scholarly journals Gamified Dual-Task Training for Individuals with Parkinson Disease: An Exploratory Study on Feasibility, Safety, and Efficacy

Author(s):  
Lee-Kuen Chua ◽  
Yu-Chen Chung ◽  
David Bellard ◽  
Laura Swan ◽  
Nicole Gobreial ◽  
...  

Objectives: The feasibility and safety of the use of neurorehabilitation technology (SMARTfit® Trainer system) by physical therapists in implementing a gamified physical-cognitive dual-task training (DTT) paradigm for individuals with Parkinson disease (IWPD) was examined. Additionally, the efficacy of this gamified DTT was compared to physical single-task training (STT), both of which were optimized using physio-motivational factors, on changes in motor and cognitive outcomes, and self-assessed disability in activities of daily living. Methods: Using a cross-over study design, eight participants with mild-to-moderate idiopathic PD (including one with mild cognitive impairment) completed both training conditions (i.e., gamified DTT and STT). For each training condition, the participants attended 2–3 sessions per week over 8.8 weeks on average, with the total amount of training being equivalent to 24 1 h sessions. A washout period averaging 11.5 weeks was inserted between training conditions. STT consisted of task-oriented training involving the practice of functional tasks, whereas for gamified DTT, the same task-oriented training was implemented simultaneously with varied cognitive games using an interactive training system (SMARTfit®). Both training conditions were optimized through continual adaptation to ensure the use of challenging tasks and to provide autonomy support. Training hours, heart rate, and adverse events were measured to assess the feasibility and safety of the gamified DTT protocol. Motor and cognitive function as well as perceived disability were assessed before and after each training condition. Results: Gamified DTT was feasible and safe for this cohort. Across participants, significant improvements were achieved in more outcome measures after gamified DTT than they were after STT. Individually, participants with specific demographic and clinical characteristics responded differently to the two training conditions. Conclusion: Physical therapists’ utilization of technology with versatile hardware configurations and customizable software application selections was feasible and safe for implementing a tailor-made intervention and for adapting it in real-time to meet the individualized, evolving training needs of IWPD. Specifically in comparison to optimized STT, there was a preliminary signal of efficacy for gamified DTT in improving motor and cognitive function as well as perceived disability in IWPD.

2019 ◽  
Vol 43 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Carolien Strouwen ◽  
Esther A. L. M. Molenaar ◽  
Liesbeth Münks ◽  
Sanne Broeder ◽  
Pieter Ginis ◽  
...  

2020 ◽  
Vol 12 ◽  
Author(s):  
Elnaz Parvin ◽  
Fatemeh Mohammadian ◽  
Sadegh Amani-Shalamzari ◽  
Mahdi Bayati ◽  
Behnaz Tazesh

This study aimed to investigate the effect of 12 weeks of dual-task training on cognitive status, physical performance, and brain oscillation of patients with Alzheimer’s disease (AD). Twenty-six AD patients were randomly assigned to two groups, the training group (TG) and control group (CG). TG executed progressive combined exercises with visual stimulation twice a week for 12 weeks. Training included muscle endurance, balance, flexibility, and aerobic exercises with eyes closed and opened. Brain oscillation on electroencephalography (EEG) and a series of physical, cognitive, and mental tests were taken before and post-intervention. There was a significant improvement after training protocol in cognitive function, particularly in short-term and working memory, attention, and executive function (p < 0.01). Besides, there were substantial improvements in depression status (GDS scale), aerobic fitness (6 min walking), flexibility (chair sit and reach) functional ability (chair stand, timed up and go test), strength (knee extensions, preacher biceps curl, handgrip) in TG compared to CG. These signs of progress were associated with a significant increase (p < 0.05) in the frequency of brain oscillation and a decrease in the theta/alpha ratio. In addition to physical performance, the regular combined training with visual stimulation improves brain health as indicated by improving cognitive function and reducing the theta/alpha ratio.Clinical Trial Registration: Iranian Registry of Clinical Trials (IRCT) https://www.irct.ir/, identifier IRCT20190504043468N1—August 5, 2020.


2018 ◽  
Vol 8 (5) ◽  
pp. 86 ◽  
Author(s):  
Emiko Morita ◽  
Hisayo Yokoyama ◽  
Daiki Imai ◽  
Ryosuke Takeda ◽  
Akemi Ota ◽  
...  

2014 ◽  
Vol 38 (4) ◽  
pp. 246-253 ◽  
Author(s):  
Moran Dorfman ◽  
Talia Herman ◽  
Marina Brozgol ◽  
Shirley Shema ◽  
Aner Weiss ◽  
...  

2020 ◽  
Author(s):  
Elnaz Parvin ◽  
Fatemeh Mohamadian ◽  
Sadegh Amani-Shalamzari ◽  
mahdi bayati ◽  
Behnaz Tazesh

Abstract Background: This study aimed to investigate the effect of a 12-week period dual-task training on cognitive status, physical performance and brain waves of patients with Alzheimer's disease (AD). Methods: Twenty-six AD patients were randomly assigned to two groups, training group (TG) and control group (CG). TG executed progressive combined exercises with visual stimulation twice a week for 12 weeks. Training included muscle endurance, balance, flexibility and aerobic exercises with eyes closed and opened. Brain waves on EEG and a series of physical, cognitive and mental tests were taken prior and post intervention. Results: There was a significant improvement after training protocol in cognitive function, particularly in short-term memory, attention, working memory and executive function (p<0.01). In addition, there were substantial improvements in depression status (GDS scale), aerobic fitness (6 min walking), flexibility (chair sit and reach) functional ability (chair stand, timed up and go test), strength (knee extensions, preacher biceps curl, handgrip) in TG compare to CG. These progresses was associated with significantly increase (p<0.05) in the frequency of brain waves and decreased in the theta/alpha ratio. Conclusions: In addition to physical performance, the regular combined training with visual stimulation improve brain health as indicated by improving cognitive function and reducing the theta/alpha ratio. Trial registration: Iranian Registry of Clinical Trials, IRCT20190504043468N1.


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