Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease

  • Giovanna Barros Gonçalves Neurology Department, Fluminense Federal University, Niteroi; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State University, Brazil.
  • Marco Antônio A. Leite Neurology Department, Fluminense Federal University, Niteroi, Brazil.
  • Marco Orsini Neurology Department, Fluminense Federal University, Niteroi; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State University; Science Rehabilitation, Centro Universitário Augusto Motta, UMISUAM, Bonsucesso, Rio de Janeiro, Brazil.
  • João Santos Pereira | orsinimarco@hotmail.com Neurology Department, Fluminense Federal University, Niteroi; Movement Disorders Section, Neurology Service, Pedro Ernesto University Hospital/Rio de Janeiro State University, Brazil.

Abstract

The use of the Nintendo Wii has been considered a good alternative in the motor rehabilitation of individuals with Parkinson’s disease (PD), requiring simultaneous interaction to develop strategies for physical, visual, auditory, cognitive, psychological and social activities in the performing of virtual activities, resulting in improvement in functional performance and gait. The aim of this study was to analyze the effect of virtual sensorimotor activity on gait disorders in people with PD. Fifteen subjects with a clinical diagnosis of PD were submitted to the Unified Parkinson’s Disease Rating Scale (UPDRS III), Schwab and England Activities of Daily Living Scale (SE), Functional Independence Measure (FIM), and biomechanical gait analysis using digital images taken with a video camera before and after the treatment program. The activities with the Nintendo Wii virtual platform were standardized into three categories: aerobics, balance and Wii plus exercises. Participants carried out separate virtual exercises for 40 min, twice a week, for a total of 14 sessions. The program improved sensorimotor performance in PD gait, with an increase in stride length and gait speed, in addition to a reduction in motor impairment, especially in items of rigidity and flexibility of the lower limbs evaluated by UPDRS III, and greater functional independence, as evidenced in the SE and FIM scales. Improvements in items related to locomotion and stair climbing were also observed. The training was effective in motor recovery in chronic neurodegenerative diseases, showing improvement in motor performance and functional independence in individuals with PD.

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Published
2014-01-17
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Articles
Keywords:
Parkinson's disease, gait disorders, sensorimotor training, Nintendo Wii Fit Plus
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How to Cite
GonçalvesG. B., Leite, M. A. A., Orsini, M., & Pereira, J. S. (2014). Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease. Neurology International, 6(1). https://doi.org/10.4081/ni.2014.5048