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Effectiveness of virtual immersion programmes in patients with Parkinsons disease. A systematic review

S. Morales-Gómez, I. Elizagaray-García, O. Yepes-Rojas, L. de la Puente-Ranea, A. Gil-Martínez Journal 66(03) ● Publication date 01/02/2018 ● Original ● Views 2038 ● Downloads 451 Castellano English

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Morales-Gomez S Elizagaray-Garcia I Yepes-Rojas O de la Puente-Ranea L Gil-Martinez A

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Balance Parkinsons disease Physiotherapy Quality of life Systematic review Virtual reality

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[REV NEUROL 2018;66:69-80] PMID: 29368325 DOI: https://doi.org/10.33588/rn.6603.2017459

INTRODUCTION. Parkinson disease (PD) is the second most common neurodegenerative disease. Virtual reality (VR) is being used in rehabilitation of neurological patients. To analyze the VR systems therapeutically effectiveness through PD diagnosed subjects with variables of motor, quality of life and cognition.

PATIENTS AND METHODS. Electronics database were used to look for articles: Medline, EMBASE, PEDro, CINAHL and Cochrane. The inclusion criteria were: randomized control trial (RCT) performed in PD with at least one VR variable included in the therapeutically treatment and diagnosed PD subjects. Four RCT were chosen showing all good methodology quality. Concordance between evaluators was moderate-high. VR was the main treatment in all of them.

RESULTS. VR was more effective in balance improvement in PD subjects than conventional physiotherapy in two RCT. VR was not more effective in balance improvement in PD subjects than conventional physiotherapy in two RCT. Contradictory evidences where showed between the effectiveness of the VR programs versus conventional programs in the effectiveness of balance treatment with PD subjects. Non-motor variables improvement was not greater in subjects with VR treatments versus the ones with conventional physiotherapy in the four RCT.

CONCLUSIONS. The treatments with VR cannot be assumed as more effectives than conventional physiotherapy through PD subjects in motor and psychosocial variables.

Keywords Balance Parkinsons disease Physiotherapy Quality of life Systematic review Virtual reality Classified in Neurodegeneración - Trastornos del movimiento

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Morales-Gomez S Elizagaray-Garcia I Yepes-Rojas O de la Puente-Ranea L Gil-Martinez A

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Balance Parkinsons disease Physiotherapy Quality of life Systematic review Virtual reality

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Morales-Gomez S Elizagaray-Garcia I Yepes-Rojas O de la Puente-Ranea L Gil-Martinez A

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Balance Parkinsons disease Physiotherapy Quality of life Systematic review Virtual reality

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Effectiveness of virtual immersion programmes in patients with Parkinsons disease. A systematic review

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Effectiveness of virtual immersion programmes in patients with Parkinsons disease. A systematic review