Barbour, Peter J, MD

Danni, Allyn, PT, NCS, ATP, MSCS

Hammer, Jolene, PT

Kerstetter, Amy L, PT

Tremblay, Sandra M, PT, MS, CWS, MSCS

Weiss, Michael J, MPH

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksDepartment of MedicinePilot Study to Assess Benefit of Virtual RealityGame System, Wii, on Balance and Gait in PersonsWith Parkinson's DiseasePeter J. Barbour MDLehigh Valley Health Network, Peter.Barbour@lvhn.orgAmy L. Kerstetter PTLehigh Valley Health Network, Amy.Kerstetter@lvhn.orgAllyn Danni PT, NCS, ATP, MSCSLehigh Valley Health Network, Allyn.Danni@lvhn.orgJolene Hammer PTLehigh Valley Health Network, Jolene.Hammer@lvhn.orgMichael J. Weiss MPHLehigh Valley Health Network, Michael_J.Weiss@lvhn.orgSee next page for additional authorsFollow this and additional works at: http://scholarlyworks.lvhn.org/medicinePart of the Medical Sciences Commons, Neurology Commons, and the Physical TherapyCommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtBarbour, P., Kerstetter, A., Tremblay, S., Danni, A., Hammer, J., & Weiss, M. (2014, June 8-12). Pilot study to assess benefit of virtualreality game system, wii, on balance and gait in persons with parkinson's disease. Poster presented at: The 2014 International Congress ofParkinson's Disease and Movement Disorders, Stockholm, Sweden.AuthorsPeter J. Barbour MD; Amy L. Kerstetter PT; Allyn Danni PT, NCS, ATP, MSCS; Jolene Hammer PT; MichaelJ. Weiss MPH; and Sandra M. Tremblay PT, MS, CWS, MSCSThis poster is available at LVHN Scholarly Works: http://scholarlyworks.lvhn.org/medicine/445 © 2014 Lehigh Valley Health NetworkTo assess the benefit of virtual reality gaming (VRG), using a Nintendo Wii gaming system, to maintain gait and balance in Parkinson’s disease.Conclusions: •		Although the study sample was small, use of commercial low cost VRG appears safe and effective in improving and sustaining important functional areas in Parkinson’s disease. •		Selection of VRG games may enhance treatment plans.	 	 	 	 –		Statistically significant improvement was found in step length, cadence, gait speed, and UPDRS ADL scores. •		Patients engaged in VRG program weekly to augment biweekly community based fitness program.•		Further study is warranted.References:1.	 	Holden,	M.	Virtual	Environments	for	Motor	Rehabilitation:	Review	CyberPsychology	and	Behavior.	2005.	8.:3:187-211.2.	 	Barry	G,	Galna	B,	Rochester	L.	The	Role	of	Exergaming	in	Parkinson’s	Disease,	Rehabilitation:	a	systematic	review	of	the	evidence.		J.	Neuroeng	Rehabilitaion	2014,	Mar	7:11(12):33.-	Epub	ahead	of	print.3.	 	Herz	NB,	Mehta	SH,	Sethi	KD,	Jackson	P.,	Hall	P	,	Morgan	JC.	Nintendo	Wii	rehabilitation	(“Wii	Hab”)	provides	benefits	in	Parkinson’s	disease.	Parkinsonism	Relat	Disord		2013.	19(11):1039-4.	4.	 	Lang,	A.	and	Lees,	A.	Management	of	Parkinson’s	disease:	an	Evidence	Based	review,	Physical	and	Occupational	Therapy	in	Parkinson’s	Disease.	Movement	Disorders..	2002,.	17,	(Suppl.	4):s156-s159.	Background: Repetitive, task-oriented activity is important for motor learning. Virtual reality gaming (VRG), Nintendo Wii, is inexpensive and provides visual and proprioceptive feedback in the context of a repetitive task-specific activity. It is difficult to demonstrate sustained benefit from physical therapy.Group exercise programs are utilized to sustain the benefits achieved through physical therapy.  Activities employed in these programs include VRG Wii.  Method: Ten participants with Parkinson’s disease were recruited from a community rehabilitation fitness program on stable medication for 30 days.All were independent ambulators over age 60. A physical therapist designed the VRG Wii exercise regimen utilizing Wii Fit balance board with associated gaming software.                                 Participants engaged in VRG program weekly, for 6 weeks; were assessed at baseline, 6 weeks, and every 4 weeks for 4 months.Objective: Table 1. Activity LE Baseline Week 26 p ValueStep Length Right 62.9 cm 68.1 cm 0.002 Left 61.9 cm 69.7 cm 0.007Cadence  106.2 steps/min 115.6 steps/min 0.005Gait Speed  106.2 cm/sec 129.4 cm/sec 0.005UPDRS ADL Score  8 7 0.05    Week 10Wii Step Aerobics Score  108.5 161 0.015Wii Half-Moon Score  63 71 0.05Gait speed and step length correlated as expected (r=.896, p<.001)Assessments Included: 1.		Unified Parkinson’s Disease Rating Scale (UPDRS). 	 2.		Limits of stability using Neurocom’s SMART EquiTest.	 3.		Timed Up and Go (TUG).	 4.		Gait assessment using GAITRite; cadence, step length, and speed.	 5.		Global impression statement (GI).	 6.		Question regarding impulse control (IC).* There were no strong correlations between Wii scores and standard assessments.Results: Lehigh Valley Health Network, Allentown, PennsylvaniaPilot Study to Assess the Benefit of a Virtual Reality Game System, Nintendo Wii, on Balance and Gait in Persons With Parkinson’s DiseasePeter J Barbour, MD, Amy Kerstetter, PT, Allyn Danni, PT, Jolene Hammer, PT, Michael J Weiss, MPH, and Sandra Tremblay, PT

Pilot Study to Assess Benefit of Virtual Reality Game System, Wii, on Balance and Gait in Persons With Parkinson\u27s Disease

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=1447&context=medicine

Pilot Study to Assess Benefit of Virtual Reality Game System, Wii, on Balance and Gait in Persons With Parkinson\u27s Disease

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