Effects of Kinesthetic Stimuli During XBOX Kinect Training on People With Parkinson's Disease
Condition: Parkinson Disease
MeSH terms: Parkinson Disease
Study type: Interventional

Summary: 
      A single-blind, parallel-group, randomised trial will be conducted in Sao Paulo, Brazil.
      People with Parkinson's Disease (PD) will be recruited at "Brazil Parkinson Association"
      (BPA), a non-governmental association of PD care, and randomly allocated in two groups: the
      Movement Guidance Group (MVG) and NO-MVG Group. Both groups will perform XBOX Kinect training
      for balance and gait. However, the MVG will receive kinesthetic stimuli manually by the
      physiotherapist (PT) to improve the participant movements while the NO-MVG Group will not,
      the presence of the PT will be restrict to only guarantee the participant safety.
    

Detailed description: 
      BACKGROUND: Despite evidences indicate the benefit of motor interventions based on video
      games in people with Parkinson's Disease (PD), practice guidelines for the therapeutic use in
      physiotherapy were still not established. Although visual and auditory stimuli provided by
      video games are pointed as one of the main advantages for their therapeutic use, the effects
      of kinesthetic stimuli offered through physical therapist manual intervention during this
      type of training in people with PD have not been investigated yet. The answer to this
      question is relevant to guide the physical therapist (PT) conduct during this kind of
      intervention.

      PURPOSE: To compare the effects of motor training using video games with and without
      kinesthetic stimuli offered by physical therapist manual guidance during intervention on the
      functionality of people with PD.

      METHODS: A blind randomized clinical trial in people with idiopathic PD, staging of 1 to 3
      according to disability scale of Hoehn and Yahr, will be performed. Participants will be
      randomized into two groups: the Movement Guidance Group (MVG) and NO-MVG Group. Both groups
      will receive 8 individual sessions, twice a week, for 4 weeks. Each session consist of 10
      minutes of warm-up and 40 minutes of XBOX Kinect training for balance and gait. In the MVG
      Group, the PT will provide kinesthetic stimuli by assisting manually the participant
      movements. In the NO-MVG Group, the involvement of the PT will be restricted to ensure
      participant safety. The two groups will be evaluated before (BT) and after (AT) training and
      after 60 days (follow-up). A blind physiotherapist will conduct the assessments. Measurements
      are categorized according to the International Functioning Classification (ICF), those
      associated with the activity level were established as primary measures: Balance Evaluation
      Systems Test (BESTest); International Falls Effectiveness Scale (FES-I); 30-second Gait Test;
      Six Minute Walk Distance (6MWD); Five Times Sit to Stand Test (FTSTS) and Unified Parkinson's
      Disease Rate Scale (UPDRS) session II. Secondary measures were the evaluation of function
      using UPDRS session III; Rapid Turns Test (RTT); Montreal Cognitive Assessment (MOCA);
      Geriatric Depression Scale (GDS-15), and participation using the Parkinson's Disease Quality
      of Life Questionnaire (PDQ-39).

      STATISTICAL ANALYSIS: An ANOVA to repeated measures will be use, having as factors: group
      (MVG Group and NO-MVG Group) and evaluations (BT, AT and FU). Followed by post hoc Tukey Test
      to the significance factors. A significance of 5% will be considered.
    

Intervention name(s): Movement Guidance Group; No Movement Guidance Group
Intervention type(s): Other; Other
Intervention description(s): Participants of the MVG will received kinesthetic stimuli by manual assistance of the physiotherapist, which has the intention of guiding and improving the quality of movement during XBOX Kinect training for balance and gait.
Each session consisted of 10 minutes of warm-up and 40 minutes of XBOX Kinect training, using 4 different exergames.; Participants of the NO-MVG will not received kinesthetic stimuli by manual assistance of the physiotherapist during XBOX Kinect training for balance and gait.
They will perform the exercises without any manual correction. Although, the physiotherapist will be present during all session to ensure their safety.
Each session consisted of 10 minutes of warm-up and 40 minutes of XBOX Kinect training, using 4 different exergames.
Other intervention name(s): MVG; NO-MVG
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: A single-blind, parallel-group and randomized clinical trial
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: Parkinson's Disease; Physical Therapy Specialty; Virtual Reality; International Classification of Functioning; Disability and Health; Rehabilitation