Virtual reality as an intervention tool for upper limbs in Parkinson’s disease: a case series

Authors

DOI:

https://doi.org/10.1590/1809-2950/20022329022022PT

Keywords:

Parkinson’s Disease, Upper Extremity, Virtual Reality

Abstract

Parkinson’s disease (PD) is a neurodegenerative
disorder in which dopaminergic loss occurs in the basal nuclei
region. One major complaint associated with PD is upper
extremity motor deficits (UE), frequently reported in difficulties
to perform activities of daily living (ADL), which may negatively
affect quality of life. In recent years new technologies have
emerged to assist the UE rehabilitation process in PD, such as
virtual reality. Therefore, this study sought to verify the effects
of an intervention in the UE with semi-immersive virtual reality
equipment on ADLs and quality of life of individuals with
PD. Six individuals with PD were selected for intervention,
and evaluated by the Mini Mental State Examination, the
Hoehn & Yahr Scale, the Unified Parkinson’s Disease Rating per session, twice per week, for 5 weeks, using the Leap Motion
Controller. Individuals showed improvement in muscle strength,
muscle endurance, ADLs, and quality of life, all statistically significant.
In conclusion, the protocol based on virtual reality applied to the upper
limbs effectively improved the activities of daily living and quality of
life in individuals with PD.
Scale (UPDRS), the Parkinson’s Disease Questionnaire (PDQ39) and the test d’évaluation des membres supérieurs de
personnes âgées (TEMPA). The interventions lasted 27 minutes

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References

Moreira CS, Martins KFC, Neri VC, Araújo PG. Doença de Parkinson: como diagnosticar e tratar. Revista Científica da Faculdade de Medicina de Campos. 2007;2(2):19-29.

Tysnes OB, Storstein A. Epidemiology of Parkinson’s disease. J Neural Transm (Viena). 2017;124(8):901-5. doi: 10.1007/s00702-017-1686-y.

Bovolenta TM, Felício AC. O doente de Parkinson no contexto das políticas públicas de saúde no Brasil. Einstein (Sao Paulo). 2016;14(3):7-9. doi: 10.1590/S1679-45082016ED3780.

Bonassi G, Pelosin E, Ogliastro C, Cerulli C, Abbruzzese G, Avanzino L. Mirror visual feedback to improve bradykinesia in Parkinson’s disease. Neural Plast. 2016;2016:8764238. doi: 10.1155/2016/8764238.

Domingos JMM, Capato TTC, Almeida LRS, Godinho C, van Nimwegen M, Nijkrake M, et al. The European Physiotherapy Guideline for Parkinson’s Disease: translation for non-English speaking countries. J Neurol. 2021;268(1):214-8. doi: 10.1007/s00415-020-10132-x.

Ma HI, Hwang WJ, Lin KC. The effects of two different auditory stimuli on functional arm movement in persons with Parkinson’s disease: a dual-task paradigm. Clin Rehabil. 2009;23(3):229-37. doi: 10.1177/0269215508098896.

Tomo CK, Pereira VS, Pompeu SMAA, Pompeu JE. Efeitos do treino funcional de membro superior em condição de dupla tarefa na doença de Parkinson. Rev Neurocienc. 2014;22(3):344-50. doi: 10.34024/rnc.2014.v22.8076.

Lee KS, Lee WH, Hwang S. Modified constraint-induced movement therapy improves fine and gross motor performance of the upper limb in Parkinson disease. Am J Phys Med Rehabil. 2011;90(5):380-6. doi: 10.1097/PHM.0b013e31820b15cd.

Farley BG, Koshland GF. Training BIG to move faster: the application of the speed-amplitude relation as a rehabilitation strategy for people with Parkinson’s disease. Exp Brain Res. 2005;167(3):462-7. doi: 10.1007/s00221-005-0179-7.

Lahude AB, Corrêa PS, Cabeleira MEP, Cechetti F. The impact of virtual reality on manual dexterity of Parkinson’s disease subjects: a systematic review. Disabil Rehabil Assist Technol. 2022:1-8. doi: 10.1080/17483107.2021.2001060.

Dockx K, Bekkers EMJ, Van der Bergh V, Ginis P, Rochester L, Hausdorff JM, et al. Virtual reality for rehabilitation in Parkinson’s disease. Cochrane Database Syst Rev. 2016;12:CD010760. doi: 10.1002/14651858.CD010760.pub2.

Vieira GP, Araujo DFGH, Leite MAA, Orsini M, Correa CL. Virtual reality in physical rehabilitation of patients with Parkinson’s disease. J Hum Growth Dev. 2014;24(1):31-41.

Soares NM, Pereira GM, Figueiredo RIN, Morais GS, Melo SG. Terapia baseada em realidade virtual usando o Leap Motion Controller para reabilitação do membro superior após acidente vascular cerebral. Sci Med (Porto Alegre). 2017;27(2):ID25935. doi: 10.15448/1980-6108.2017.2.25935.

Cortés-Pérez I, Zagalaz-Anula N, Montoro-Cárdenas D, LomasVeja R, Obrero-Gaitán E, Osuna-Pérez MC. Leap Motion Controller video game-based therapy for upper extremity motor recovery in patients with central nervous system diseases: a systematic review with meta-analysis. Sensors (Basel). 2021;21(6):2065. doi: 10.3390/s21062065.

Cikajlo I, Hukic A, Dolinsek I, Zajc D, Vesel M, Krizmanic T, et al. Can telerehabilitation games lead to functional improvement of upper extremities in individuals with Parkinson’s disease? Int J Rehabil Res. 2018;41(3):230-8. doi: 10.1097/MRR.0000000000000291.

Ramos RAA, Dias E, Oliveira L, Guimarães T, Pernambuco A, Chaves C. Realidade virtual na reabilitação de portadores da doença de Parkinson. Fisioter Bras. 2016;17(3):179-87.

Butt AH, Rovini E, Dolciotti C, Bongioanni P, De Petris G, Cavallo F. Leap motion evaluation for assessment of upper limb motor skills in Parkinson’s disease. Proceedings of the International Conference on Rehabilitation Robotics; 2017; London. [place unknown]: IEEE; 2017. doi: 10.1109/ICORR.2017.8009232.

Ayed I, Ghazel A, Jaume-I-Capó A, Moyà-Alcover G, Varona J, Martínez-Bueso P. Vision-based serious games and virtual reality systems for motor rehabilitation: a review geared towarda research methodology. Int J Med Inform. 2019;131:103909. doi: 10.1016/j.ijmedinf.2019.06.016.

Khademi M, Hondori HM, McKenzie A, Dodakian L, Lopes CV, Cramer SC. Free-hand interaction with leap motion controller for stroke rehabilitation. Proceedings of the 14th Conference on Human Factors in Computing Systems; 2014; Toronto. New York: ACM; 2014. doi: 10.1145/2559206.2581203.

Iosa M, Morone G, Fusco A, Castagnolli M, Fusco FR, Pratesi L, et al. Leap motion controlled videogame-based therapy for rehabilitation of elderly patients with subacute stroke: a feasibility pilot study. Top Stroke Rehabil. 2015;22(4):306-16. doi: 10.1179/1074935714Z.0000000036.

Wang ZR, Wang P, Xing L, Mei LP, Zhao J, Zhang T. Leap motion-based virtual reality training for improving motor functional recovery of upper limbs and neural reorganization in subacute stroke patients. Neural Regen Res. 2017;12(11):1823-31. doi: 10.4103/1673-5374.219043.

Oliveira JM, Fernandes RCG, Pinto CS, Pinheiro PR, Ribeiro S, Albuquerque VHC. Novel virtual environment for alternative treatment of children with cerebral palsy. Comput Intell Neurosci. 2016;2016:8984379. doi: 10.1155/2016/8984379.

Nizamis K, Rijken NHM, Mendes A, Janssen MMHP, Bergsma A, Koopman BFJM. A novel setup and protocol to measure the range of motion of the wrist and the hand. Sensors (Basel). 2018;18(10):3230. doi: 10.3390/s18103230.

Wu YT, Chen KH, Ban SL, Tung KY, Chen LR. Evaluation of leap motion control for hand rehabilitation in burn patients: an experience in the dust explosion disaster in Formosa Fun Coast. Burns. 2018;45(1):157-64. doi: 10.1016/j.burns.2018.08.001.

Oña ED, Balaguer C, Cano-de la Cuerda R, Collado-Vazquez S, Jardón A. Effectiveness of serious games for leap motion on the functionality of the upper limb in Parkinson’s disease: a feasibility study. Comput Intell Neurosci. 2018;2018:7148427. doi: 10.1155/2018/7148427.

Melo DM, Barbosa AJG. O uso do Mini-Exame do Estado Mental em pesquisas com idosos no Brasil: uma revisão sistemática. Cienc Saude Colet. 2015;20(12):3865-76. doi: 10.1590/1413-812320152012.06032015.

Mello MPB, Botelho ACG. Correlação das escalas de avaliação utilizadas na doença de Parkinson com aplicabilidade na fisioterapia. Fisioter Mov. 2010;23(1):121-7. doi: 10.1590/s0103-51502010000100012.

Proud EL, Miller KJ, Bitney B, Balachandran S, McGinley JL, Morris ME. Evaluation of measures of upper limb functioning and disability in people with Parkinson disease: a systematic review. Arch Phys Med Rehabil. 2015;96(3):540-51. doi: 10.1016/j.apmr.2014.09.016.

Silva JAMG, Dibai Filho AV, Faganello FR. Mensuração da qualidade de vida de indivíduos com a doença de Parkinson por meio do questionário PDQ-39. Fisioter Mov. 2011;24(1)141-6. doi: 10.1590/s0103-51502011000100016.

Michaelsen SM, Natalio MA, Silva AG, Pagnussat AS. Confiabilidade da tradução e adaptação do Test d’Évaluation des Membres Supérieurs de Personnes Âgées (TEMPA) para o português e validação para adultos com hemiparesia. Rev Bras Fisioter. 2008;12(6):511-9. doi: 10.1590/S1413-35552008005000012.

Freitas PR, Lemos AE, Santos MP, Michaelsen SM, Corrêa CL, Swarowsky A. “Test ’Évaluation des Membres Supérieurs des Personnes Âgées” (TEMPA) to assess upper limb activity in Parkinson’s disease. J Hand Ther. 2017;30(3):320-7. doi: 10.1016/j.jht.2016.07.003.

Nelson A, McCombe Waller S, Robucci R, Patel C, Banerjee N. Evaluating touchless capacitive gesture recognition as an assistive device for upper extremity mobility impairment. J Rehabil Assist Technol Eng. 2018;5:2055668318762063. doi: 10.1177/2055668318762063.

Desrosiers J, Bravo G, Hébert R, Dutil E, Mercier L. Validation of the box and block test as a measure of dexterity of elderly people: reliability, validity, and norms studies. Arch Phys Med Rehabil. 1994;75(7):751-5. doi: 10.1016/0003-9993(94)90130-9.

Fontoura VCB, Macêdo JGF, Silva LP, Silva IBC, Coriolano MGWS, Monteiro D. Papel da reabilitação com realidade virtual na capacidade funcional e qualidade de vida de indivíduos com doença de Parkinson. Acta Fisiatrica. 2017;24(2):86-91. doi: 10.5935/0104-7795.20170017.

Santana CMF, Lins OG, Sanguinetti DCM, Silva FP, Angelo TDA, Coriolano MGWS, et al. Efeitos do tratamento com realidade virtual não imersiva na qualidade de vida de indivíduos com Parkinson. Rev Bras Geriatr Gerontol. 2015;18(1):49-58. doi: 10.1590/1809-9823.2015.14004.

Soares NM, Pereira GM, Figueiredo RIN, Morais GS, Melo SG. Terapia baseada em realidade virtual usando o Leap Motion Controller para reabilitação do membro superior após acidente vascular cerebral. Sci Med (Porto Alegre). 2017;27(2):ID25935. doi: 10.15448/1980-6108.2017.2.25935.

Wang ZR, Wang P, Xing L, Mei LP, Zhao J, Zhang T. Leap motionbased virtual reality training for improving motor functional recovery of upper limbs and neural reorganization in subacute stroke patients. Neural Regen Res. 2017;12(11):1823-31. doi: 10.4103/1673-5374.219043.

Mathiowetz V, Weber K, Kashman N, Volland G. Adult norms for the nine hole peg test of finger dexterity. OTJR (Thorofare N J). 1985;5(1):24-38. doi: 10.1177/153944928500500102.

Pompeu JE, Mendes FAS, Silva KG, Lobo AM, Oliveira TP, Zomignani AP, et al. Effect of Nintendo Wii™-based motor and cognitive training on activities of daily living in patients with Parkinson’s disease: a randomised clinical trial. Physiotherapy. 2012;98(3):196-204. doi: 10.1016/j.physio.2012.06.004.

Mendes FAS, Arduini L, Botelho A, Cruz MB, Santos-CoutoPaz CC, Pompeu SMAA, et al. Pacientes com a doença de Parkinson são capazes de melhorar seu desempenho em tarefas virtuais do Xbox Kinect: uma série de casos. Motricidade. 2015;11(3):68-80. doi: 10.6063/motricidade.3805.

Published

2022-08-08

Issue

Section

Original Research

How to Cite

Virtual reality as an intervention tool for upper limbs in Parkinson’s disease: a case series. (2022). Fisioterapia E Pesquisa, 29(2), 128-137. https://doi.org/10.1590/1809-2950/20022329022022PT