The effect of digital interactive sports games on balance ability of patients with multiple sclerosis
Abstract
The purpose of the present study was to examine the effect of digital interactive sports games (DISG) on balance ability of patients with multiple sclerosis (MS). The identification of the studies included in the review was done through electronic (PubMed, Science Direct and Scopus) and bibliographic research related to the period 2012-2020. Of the 132 possible search studies, duplicates were removed and 80 potentially relevant studies remained, which were first reviewed by a title review and then by a summary review, leaving 18 studies for full-text analysis. After evaluating the eligibility of each study, 14 met the inclusion criteria of the systematic review of which 11 were randomized controlled trials, 2 clinical trials and one observational study, involving a total of 642 MS patients aged 18 years and older. These considered DISG interventions, and only the results related to balance disorders were included in the review. Outcome measures of overall balance showed significant improvements following DISG interventions. Particularly, postural control measures showed similar results as compared to standard training methods and better performances as compared to control groups that did not implement a standard type of intervention. Further, it was observed that DISG intervention may have favorable effects in improving the sensory information processing and integration systems necessary to maintain the balance and postural control of people with multiple sclerosis. Therefore, customized DISG systems, which provide more postural stability support, might were more appropriate for use by these patients. Thus, the DISG might serve as a successful therapeutic alternative in situations in which standard type of therapy is not available, to treat balance impairments in multiple sclerosis population, by using telerehabilitation.References
Brichetto, G., Spallarossa, P., de Carvalho, M.L.L. & Battaglia, M.A. (2013). The effect of Nintendo® Wii® on balance in people with multiple sclerosis: a pilot randomized control study. Multiple Sclerosis Journal, 19(9), 1219–1221.
Cameron, M. H., & Nilsagard, Y. (2018). Balance, gait, and falls in multiple sclerosis. Handbook of clinical neurology, 159, 237–250. https://doi.org/10.1016/B978-0-444-63916-5.00015-X
Cameron, M.H. & Lord, S. (2010). Postural control in multiple sclerosis: implications for fall prevention. Current Neurology and Neuroscience Reports, 10(5), 407–412.
Cano Porras, D., Siemonsma, P., Inzelberg, R., Zeilig, G. & Plotnik, M. (2018). Advantages of virtual reality in the rehabilitation of balance and gait: Systematic review. Neurology, 90(22), 1017-1025. https://doi.org/10.1212/WNL.0000000000005603
Casuso-Holgado, M.J., Martín-Valero, R., Carazo, A.F., Medrano-Sánchez, E.M., Cortés-Vega, M.D. & Montero-Bancalero, F.J. (2018). Effectiveness of virtual reality training for balance and gait rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis. Clinical rehabilitation, 32(9), 1220–1234.
Cederberg, K.L.J., Jeng, B., Sasaki, J.E., Braley, T.J., Walters, A.S. & Motl, R.W. (2019). Physical activity, sedentary behavior, and restless legs syndrome in persons with multiple sclerosis. Journal of the Neurological Sciences, 407. https://doi.org/10.1016/j.jns.2019.116531
Cimino, V., Chisari, C.G., Raciti, G., Russo, A., Veca, D., Zagari, F., Calabrò, R.S. & Patti, F. (2020). Objective evaluation of Nintendo Wii Fit Plus balance program training on postural stability in Multiple Sclerosis patients: a pilot study. International Journal of Rehabilitation Research, 43(3), 199–205.
Dobson, R. & Giovannoni, G. (2019). Multiple sclerosis – a review. European Journal of Neurology, 26(1), 27–40. https://doi.org/10.1111/ene.13819
Forsberg, A., Nilsagård, Y. & Boström, K. (2015). Perceptions of using videogames in rehabilitation: a dual perspective of people with multiple sclerosis and physiotherapists. Disability Rehabilitation, 37(4), 338–344. https://doi.org/10.3109/09638288.2014.918196
Gandolfi, M., Munari, D., Geroin, C., Gajofatto, A., Benedetti, M.D., Midiri, A., Carla, F., Picelli, A., Waldner, A. & Smania, N. (2015). Sensory integration balance training in patients with multiple sclerosis: A randomized, controlled trial. Multiple Sclerosis Journal, 21(11), 1453-62. https://doi.org/10.1177/1352458514562438
Gutiérrez, R.O., Galán del Río, F., Cano de la Cuerda, R., Alguacil-Diego, I.M., González, R.A. & Page, J.C.M. (2013). A telerehabilitation program by virtual reality-video games improves balance and postural control in multiple sclerosis patients. NeuroRehabilitation, 33, 545–554.
Hoang, P., Schoene, D., Gandevia, S., Smith, S. & Lord, S.R. (2016). Effects of a home-based step training programme on balance, stepping, cognition and functional performance in people with multiple sclerosis – a randomized controlled trial. Multiple Sclerosis Journal, 22(1), 94–103.
Kalron, A., Fonkatz, I., Frid, L., Baransi, H. & Achiron, A. (2016). The effect of balance training on postural control in people with multiple sclerosis using the CAREN virtual reality system: a pilot randomized controlled trial. Journal of NeuroEngineering and Rehabilitation, 13(13). https://doi.org/10.1186/s12984-016-0124-y
Khalil, H., Al-Sharman, A., El-Salem, K., Alghwiri, A.A., Al-Shorafat, D., Khazaaleh, S. & Abu foul L. (2018). The development and pilot evaluation of virtual reality balance scenarios in people with multiple sclerosis (MS): A feasibility study. NeuroRehabilitation, 43(4), 473-482.
Kraft, G.H. (1999). Rehabilitation still the only way to improve function in multiple sclerosis. The Lancet, 354(9195), 2016-2017.
Kramer, A., Dettmers, C., & Gruber, M. (2014). Exergaming with Additional Postural Demands Improves Balance and Gait in Patients with Multiple Sclerosis as Much as Conventional Balance Training and Leads to High Adherence to Home-Based Balance Training. Archives of Physical Medicine and Rehabilitation, 95(10), 1803–1809.
Leocani, L., Comi, E., Annovazzi, P., Rovaris, M., Rossi, P., Cursi, M., Comola, M., Martinelli, V. & Comi, G. (2007). Impaired Short-term Motor Learning in Multiple Sclerosis: Evidence from Virtual Reality. Neurorehabilitation and Neural Repair, 21(3), 273–278.
Lozano-Quilis, J.A., Gil-Gómez, H., Gil-Gómez, J.A., Albiol-Pérez, S., Palacios-Navarro, G., Fardoun, H.M. & Mashat, A.S. (2014). Virtual Rehabilitation for Multiple Sclerosis Using a Kinect-Based System: Randomized Controlled Trial. JMIR Serious Games, 2(2), e12. https://doi.org/10.2196/games.2933
Massetti, T., Trevizan, I.L., Arab, C., Favero, F.M., Ribeiro-Papa, D.C., & de Mello Monteiro, C.B. (2016). Virtual reality in multiple sclerosis - A systematic review. Multiple sclerosis and related disorders, 8, 107–112.
Miller J.R. (2004). The importance of early diagnosis of multiple sclerosis. Journal of Managed Care & Specialty Pharmacy, 10(3 Suppl B), S4-11.
Motl, R.W., Sandroff, B.M., Kwakkel, G., Dalgas, U., Feinstein, A., Heesen, C., Feys, P. & Thompson, A.J. (2017). Exercise in patients with multiple sclerosis. The Lancet Neurology, 16(10), 848-856. https://doi.org/10.1016/S1474-4422(17)30281-8
Nilsagård, Y.E., Forsberg, A.S. & von Koch, L. (2012). Balance exercise for persons with multiple sclerosis using Wii games: a randomised, controlled multi-centre study. Multiple Sclerosis Journal, 19(2), 209–216.
Novotna, K., Janatova, M., Hana, K., Svestkova, O., Preiningerova Lizrova, J., & Kubala Havrdova, E. (2019). Biofeedback based home balance training can improve balance but not gait in people with multiple sclerosis. Multiple Sclerosis International, 2019. https://doi.org/10.1155/2019/2854130
Parra-Moreno, M., Rodríguez-Juan, J.J. & Ruiz-Cárdenas, J.D. (2018). Use of commercial video games to improve postural balance in patients with multiple sclerosis: A systematic review and meta-analysis of randomised controlled clinical trials. Neurologia, 32(3), 1170–1176.
Perrochon, A., Borel, B., Istrate, D., Compagnat, M. & Daviet, J-C. (2019). Exercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis. Annals of Physical and Rehabilitation Medicine, 62(5), 366–378.
Pirovano, M., Surer, E., Mainetti, R., Lanzi, P.L. & Alberto Borghese, N. (2016). Exergaming and rehabilitation: A methodology for the design of effective and safe therapeutic exergames. Entertainment Computing, 14, 55–65. https://doi.org/10.1016/j.entcom.2015.10.002
Prosperini, L., Tomassini, V., Castelli, L., Tacchino, A., Brichetto, G., Cattaneo, D. & Solaro, C.M. (2020). Exergames for balance dysfunction in neurological disability: a meta-analysis with meta regression. Journal of Neurology. https://doi.org/10.1007/s00415-020-09918-w
Prosperini, L., Fortuna, D., Giannì, C., Leonardi, L., Marchetti, M.R. & Pozzilli, C. (2013). Home-Based Balance Training Using the Wii Balance Board. Neurorehabilitation and Neural Repair, 27(6), 516–525.
Prosperini, L., Fortuna, D., Giannì, C., Leonardi, L. & Pozzilli, C. (2013). The diagnostic accuracy of static posturography in predicting accidental falls in people with multiple sclerosis. Neurorehabilitation and Neural Repair, 27(1), 45–52.
Robinson, J., Dixon, J., Macsween, A., van Schaik, P. & Martin, D. (2015). The effects of exergaming on balance, gait, technology acceptance and flow experience in people with multiple sclerosis: a randomized controlled trial. BMC Sports Science, Medicine and Rehabilitation, 7(8). https://doi.org/10.1186/s13102-015-0001-1
Sasaki, J.E., Motl, R.W., Cutter, G., Marrie, R.A., Tyry, T. & Salter A. (2018). National estimates of self-reported sitting time in adults with multiple sclerosis. Multiple Sclerosis Journal- Experimental Translational and Clinical, 4(1). https://doi.org/10.1177/2055217318754368
Stolze, H., Klebe, S., Zechlin, C., Baecker, C., Friege, L. & Deuschl, G. (2004). Falls in frequent neurological diseases: prevalence, risk factors and aetiology. Journal of Neurology, 251(1), 79–84.
Taylor, M.J.D. & Griffin, Μ. (2015). The use of gaming technology for rehabilitation in people with multiple sclerosis. Multiple Sclerosis Journal, 21(4), 355–371.
Thomas, S., Fazakarley, L., Thomas, P.W., Collyer, S., Brenton, S., Perring, S., Scott, R., Thomas, F., Thomas, C., Jones, K., Hickson, J. & Hillier, C. (2017). Mii-vitaliSe: a pilot randomised controlled trial of a home gaming system (Nintendo Wii) to increase activity levels, vitality and well-being in people with multiple sclerosis. BMJ Open, 7(9). https://doi.org/10.1136/bmjopen-2017-016966
TollÁr, J., Nagy, F., TÓth, B. E., TÖrÖk, K., Szita, K., CsutorÁs, B., Moizs, M., & HortobÁgyi, T. (2020). Exercise Effects on Multiple Sclerosis Quality of Life and Clinical-Motor Symptoms. Medicine & Science in Sports & Exercise, 52(5), 1007–1014.
Vernadakis, N., Papastergiou, M., Giannousi, M. & Antoniou, P. (2018). The effect of an exergame-based intervention on balance ability on deaf adolescents. Sport Science, 1, 36–41.
Vernadakis, N., Derri, V., Tsitskari, E. & Antoniou, P. (2014). The effect of Xbox Kinect intervention on balance ability for previous injured young competitive male athletes: a preliminary study. Physical Therapy in Sport, 15, 148–155.
Vernadakis, N., Gioftsidou, A., Antoniou, P., Ioannidis, D. & Giannousi, M. (2012). The impact of Nintendo Wii to physical education students' balance compared to the traditional approaches. Computers and Education, 59(2), 196–205.
Wood, V. & Kasser, S.L. (2020). Spousal Support and Self-Determined Physical Activity in Individuals with Multiple Sclerosis: A Theory-Informed Qualitative Exploration. Disability and Health Journal, 13(1). https://doi.org/10.1016/j.dhjo.2019.100835
World Health Organization (2008). Atlas: Multiple Sclerosis Resources in the World 2008. Geneva: World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/43968/9789241563758_eng.pdf
Yazgan, Y.Z., Tarakci, E., Tarakci, D., Ozdincler, A.R. & Kurtuncu, M. (2019). Comparison of the effects of two different exergaming systems on balance, functionality, fatigue, and quality of life in people with multiple sclerosis: A randomized controlled trial. Multiple Sclerosis and Related Disorders, 39, 101902. https://doi.org/10.1016/j.msard.2019.101902
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