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An interactive videogame for arm and hand exercise in people with Parkinson's disease: A randomized controlled trial


Allen, NE and Song, J and Paul, SS and Smith, SS and O'Duffy, J and Schmidt, M and Love, R and Sherrington, C and Canning, CG, An interactive videogame for arm and hand exercise in people with Parkinson's disease: A randomized controlled trial, Parkinsonism and Related Disorders pp. 66-72. ISSN 1353-8020 (2017) [Refereed Article]

Copyright Statement

2017 Elsevier Ltd. All rights reserved.

DOI: doi:10.1016/j.parkreldis.2017.05.011


Introduction: People with Parkinson's disease (PD) have difficulty performing upper extremity (UE) activities. The aim of this study was to investigate if exergames targeting the UE improve arm and hand activities and impairments and to establish the acceptability and feasibility of these games in people with PD.

Methods: Two tablet-based exergames were developed which were controlled with finger movements or unimanual whole arm movements. Participants with PD were randomized to an exergame (n 19) or control (n 19) group. The exergame group performed UE exergames at home, 3 times per week for 12 weeks. The primary outcome measure was the nine hole peg test. Secondary outcomes included measures of UE activities and impairments, including the tapping test [speed (taps/60s), and error (weighted error score/speed)].

Results: There were no between group differences in the nine hole peg test, or in any secondary outcome measures except for the tapping test. Horizontal tapping test results showed that exergame participants improved their speed (mean difference 10.9 taps/60s, p < 0.001) but increased error (mean difference 0.03, p 0.03) compared to the control group. Participants enjoyed the games and improved in their ability to play the games. There were no adverse events.

Conclusion: The UE exergames were acceptable and safe, but did not translate to improvement in functional activities. It is likely that the requirement of the games resulted in increased movement speed at the detriment of accuracy. The design of exergames should consider task specificity.

Item Details

Item Type:Refereed Article
Keywords:Parkinson's Disease, Exergame, Motor Control
Research Division:Health Sciences
Research Group:Sports science and exercise
Research Field:Motor control
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Smith, SS (Associate Professor Stuart Smith)
UTAS Author:Schmidt, M (Mr Matthew Schmidt)
ID Code:120620
Year Published:2017
Web of Science® Times Cited:25
Deposited By:Health Sciences
Deposited On:2017-08-29
Last Modified:2018-09-13

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