The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Effects of a Virtual Reality Training Program on Balance and Lower Muscular Strength of Parkinson's Disease Patients

가상현실 운동프로그램이 파킨슨병 환자의 균형 및 하지 근력에 미치는 효과

  • Lee, Dong-Kyu (Department of Physical Therapy, Graduate School, Nambu University) ;
  • Kim, Eun-Kyung (Department of Physical Therapy, Seonam University) ;
  • Kim, Yong-Nam (Department of Physical Therapy, Nambu University) ;
  • Kim, Yong-Seong (Department of Physical Therapy, Nambu University) ;
  • Hwang, Tae-Yeon (Department of Physical Therapy, Chunnam Techno University)
  • 이동규 (남부대학교 보건경영대학원 물리치료학과) ;
  • 김은경 (서남대학교 물리치료학과) ;
  • 김용남 (남부대학교 물리치료학과) ;
  • 김용성 (남부대학교 물리치료학과) ;
  • 황태연 (전남과학대학교 물리치료학과)
  • Received : 2013.03.14
  • Accepted : 2013.04.15
  • Published : 2013.04.25
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Abstract

Purpose: The purpose of the study was to investigate the effect of a training program using virtual reality on the balance and lower muscular strength of Parkinson's disease patients. Methods: The study included 22 patients with Parkinson's disease who were arbitrarily classified into 2 groups: 11 patients in the experimental group and 11 patients in the control group. Balance was measured with the Berg balance scale (BBS), the functional reach test (FRT), one-leg stance test (OLST), and the timed up and go test (TUG); whereas, lower muscular strength was measured with the sit-to-stand test (STS). Ping-Pong, bowling, and tennis were selected for virtual reality training for the experimental group, and were performed for 30 minutes 3 times a week for 8 weeks. The control group did not undergo any of the virtual reality training programs. Results: A significant difference was observed in the BBS, FRT, OLST, TUG, and STS results within the experimental group that underwent the virtual reality training program. On the other hand, no significant difference was observed in the BBS, FRT, OLST, TUG, and STS values within the control groups. Conclusion: In conclusion, the virtual reality training program positively affects the balance and lower muscular strength in Parkinson's disease patients. This result indicates the possibility of application of the virtual reality training program to the management for Parkinson's disease patients, and highlights the need for the development and application of more efficient virtual reality training programs in the future.

Keywords

References

  1. Marsden CD. Function of the basal ganglia as revealed by cognitive and motor disorders in Parkinson's disease. Can J Neurol Sci. 1984;11(1 Suppl):129-35.
  2. Bloem BR, Beckley DJ, Remler MP et al. Postural reflexes in Parkinson's disease during 'resist' and 'yield' tasks. J Neurol Sci. 1995;129(2):109-19.
  3. Jankovic J. Parkinson's disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry. 2008;79(4):368-76. https://doi.org/10.1136/jnnp.2007.131045
  4. Millar S. Visual and haptic cue utilization by preschool children: the recognition of visual and haptic stimuli presented separately and together. J Exp Child Psychol. 1971;12(1):88-94. https://doi.org/10.1016/0022-0965(71)90019-1
  5. Sohng KY, Moon JS, Lee KS. Prevalence and associated factors of falls among people with Parkinson's disease. Taehan Kanho Hakhoe Chi. 2004;34(6):1081-91.
  6. Crizzle AM, Newhouse IJ. Is physical exercise beneficial for persons with Parkinson's disease? Clin J Sport Med. 2006;16(5):422-5. https://doi.org/10.1097/01.jsm.0000244612.55550.7d
  7. Toulouse A, Sullivan AM. Progress in Parkinson's disease-where do we stand? Prog Neurobiol. 2008;85(4):376-92. https://doi.org/10.1016/j.pneurobio.2008.05.003
  8. Lang AE, Widner H. Deep brain stimulation for Parkinson's disease: patient selection and evaluation. Mov Disord. 2002;17 Suppl 3:S94-101. https://doi.org/10.1002/mds.10149
  9. Reuter I, Engelhardt M, Stecker K et al. Therapeutic value of exercise training in Parkinson's disease. Med Sci Sports Exerc. 1999;31(11):1544-9. https://doi.org/10.1097/00005768-199911000-00008
  10. Goodwin VA, Richards SH, Taylor RS et al. The effectiveness of exercise interventions for people with Parkinson's disease: a systematic review and meta-analysis. Mov Disord. 2008;23(5):631-40. https://doi.org/10.1002/mds.21922
  11. Hirsch MA, Toole T, Maitland CG et al. The effects of balance training and high-intensity resistance training on persons with idiopathic Parkinson's disease. Arch Phys Med Rehabil. 2003;84(8):1109-17. https://doi.org/10.1016/S0003-9993(03)00046-7
  12. Choi DW, Sohng KY. Effects of Tai Chi exercise program on muscle strength, flexibility, postural balance and cognition in patients with parkinson disease. J Korean Acad Fundam Nurs. 2011;18(2):177-85.
  13. Kim JH, Hwang BY, Yoon HJ. The effects of standing posture improvement exercise to the turning round movement in patients with Parkinson disease. J Korean Soc Phys Ther. 2007;19(5):21-8.
  14. Sung HR. Effects of combined exercise program on UPDRS, functional fitness and QOL in patients with Parkinson's disease. Pusan national University. Dissertation of Doctorate Degree. 2005.
  15. Park JM. The effect of virtual reality program for chronic stroke patients. Daegu University. Dissertation of Master's Degree. 2004.
  16. Kim JH, Kim CS. Effects of virtual reality program on standing balance in chronic stroke patients. J Korean Soc Phys Ther. 2005;17(3):351-67.
  17. Lee JH, Park SU, Kang JI et al. Effects of virtual reality exercise program on muscle activity and balance abilities in elderly women. J Korean Soc Phys Ther. 2011;23(4):37-44. https://doi.org/10.1589/jpts.23.37
  18. Chan CL, Ngai EK, Leung PK et al. Effect of the adapted Virtual Reality cognitive training program among Chinese older adults with chronic schizophrenia: a pilot study. Int J Geriatr Psychiatry. 2010;25(6):643-9.
  19. Rizzo AA, Buckwalter JG. Virtual reality and cognitive assessment and rehabilitation: the state of the art. Stud Health Technol Inform. 1997;44:123-45.
  20. Flynn S, Palma P, Bender A. Feasibility of using the Sony PlayStation 2 gaming platform for an individual poststroke: a case report. J Neurol Phys Ther. 2007;31(4):180-9. https://doi.org/10.1097/NPT.0b013e31815d00d5
  21. Chung JH. The Effect of training using virtual reality system on sitting balance and activities of daily living for the patient with spinal cord injury. J Korean Soc Phys Ther. 2009;21(2):31-8.
  22. Shin JW. Effects of virtual reality training program on eye-hand coordination in children with cerebral palsy. Daegu University. Dissertation of Master's Degree. 2012.
  23. Berg KO, Wood-Dauphinee SL, Williams JI et al. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.
  24. Duncan PW, Weiner DK, Chandler J et al. Functional reach: a new clinical measure of balance. J Gerontol. 1990;45(6):M192-7. https://doi.org/10.1093/geronj/45.6.M192
  25. Haupstein T, Goldie P. Visual judgements of steadiness in onelegged stance: reliability and validity. Physiother Res Int. 2000;5(3):141-56. https://doi.org/10.1002/pri.195
  26. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.
  27. Lee DK, Kim YN. The effects of proprioceptive neuromuscular facilitation exercise on the BMD, balance and lower muscular strength in patients with osteoporosis. J Korean Soc Phys Ther. 2012;24(5):313-8.
  28. Christiansen C, Abreu B, Ottenbacher K et al. Task performance in virtual environments used for cognitive rehabilitation after traumatic brain injury. Arch Phys Med Rehabil. 1998;79(8):888-92.
  29. Kim JJ, Gu S, Lee JJ et al. The effects of virtual reality-based continuous slow exercise on factors for falls in the elderly. J Korean Soc Phys Ther. 2012;24(2):90-7.
  30. Hong SY. Effectiveness of balance training based on virtual reality game for the elderly. KSOT. 2010;18(1):55-64.
  31. Esculier JF, Vaudrin J, Beriault P et al. Home-based balance training programme using Wii Fit with balance board for Parkinsons's disease: a pilot study. J Rehabil Med. 2012;44(2):144-50. https://doi.org/10.2340/16501977-0922
  32. Amazeen EL, Amazeen PG, Post AA et al. Timing the Selection of Information During Rhythmic Catching. J Mot Behav. 1999;31(3):279-89. https://doi.org/10.1080/00222899909600994
  33. Cho GH. The effects of virtual reality-based balance training on balance and lower-extremity muscle activation in the healthy elderly. Daegu University. Dissertation of Master's Degree. 2011.
  34. Laughton CA, Slavin M, Katdare K et al. Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture. 2003;18(2):101-8. https://doi.org/10.1016/S0966-6362(02)00200-X