Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease: Overview of systematic reviews.
Introduction: Postural instability and gait impairments are common in people with PD, both of which have a negative effect on their quality of life. Systematic reviews have demonstrated benefits of using exergaming in enhancing these outcomes. However, there is no consensus over whether exergaming t...
| Published in: | Physiotherapy Research International Vol. 28; no. 3; pp. 1 - 14 |
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| Main Authors: | , , , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Jul2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=164763689&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 164763689 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jul2023 vid: 28 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 164763689 162926752 164763689 164763689 10.1002/pri.2002 164763689 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease: Overview of systematic reviews. aug: au: Rocha, Poliany Silva de Sousa, Bianca Brenda Leite D'Amelio, Marco Pompeu, José Eduardo Garcia, Patrícia Azevedo Leal, Josevan Cerqueira Dos Santos Mendes, Felipe Augusto affil: Graduate Program in Rehabilitation Sciences, Faculty of Ceilândia, University of Brasilia, Brasilia, Brazil sug: subj: Parkinson Disease Complications Gait Disorders, Neurologic Rehabilitation Balance Training, Physical Methods Physical Therapy Methods Quality of Life Evaluation Treatment Outcomes Evaluation Human Systematic Review Physiotherapy Evidence Database PubMed Embase Cochrane Library Psycinfo Checklists Descriptive Statistics Funding Source ab: Introduction: Postural instability and gait impairments are common in people with PD, both of which have a negative effect on their quality of life. Systematic reviews have demonstrated benefits of using exergaming in enhancing these outcomes. However, there is no consensus over whether exergaming therapy is better than conventional physical therapy for enhancing gait, balance, and quality of life. Objectives: The aim of this overview is to systematically synthesize and evaluate the available evidence found in published systematic reviews and meta‐analyses, on the effects of exergaming therapy on balance, gait, and quality of life, compared to conventional physical therapy or no intervention. Methods: This overview was reported in accordance with the statement of Preferred Reporting Items for Systematic Reviews and Meta‐analysis (PRISMA). A comprehensive search was carried out in nine databases. Two reviewers independently extracted data using a standardized forms and the search strategy included terms related to intervention, population, and study type. The methodological quality of the included systematic reviews/meta‐analysis (SRs/Mas) was evaluated using the "A Measurement Tool to Assess Systematic Reviews 2" (AMSTAR‐2). The "Grading of Recommendations Assessment, Development and Evaluation" (GRADE) was used to assess the quality of the evidence. The risk of bias assessment was performed using the "Risk Of Bias In Systematic Reviews" (ROBIS). PROSPERO registration number: CRD42021238131. Results: 112 SRs/MAs were found and nine of them were selected. Six reviews were rated as very low methodological quality and three reviews as low methodological quality. Five reviews were classified with low risk of bias and four reviews with high risk of bias. Most of the SR/MAs demonstrated significant effects on balance favoring exergaming therapy over conventional therapy, however those studies had been rated as very low quality of evidence. Inconclusive results were found for the quality of life and gait outcomes. Conclusion: Exergaming therapy shows promise for the rehabilitation of PD. However, this overview was unable to conclude with certainty that exergaming therapy is superior to conventional physical therapy in improving gait, balance, or quality of life in people with PD. The effectiveness of exergaming therapy in the treatment of people with PD still need to be verified by high‐quality studies. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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