{"id":602,"date":"2009-06-01T12:11:42","date_gmt":"2009-06-01T16:11:42","guid":{"rendered":"http:\/\/parkinson.netfirms.com\/epp_e\/?p=602"},"modified":"2009-06-01T12:11:42","modified_gmt":"2009-06-01T16:11:42","slug":"does-playing-video-games-benefit-people-with-parkinsons","status":"publish","type":"post","link":"https:\/\/archiveparkinson.thedev.ca\/fr\/does-playing-video-games-benefit-people-with-parkinsons\/","title":{"rendered":"Does playing video games benefit people with Parkinson\u2019s?"},"content":{"rendered":"
\"Beth<\/a>

Beth Holloway, St. John\u2019s Newfoundland<\/p><\/div>\n

Beth Holloway held a Wii bowling tournament in her St. John\u2019s, Newfoundland home, recently, with six friends who, like Beth, have Parkinson\u2019s disease. She also performs a tightrope walk, regularly, using her Wii Fit balance board. She says, \u201cI can\u2019t say these video games help my balance because I just don\u2019t know. But I like the fun of it. Anything that gets a person moving, as far as I\u2019m concerned, is a good thing.\u201d<\/p>\n

She is possibly on the right track, judging from current research into the usefulness of Wii games in helping people with Parkinson\u2019s.<\/p>\n

\u2022\tCanadian research
\n\u2022\tUS research<\/p>\n

Canadian research<\/strong><\/p>\n

In a small study at the University of Ottawa, Dr. Louis E. Tremblay, associate professor, in the School of Rehabilitation Sciences, and four of his physiotherapy undergraduate students* designed a 45-minute activity program that they asked people to do at home, three times a week, for six weeks.
\n\u2022 30 minutes of Wii Fit, starting with simple yoga postures, then progressing to balance games such as ski slalom, ski jump and table tilt
\n\u2022 15 minutes of Wii Sports \u2013 bowling or golf<\/p>\n

\u201cThe goal of the project was to determine if the use of the Wii console and the Wii Fit game with its balance board could help in the rehabilitation of people with Parkinson\u2019s disease,\u201d says Jean-Fran\u00e7ois Esculier, a newly graduated physiotherapy student who was on the research team.<\/p>\n

\u201cPeople with Parkinson\u2019s are usually taken care of by the healthcare system in the late stages of the disease. The goal of the study was to establish a program to help people take care of themselves and slow down the decline of functional disabilities, such as balance problems, from the very beginning.\u201d<\/p>\n

The 20 people in the study were tested before and after the six-week program.
\n\u2022 11 had Parkinson\u2019s: 5 women, 6 men; average age – 62 years; with an average Unified Parkinson\u2019s Disease Rating Scale (UPDRS) motor score of 2.2. (The range is 0 to 5.)
\n\u2022 9 were healthy subjects: 4 women, 5 men; average age – 63.5 years; some were partners of the participants with Parkinson\u2019s
\n
\nHere is a sampling of the results for the participants with Parkinson\u2019s:<\/strong><\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Test<\/strong><\/td>\nDescription<\/strong><\/td>\nResult after Wii training<\/strong><\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Static balance<\/td>\nStanding on one leg.<\/td>\n53% improvement on left leg<\/p>\n

58% improvement on right leg<\/td>\n<\/tr>\n

<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Sit-to-stand<\/td>\nSit on a chair. Stand, sit and repeat as many times as possible in 30 seconds.<\/td>\n45% improvement<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Timed up-and-go<\/td>\nStand from a seated position. Walk three metres. Turn. Return to the chair and sit.<\/td>\n23% improvement<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Community balance and mobility assessment<\/td>\nA series of 13 tasks that evaluate a wide range of balance and mobility skills.<\/td>\n21% improvement<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Gait speed<\/td>\nMeasurement of walking speed over 10 metres.<\/td>\n16% improvement<\/td>\n<\/tr>\n
<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
Force platform<\/td>\nStand on a platform device while a computer measures the movement of the person\u2019s centre of gravity.<\/td>\nno statistically significant improvement<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Esculier notes, \u201cAn overall 55% improvement in the one-leg stance is great because, in one phase of walking, you have to stand on one leg; so, if you can improve that, you have more stability. The 45% change on the sit-to-stand test indicates improvements to both balance and leg strength.\u201d<\/p>\n

Interestingly, when participants rated their own performance, they did not think their balance had improved, although the objective tests showed that it had. Esculier suggests the subjects\u2019 under-estimation could be a good thing because it could guard against taking unnecessary risks and increasing the likelihood of falls. Participants did report that they were walking a bit more easily than they did before.<\/p>\n

The fun factor was undisputed: 83% of participants enjoyed the activity program much or very much; the remaining 17% were moderate in their praise; no one reported disliking the program. In conversations with participants after the study had ended, the researchers found that people have continued using the Wii because they like it, they find it helpful and they enjoy playing the video games with their grandchildren.<\/p>\n

Esculier recommends that, before powering up the Wii for exercise, people with Parkinson\u2019s should see a physiotherapist for a balance and mobility assessment. The balance exercises on Wii Fit require standing on a balance board but the Wii Sports can be done sitting or standing.<\/p>\n

(* The student researchers were Patrick B\u00e9riault, Jean-Fran\u00e7ois Esculier, Karine Gagnon and Joanie Vaudrin.)<\/em><\/p>\n

US research<\/strong><\/p>\n

At the Medical College of Georgia, Dr. Nathan (Ben) Herz, assistant professor of occupational therapy and his colleague, Dr. John Morgan, assistant professor of neurology and director of the Movement Disorders Program\u2019s National Parkinson Foundation Center of Excellence are also doing groundbreaking research on the use of Wii in Parkinson\u2019s.<\/p>\n

Dr. Herz visited Canada, in May, to address conferences hosted by Parkinson’s Society of Southern Alberta and PSC Southwestern Ontario Region.<\/p>\n

Here are few of the points Dr. Herz shared with his Canadian audiences:<\/strong><\/p>\n

\u2022\tThe Wii promotes exercise that can be meaningful and purposeful.
\n\u2022\tSome games can even be used for rehabilitation therapy to improve functional abilities in activities of daily living, such as, filling a pot with water or cracking an egg.
\n\u2022\tWii Sports, in particular, address many of the areas that need rehabilitation.
\n\u2022\tThe games keep people occupied without them realizing its therapeutic benefits.
\n\u2022\tSuccess in Wii activities is closely tied to people\u2019s ability to integrate their movements.
\n\u2022\tThe physical, cognitive, psychological and social aspects of playing with the Wii can have positive impacts on the health and wellness of participants.<\/p>\n

Contact your regional Parkinson Society, to see Dr. Herz\u2019 research presentation and Wii demonstration on DVD.<\/p>\n","protected":false},"excerpt":{"rendered":"

Beth Holloway held a Wii bowling tournament in her St. John\u2019s, Newfoundland home, recently, with six friends who, like Beth, … En savoir plus<\/a><\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[237],"tags":[],"yoast_head":"\nDoes playing video games benefit people with Parkinson\u2019s? - Parkinson Canada<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Does playing video games benefit people with Parkinson\u2019s? - Parkinson Canada\" \/>\n<meta property=\"og:description\" content=\"Beth Holloway held a Wii bowling tournament in her St. John\u2019s, Newfoundland home, recently, with six friends who, like Beth, ... 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