Department of Functional Biology and Health Sciences, Faculty of Physiotherapy, University of Vigo, 36005 Pontevedra, Spain.
HealthyFit Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, 36213 Vigo, Spain.
Sensors (Basel). 2022 Apr 26;22(9):3302. doi: 10.3390/s22093302.
Parkinson's disease (PD) is a neurological disorder that usually appears in the 6th decade of life and affects up to 2% of older people (65 years and older). Its therapeutic management is complex and includes not only pharmacological therapies but also physiotherapy. Exercise therapies have shown good results in disease management in terms of rehabilitation and/or maintenance of physical and functional capacities, which is important in PD. Virtual reality (VR) could promote physical activity in this population. We explore whether a commercial wearable head-mounted display (HMD) and the selected VR exergame could be suitable for people with mild-moderate PD. In all, 32 patients (78.1% men; 71.50 ± 11.80 years) were a part of the study. Outcomes were evaluated using the Simulator Sickness Questionnaire (SSQ), the System Usability Scale (SUS), the Game Experience Questionnaire (GEQ post-game module), an ad hoc satisfaction questionnaire, and perceived effort. A total of 60 sessions were completed safely (without adverse effects (no SSQ symptoms) and with low scores in the negative experiences of the GEQ (0.01-0.09/4)), satisfaction opinions were positive (88% considered the training "good" or "very good"), and the average usability of the wearable HMD was good (75.16/100). Our outcomes support the feasibility of a boxing exergame combined with a wearable commercial HMD as a suitable physical activity for PD and its applicability in different environments due to its safety, usability, low cost, and small size. Future research is needed focusing on postural instability, because it seems to be a symptom that could have an impact on the success of exergaming programs aimed at PD.
帕金森病（PD）是一种神经退行性疾病，通常在 60 岁左右出现，影响高达 2%的老年人（65 岁及以上）。其治疗管理较为复杂，不仅包括药物治疗，还包括物理治疗。运动疗法在疾病管理方面在康复和/或维持身体和功能能力方面取得了良好的效果，这对 PD 患者非常重要。虚拟现实（VR）可以在该人群中促进身体活动。我们探索了商业可穿戴头戴式显示器（HMD）和选定的 VR 运动游戏是否适合轻度至中度 PD 患者。共有 32 名患者（78.1%为男性；71.50±11.80 岁）参与了这项研究。使用模拟器疾病问卷（SSQ）、系统可用性量表（SUS）、游戏体验问卷（GEQ 游戏后模块）、特定满意度问卷和感知努力度来评估结果。总共安全地完成了 60 次训练（无不良反应（无 SSQ 症状），GEQ 的负面体验评分较低（0.01-0.09/4）），满意度意见为正面（88%认为培训“好”或“非常好”），可穿戴 HMD 的平均可用性较好（75.16/100）。我们的研究结果支持将拳击运动游戏与商业可穿戴 HMD 相结合作为 PD 患者合适的身体活动的可行性，以及由于其安全性、可用性、低成本和小尺寸，它可在不同环境中应用。未来的研究需要集中在姿势不稳定上，因为它似乎是一个可能影响针对 PD 的运动游戏计划成功的症状。
