de Melo Cerqueira Thília Maria, de Moura Júlia Araújo, de Lira Juliana Onofre, Leal Josevan Cerqueira, D'Amelio Marco, do Santos Mendes Felipe Augusto
Faculty of Ceilàndia, Department of Physiotherapy, University of Brasília, Brasília, Brazil.
Faculty of Ceilândia, Post-graduation program in Rehabilitation Sciences, Univeristy of Brasília, Brasília, Brazil.
Physiother Res Int. 2020 Jan;25(1):e1807. doi: 10.1002/pri.1807. Epub 2019 Aug 29.
Purpose of this study is to evaluate the effects of training with six commercial Xbox Kinect games on cognitive and motor aspects in Parkinson's disease (PD) patients and to compare the effects with a group of paired healthy subjects.
This study was a quasi-experimental, controlled trial. Eight individuals with PD (mean age 68.9 ± 7.9) and eight older adults without PD, matched by age (mean age 67.6 ± 7.3) were enrolled in the study. Ten sessions of six Xbox 360 Kinect commercial games were performed for 5 weeks. Subjects were evaluated before and 7 and 30 days after intervention. They were assessed using Montreal Cognitive Assessment, Frontal Assessment Battery (FAB), Timed Up and Go test, Ten Meters Walking test, and Balance Berg Scale. The Freezing of Gait Questionnaire, the Movement Disorder Society Unified Parkinson Disease Rating Scale, and the Parkinson's disease Questionnaire were also applied to PD group.
Significant improvement was found for cognitive aspects measured by Montreal Cognitive Assessment and FAB in both groups but without retention on FAB in PD group. No significant improvements were found for motor aspects in none group.
Motor-cognitive training using Xbox Kinect games is a feasible resource to improve executive functions in PD patients and in older healthy people.
本研究旨在评估使用六款商用Xbox Kinect游戏进行训练对帕金森病（PD）患者认知和运动方面的影响，并将其与一组配对的健康受试者的效果进行比较。
本研究为半实验性对照试验。招募了8名PD患者（平均年龄68.9±7.9岁）和8名无PD的老年人，年龄匹配（平均年龄67.6±7.3岁）。进行了10节包含六款Xbox 360 Kinect商用游戏的课程，为期5周。在干预前以及干预后7天和30天对受试者进行评估。使用蒙特利尔认知评估量表、额叶评估量表（FAB）、起立行走测试、十米步行测试和伯格平衡量表进行评估。还对PD组应用了步态冻结问卷、运动障碍协会统一帕金森病评定量表和帕金森病问卷。
两组中通过蒙特利尔认知评估量表和FAB测量的认知方面均有显著改善，但PD组在FAB上无保留。两组在运动方面均未发现显著改善。
使用Xbox Kinect游戏进行运动-认知训练是改善PD患者和老年健康人群执行功能的一种可行资源。
