Istituti Clinici Scientifici Maugeri IRCCS, Occupational therapy and ergonomics unit of Pavia Institute, Italy.
Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Italy.
G Ital Med Lav Ergon. 2022 Mar;44(1):59-76.
Rehabilitation based on Exergame is showing a rapid evolution, with interesting applications for the recovery of mobility, balance, postural control, coordination and fine motor skills, and including home-based training. At present, there are no precise indications for Exergamebased rehabilitation of people over 55 affected by stroke, Parkinson's disease, or multiple sclerosis. This review examines the proposed modalities and the effectiveness of Exergame-based rehabilitation interventions for adults over 55 with stroke, Parkinson's disease or multiple sclerosis, highlighting the limitations, advantages, controversies and impact of this approach. We examined randomized controlled trials published between 2016-2020, with search in the databases of PubMed, Scopus, Cochrane Library, RehabData, selecting 24 studies. The study of patients with chronic or subacute stroke in outpatient treatment, and with small sample sizes, prevails. Wide variability characterizes the rehabilitation methods, the technological platforms used, the type and dose of exercise administered, the outcome measures. The adequacy and efficacy of Exergames remains uncertain in the neurological elderly, and the functional improvement in the neurological adult patient is not yet attested using this type of approach.
基于运动游戏的康复正在快速发展，对于恢复运动能力、平衡、姿势控制、协调和精细运动技能具有有趣的应用，包括家庭训练。目前，对于 55 岁以上受中风、帕金森病或多发性硬化影响的人群，尚无基于运动游戏的康复的精确指示。本综述检查了拟议的模式和基于运动游戏的康复干预对 55 岁以上中风、帕金森病或多发性硬化症成年人的有效性，强调了这种方法的局限性、优点、争议和影响。我们检查了 2016-2020 年间发表的随机对照试验，在 PubMed、Scopus、Cochrane 图书馆、RehabData 数据库中进行了搜索，共选择了 24 项研究。在门诊治疗中，慢性或亚急性中风患者的研究以及小样本量的研究占主导地位。康复方法、使用的技术平台、运动类型和剂量、结果测量的广泛变异性是特征。基于运动游戏在神经老年人中的适当性和疗效仍然不确定，并且尚未通过这种类型的方法证明神经成年患者的功能改善。
