Euromov, Montpellier University, Montpellier, 34090 France; Medicine and Rehabilitation, Nîmes University Hospital, 30029 Nîmes, France.
Euromov, Montpellier University, Montpellier, 34090 France; NaturalPad, SAS, Montpellier, 34090 France.
Ann Phys Rehabil Med. 2018 Nov;61(6):380-385. doi: 10.1016/j.rehab.2018.08.002. Epub 2018 Sep 5.
To evaluate the adherence, usability and acceptance of a rehabilitation protocol with a music-based serious game (SG) and its effect on rhythmic skills in Parkinson disease (PD).
Sixteen PD patients with mild cognitive and motor impairments were included (mean [SD] age 65 [7.28] years and Hoehn & Yahr score 2-3). Rehabilitation consisted of a 6-week at-home training program targeting rhythmic skills with a dedicated SG, Rhythm Workers, implemented on a tablet device. Patients were asked to play the game at least 30min, 3 times a week. Two half-day evaluations were conducted before and after rehabilitation. Time played and average game scores were recorded. Suitability was evaluated by a questionnaire inspired by the Suitability Evaluation Questionnaire (SEQ) and rhythmic skills by the Beat Alignment Test from the Battery for the Assessment of Auditory Sensorimotor and Timing Abilities (BAASTA).
Patients played a mean (SD) of 313 (243) min, namely 57.9% of the expected time; the mean game score was 48.8/100 (19.5). The mean SEQ score for 12 patients was 29.2/45 (8.2); suitability was good to excellent for 10 patients. Beat perception reflecting rhythmic skills improved significantly in all but 5 patients.
This study showed good to excellent suitability of an SG used on a tablet interface for rhythmic training in PD and the feasibility of this type of training in this population.
评估基于音乐的严肃游戏（SG）康复方案的依从性、可用性和接受度及其对帕金森病（PD）患者节奏技能的影响。
纳入 16 名伴有轻度认知和运动障碍的 PD 患者（平均[标准差]年龄 65[7.28]岁，Hoehn & Yahr 分级 2-3 级）。康复包括一项为期 6 周的家庭训练计划，针对具有专用 SG（即 Rhythm Workers）的节奏技能，在平板电脑设备上实施。要求患者每周至少玩 3 次，每次至少 30min。在康复前后进行 2 次为期半天的评估。记录患者的游戏时间和平均游戏分数。使用基于适用性评估问卷（SEQ）的问卷评估适用性，使用听觉感觉运动和时间能力评估电池中的节拍对准测试（BAASTA）评估节奏技能。
患者平均（标准差）游戏时间为 313（243）min，即预期时间的 57.9%；平均游戏得分为 48.8/100（19.5）。12 名患者的平均 SEQ 评分为 29.2/45（8.2）；10 名患者的适用性良好至优秀。除 5 名患者外，所有患者的节拍感知（反映节奏技能）均显著改善。
本研究表明，在 PD 患者的节奏训练中，使用基于平板电脑界面的 SG 的适用性良好至优秀，并且这种类型的训练在该人群中是可行的。
