Parkinson's disease - C10.228.140.079.862.500
Conditions
Interventions
Virtual Reality with Nintendo Wii - 15 participants, the training will comprise 16 sessions of approximately 45 minutes each, distributed in two weekly sessions, for eight consecutive weeks and the pa
L01.224.160.875
G11.427.410.698.277
Sponsors
Faculdade de Ceilândia - Universidade de Brasília
Faculdade de Ceilândia - Universidade de Brasília
Eligibility
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: The participation of the study subjects will be conditioned to the following inclusion criteria: age between 50 and 85 years; female and male sex; presence of classic type 1 parkinsonian tremor, according to the consensus statement of the Movement Disorders Society (Deuschl et al., 1993), minimum score of 24 on the Mini Mental State Examination - MEEM; Normal or corrected visual and auditory acuity, allowing interaction with the Nintendo Wii TM system; Score of 1 to 3 on the Hoehn and Yahr Scale; Minimum education of 4 years of formal study.
Exclusion criteria
Exclusion criteria: After selecting all participants who meet the inclusion criteria, those who: Have other associated neurological diseases or conditions that prevent participation in training will be excluded; Have previous experience with the Nintendo Wii TM system; Are attending another specialized rehabilitation program; Score greater than 5 on the Geriatric Depression Scale - GDS - 15 items
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tremor reduction, verified through the StudyMyTremor 41 smartphone app, where peak frequency (Hz), amplitude (mm) and power (mw per kg of mass of the tested hand) will be evaluated, and through Unified Parkinson's Disease Rating Scale (UPDRS), which is a clinical scale composed of 65 items, divided into 4 domains. For the assessment of the tremor, PARTES II (Motor Aspects of Experiences of Daily Living) and PART III (Motor Evaluation) will be applied. Part II will consider item 2.10, which addresses the presence of tremor and its implication in the patient's daily life, and from part III, items 3.15, 3.16, 3.17 and 3.18 will be considered, which address postural tremor, kinetic tremor, tremor amplitude and the persistence of the tremor, respectively. The score for each item ranges from 0 to 4 but is considered an improvement in the UPDRS when there is a decrease in the score. Tremor reduction, as measured by the application, will be considered when, and if any, statistically significant decreases in peak frequency (Hz), amplitude (mm) and power values. Patients will be evaluated before the training starts, within 7 and 30 days after the training ends. | — |
Secondary
| Measure | Time frame |
|---|---|
| Increased dexterity and strength of MMSS, verified by means of the Nine hole peg test (9HPT) used to check the dexterity of wrist and finger movements in neurological patients, which the person has to place 9 pins and then remove and place in the compartments , the Box and block test (BBT), is a test that measures the unilateral manual dexterity that a person needs to move cubes from one compartment to another in a box, and the hand grip strength test, where the maximum voluntary strength will be measured handgrip using Saehan Corp. SH5001 Manual Hydraulic Dynamometer. Dexterity improvement, measured by the 9HPT, will be considered when, and if any, a statistically significant increase in test execution time. By the BBT it will be considered when, and if there is, a statistically significant increase in the amount of blocks transferred during the 60 seconds. The increase in strength, measured by the dynamometer, will be considered when, and if there is, a statistically significant increase in the values ??of the device. Patients will be evaluated before the training starts, within 7 and 30 days after the training ends.;Cognition improvement, verified through the Trail Making Tests: Parts A and B, which assess cognition through attention skills and working memory; REY List - Evaluates the memory and Complex Figure of REY, which assesses the skills of visual-spatial organization, planning and development of strategies and memory. The improvement in cognition, as measured by the Trail Making tests, will be considered when, and if any, there are statistically significant improvements in the time taken to perform the test. When measured by the REY list and the complex REY figure, it will be considered when, and if any, difference in the test score. Patients will be evaluated before the training starts, within 7 and 30 days after the training ends. | — |
Countries
Brazil
Contacts
Public ContactFELIPE MENDES
Outcome results
None listed