Evidence map›Paper›PMID 38915103›Full record

ArticleJournal of neuroengineering and rehabilitation2024

A gamified virtual environment intervention for gait rehabilitation in Parkinson's Disease: co-creation and feasibility study.

Pere Bosch-Barceló, Maria Masbernat-Almenara, Oriol Martínez-Navarro, Carlos Tersa-Miralles, Anni Pakarinen, Helena Fernández-Lago

Registry-linked trialAbstract read
In one paragraph

Article in Journal of neuroengineering and rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05243394 (Evaluating the Effects of a Treadmill Gait Training Protocol in a Gamified Virtual Reality Environment With tDCS in Parkinson's Disease), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT05243394 naunknown statusnot on this map

Evaluating the Effects of a Treadmill Gait Training Protocol in a Gamified Virtual Reality Environment With tDCS in Parkinson's Disease: Randomized Controlled Trial

TypeinterventionalSponsorUniversitat de LleidaRan2023 to 2024Enrolled66ConditionsParkinson DiseaseArmsGamified virtual reality treadmill gait training with tDCS, Gamified virtual reality treadmill gait training, Treadmill gait training
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
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  8. Review
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

6 authors.

Pere Bosch-BarcelóDepartment of Nursing and Physiotherapy, University of Lleida, Montserrat Roig, 2, Lleida, 25198, Spain.
Maria Masbernat-AlmenaraDepartment of Nursing and Physiotherapy, University of Lleida, Montserrat Roig, 2, Lleida, 25198, Spain. maria.masbernat@udl.cat.
Oriol Martínez-NavarroDepartment of Nursing and Physiotherapy, University of Lleida, Montserrat Roig, 2, Lleida, 25198, Spain.
Carlos Tersa-MirallesDepartment of Nursing and Physiotherapy, University of Lleida, Montserrat Roig, 2, Lleida, 25198, Spain.
Anni PakarinenDepartment of Nursing Science, University of Turku, Turku, Finland.
Helena Fernández-LagoDepartment of Nursing and Physiotherapy, University of Lleida, Montserrat Roig, 2, Lleida, 25198, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreadmill gait training has been shown to improve gait performance in People with Parkinson's Disease (PwPD), and in combination with Virtual Reality, it can be an effective tool for gait rehabilitation. The addition of gamification elements can create a more stimulating and adherent intervention. However, implementation of new technologies in healthcare can be challenging. This study aimed to develop and evaluate the feasibility of a treadmill rehabilitation program in a Gamified Virtual Reality Environment (GVRE) for PwPD.

methodsThe GVRE was developed following a user-centered design approach, involving both PwPD and physiotherapists in the development and evaluation of the intervention. The intervention consisted of a walking simulation in three different environments (countryside, city, and park), which had a progressive increase in difficulty. To test its feasibility, three sessions were carried out with four PwPD and four physiotherapists. To assess the usability, the System Usability Scale (SUS), Assistive Technology Usability Questionnaire for people with Neurological diseases (NATU Quest) and Simulator Sickness Questionnaire (SSQ) were used. To assess the intervention's acceptability, feedback and in-game performance was collected from participants.

resultsResults showed the feasibility of the intervention, with a SUS score of 74.82 ± 12.62, and a NATU Quest score of 4.49 ± 0.62, and positive acceptability feedback. Participants showed clear preferences for naturalistic environments, and gamification elements were seen as positive. Difficulty settings worked as intended, but lowered enjoyment of the experience in some cases.

conclusionsThis intervention was successfully shown as a feasible option for the training of gait under Dual Task conditions for PwPD. It offers a safe and replicable environment in which complex situations can be trained. However, further iterations of the intervention need to be improved in order to guarantee accurate tracking and a more realistic training progression. TRIAL REGISTRATION NUMBER: NCT05243394-01/20/2022.

Indexed as

Feasibility StudiesGait Disorders, NeurologicParkinson DiseaseVirtual RealityAgedExercise TherapyFemaleGaitHumansMaleMiddle AgedVideo GamesFeasibilityGait rehabilitationGamificationParkinson’s diseaseVirtual reality

Identifiers

PMID38915103
PMCPMC11194924

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Registered trials

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.