Evidence map›Paper›PMID 37847247›Full record

Trial reportEuropean journal of physical and rehabilitation medicine2023

Efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in Parkinson's disease: a multicenter randomized controlled trial.

Michela Goffredo, Francesca Baglio, Roberto DE Icco, Stefania Proietti, Giorgio Maggioni, Andrea Turolla, Sanaz Pournajaf, Johanna Jonsdottir, Federica Zeni, Sara Federico and 6 more

Open access · diamondAbstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in European journal of physical and rehabilitation medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 9 pooled it
7.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 9 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 7 institutions in 1 country.

Michela GoffredoNeurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.
Francesca BaglioIRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy - fbaglio@dongnocchi.it.
Roberto DE IccoDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Stefania ProiettiNeurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.
Giorgio MaggioniUnità di Neuroriabilitazione, ICS Maugeri SB IRCCS Veruno, Veruno, Novara, Italy.
Andrea TurollaDepartment of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater University of Bologna, Bologna, Italy.
Sanaz PournajafNeurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.
Johanna JonsdottirIRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy.
Federica ZeniUnità di Neuroriabilitazione, ICS Maugeri SB IRCCS Veruno, Veruno, Novara, Italy.
Sara FedericoLaboratory of Healthcare Innovation Technology, IRCCS San Camillo Hospital, Venice, Italy.
Luisa CaccianteLaboratory of Healthcare Innovation Technology, IRCCS San Camillo Hospital, Venice, Italy.
Matteo CioetaNeurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.
Cristina TassorelliDepartment of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.
Marco FranceschiniNeurorehabilitation Research Laboratory, Department of Neurological and Rehabilitation Sciences, IRCCS San Raffaele Roma, Rome, Italy.
Rocco S CalabròIRCCS Bonino-Pulejo, Messina, Italy.
RIN_TR_Group
University of Pavia · ITIstituti Clinici Scientifici Maugeri · ITDon Carlo Gnocchi Foundation · ITIRCCS San Camillo Hospital · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITSan Raffaele University of Rome · ITAzienda USL di Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe implementation of regular prolonged, and effective rehabilitation in people with Parkinson's disease is essential for ensuring a good quality of life. However, the continuity of rehabilitation care may find barriers related to economic, geographic, and social issues. In these scenarios, telerehabilitation could be a possible solution to guarantee the continuity of care.

aimTo investigate the efficacy of non-immersive virtual reality-based telerehabilitation on postural stability in people with Parkinson's disease, compared to at-home self-administered structured conventional motor activities.

designMulticenter randomized controlled trial.

settingFive rehabilitation hospitals of the Italian Neuroscience and Rehabilitation Network. POPULATION: Individuals diagnosed with Parkinson's disease.

methodsNinety-seven participants were randomized into two groups: 49 in the telerehabilitation group (non-immersive virtual reality-based telerehabilitation) and 48 in the control group (at-home self-administered structured conventional motor activities). Both treatments lasted 30 sessions (3-5 days/week for, 6-10 weeks). Static and dynamic balance, gait, and functional motor outcomes were registered before and after the treatments.

resultsAll participants improved the outcomes at the end of the treatments. The primary outcome (mini-Balance Evaluation Systems Test) registered a greater significant improvement in the telerehabilitation group than in the control group. The gait and endurance significantly improved in the telerehabilitation group only, with significant within-group and between-group differences.

conclusionsOur results showed that non-immersive virtual reality-based telerehabilitation is feasible, improves static and dynamic balance, and is a reasonably valuable alternative for reducing postural instability in people with Parkinson's disease. CLINICAL REHABILITATION IMPACT: Non-immersive virtual reality-based telerehabilitation is an effective and well-tolerated modality of rehabilitation which may help to improve access and scale up rehabilitation services as suggested by the World Health Organization's Rehabilitation 2030 agenda.

Indexed as

Parkinson DiseaseTelerehabilitationVirtual RealityHumansPhysical Therapy ModalitiesPostural BalanceQuality of Life

Identifiers

PMID37847247
PMCPMC10795069
OpenAlexW4387691866

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.