiraT. de P., ZomignaniA.P., & PiemonteM. E. P. (2012). Effect of Nintendo WiiTM-based motor and cognitive training on activities of daily living in patients with Parkinson’s disease: A randomised clinical trial. Physiotherapy, 98(3), 196–204. https://doi.org/10.1016/j.physio.2012.06.004
19.
RibasC.G., Alves da SilvaL., CorrêaM.R., TeiveH.G., & ValderramasS. (2017). Effectiveness of exergaming in improving functional balance, fatigue and quality of life in Parkinson’s disease: A pilot randomized controlled trial. Parkinsonism & Related Disorders, 38, 13–18. https://doi.org/10.1016/j.parkreldis.2017.02.006
Souza,C.F.M.,
Almeida,H.C.P.,
Sousa,J.B.,
Costa,P.H.,
Silveira,Y.S.S., &
Bezerra,J.C.L. (2011). A doença de Parkinson e o processo de envelhecimento motor: Uma revisão de literatura. Rev Neurocienc, 19(4), 718–723.
22.
VieiraG. D. P., AraujoD. F. G. H. de, LeiteM. A. A., OrsiniM., & CorreaC.L. (2014). Realidade virtual na reabilitação física de pacientes com doença de Parkinson. Journal of Human Growth and Development, 24(1), 31. https://doi.org/10.7322/jhgd.72046
23.
Yong JooL., Soon YinT., XuD., ThiaE., Pei FenC., KuahC., & KongK. (2010). A feasibility study using interactive commercial off-the-shelf computer gaming in upper limb rehabilitation in patients after stroke. Journal of Rehabilitation Medicine, 42(5), 437–441. https://doi.org/10.2340/16501977-0528
