title: Effects of using the nintendo wii fit plus platform in the sensorimotor training of gait disorders in Parkinson's disease.
abstract: The use of the Nintendo Wii has been considered a good alternative in the motor rehabilitation of individuals with Parkinson's disease (PD), requiring simultaneous interaction to develop strategies for physical, visual, auditory, cognitive, psychological and social activities in the performing of virtual activities, resulting in improvement in functional performance and gait. The aim of this study was to analyze the effect of virtual sensorimotor activity on gait disorders in people with PD. Fifteen subjects with a clinical diagnosis of PD were submitted to the Unified Parkinson's Disease Rating Scale (UPDRS III), Schwab and England Activities of Daily Living Scale (SE), Functional Independence Measure (FIM), and biomechanical gait analysis using digital images taken with a video camera before and after the treatment program. The activities with the Nintendo Wii virtual platform were standardized into three categories: aerobics, balance and Wii plus exercises. Participants carried out separate virtual exercises for 40 min, twice a week, for a total of 14 sessions. The program improved sensorimotor performance in PD gait, with an increase in stride length and gait speed, in addition to a reduction in motor impairment, especially in items of rigidity and flexibility of the lower limbs evaluated by UPDRS III, and greater functional independence, as evidenced in the SE and FIM scales. Improvements in items related to locomotion and stair climbing were also observed. The training was effective in motor recovery in chronic neurodegenerative diseases, showing improvement in motor performance and functional independence in individuals with PD.
authors.affiliation: Neurology Department, Fluminense Federal University , Niteroi, Brazil ; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State University , Niteroi, Brazil.
authors.forename: Giovanna Barros
authors.initials: GB
authors.lastname: Gonçalves
authors.affiliation: Neurology Department, Fluminense Federal University , Niteroi, Brazil.
authors.forename: Marco Antônio A
authors.initials: MA
authors.lastname: Leite
authors.forename: Marco
authors.initials: M
authors.lastname: Orsini
authors.affiliation: Neurology Department, Fluminense Federal University , Niteroi, Brazil ; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State University , Niteroi, Brazil.
authors.forename: João Santos
authors.initials: JS
authors.lastname: Pereira
keywords: Nintendo Wii Fit Plus; Parkinson’s disease; gait disorders; sensorimotor training
references.citation: Phys Ther. 2009 Apr;89(4):384-93
references.pmid: 19228832
references.citation: Parkinsonism Relat Disord. 2005 Jan;11(1):25-33
references.pmid: 15619459
references.citation: Physiotherapy. 2012 Sep;98(3):217-23
references.pmid: 22898578
references.citation: Neurosci Lett. 2007 Aug 9;423(1):12-7
references.pmid: 17644250
references.citation: J Neural Transm (Vienna). 2011 Mar;118(3):407-20
references.pmid: 20852902
references.citation: Brain Res. 2010 Jan 15;1310:200-7
references.pmid: 19900418
references.citation: Neurorehabil Neural Repair. 2011 Sep;25(7):626-35
references.pmid: 21436393
references.citation: Parkinsons Dis. 2010 Mar 24;2010:732508
references.pmid: 20976094