a Department of Speech-Language Pathology , University of Toronto , Toronto , Canada.
b Toronto Rehabilitation Institute , University Health Network , Toronto , Canada.
Disabil Rehabil. 2019 May;41(9):995-1011. doi: 10.1080/09638288.2017.1419292. Epub 2018 Jan 9.
A systematic review was performed to (1) evaluate the effectiveness of augmented visual feedback-based treatments for motor rehabilitation in Parkinson's disease, and (2) examine treatment design factors associated with enhanced outcomes following these treatments.
Eight databases were searched from their start-date up to January 2017 using the key terms Parkinson's Disease and augmented visual feedback. Two independent raters screened the abstracts and full articles for inclusion. Relevant data were extracted and summarized, and methodological quality of accepted articles was assessed.
Eight single-group studies and 10 randomized control trials were included in the review. Augmented visual feedback-based treatments resulted in improved outcomes with small to large effect sizes post-treatment for the majority of impairment, activity, participation, and global motor function measures, and these improvements were often superior to traditional rehabilitation/education programs. Enhanced treatment outcomes were observed in studies that provided large amounts and high intensities of treatment; gamified feedback; and provided knowledge of performance feedback in real-time on 100% of practice trials.
Augmented visual feedback appears to be a useful motor rehabilitation tool in Parkinson's disease; however, high-quality, rigorous studies remain limited. Future studies should consider factors that enhance rehabilitation outcomes when designing augmented visual feedback-based interventions. Implications for rehabilitation Augmented visual feedback is a useful tool for motor rehabilitation in Parkinson's disease; augmented visual feedback-based treatments are often superior to traditional programs. These treatments are associated with improved outcomes in impairment, activity, participation, and global motor function domains. Rehabilitation professionals can optimize their use of augmented visual feedback-based treatments by providing large amounts and a high intensity of treatment, gamifying feedback, and providing knowledge of performance feedback in real-time and at a high frequency.
系统评价增强视觉反馈为基础的治疗帕金森病运动康复的有效性，并探讨与治疗后改善相关的治疗设计因素。
从各数据库建立起至 2017 年 1 月，用“帕金森病”和“增强视觉反馈”关键词进行检索。两位独立的评审员筛选摘要和全文以确定纳入研究。提取相关数据并进行总结，评估纳入文章的方法学质量。
本研究共纳入 8 项单组研究和 10 项随机对照试验。增强视觉反馈治疗后，大多数运动损伤、活动、参与和整体运动功能的评估指标都有显著改善，且疗效大小为小到中，改善效果常优于传统康复/教育项目。在提供大量和高强度治疗、游戏化反馈以及在 100%的练习试验中实时提供表现反馈知识的研究中，观察到增强治疗效果。
增强视觉反馈在帕金森病的运动康复中似乎是一种有用的工具；然而，高质量、严格的研究仍然有限。未来的研究在设计增强视觉反馈干预措施时，应考虑增强康复效果的因素。
增强视觉反馈是帕金森病运动康复的有用工具；增强视觉反馈治疗通常优于传统方案。这些治疗与损伤、活动、参与和整体运动功能领域的改善结果相关。康复专业人员可以通过提供大量和高强度的治疗、游戏化反馈以及实时和高频地提供表现反馈知识，优化他们对增强视觉反馈为基础的治疗的使用。
