How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease
Virtual reality (VR) is used in the rehabilitation of patients with Parkinson’s disease (PD) in several studies. In VR trials, the motor, physical characteristics, and the degree of the disease are often well defined, while PD cognitive reserve is not. This systematic review was performed to define...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2022/7389658 |
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| author | Letizia Pezzi Andrea Di Matteo Roberta Insabella Sara Mastrogiacomo Carlo Baldari Victor Machado Reiss Teresa Paolucci |
| author_facet | Letizia Pezzi Andrea Di Matteo Roberta Insabella Sara Mastrogiacomo Carlo Baldari Victor Machado Reiss Teresa Paolucci |
| author_sort | Letizia Pezzi |
| collection | DOAJ |
| description | Virtual reality (VR) is used in the rehabilitation of patients with Parkinson’s disease (PD) in several studies. In VR trials, the motor, physical characteristics, and the degree of the disease are often well defined, while PD cognitive reserve is not. This systematic review was performed to define a cognitive profile for patients with PD who could best benefit from using VR to enhance functional motor aspects during rehabilitation. PubMed, Cochrane Library, Scopus, and Web of Sciences databases were analysed to identify randomized clinical trials (RCT) and randomized pilot trials that addressed the rehabilitation of motor symptoms in subjects with PD using VR. The included studies used Mini-Mental State Examination (MMSE) or Montreal Cognitive Assessment (MoCA) to evaluate the cognitive aspect. Only articles written in English and with full texts were considered. The risk of bias from all included studies was assessed based on the Cochrane risk-of-bias tool and the PRISMA guideline was considered. Eighteen articles were eligible for review, including three randomized pilot trials. All studies aimed to evaluate the effect of VR on the motor aspects typically affected by PD (balance, postural control, risk of falls, walking, and reaching). The most widely adopted approach has been nonimmersive VR, except for one study that used immersive VR. Both the benefits of physical activity on the motor symptoms of patients with PD and the impact of cognitive reserve during the rehabilitation of these patients were highlighted. The analysis of the results allowed us to outline the ideal cognitive profile of patients with PD who can benefit from the effects of rehabilitation using VR. |
| format | Article |
| id | doaj-art-3eade4a444844255b71247d6f7433195 |
| institution | Kabale University |
| issn | 2042-0080 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-3eade4a444844255b71247d6f74331952025-02-03T01:19:58ZengWileyParkinson's Disease2042-00802022-01-01202210.1155/2022/7389658How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s DiseaseLetizia Pezzi0Andrea Di Matteo1Roberta Insabella2Sara Mastrogiacomo3Carlo Baldari4Victor Machado Reiss5Teresa Paolucci6Rehabilitation UnitDepartment of Oral and Biotechnological Biomedical SciencesDepartment of Anatomical and Histological SciencesFondazione Santa Lucia IRCCSDepartment of Theoretical and Applied SciencesResearch Center for SportDepartment of Oral and Biotechnological Biomedical SciencesVirtual reality (VR) is used in the rehabilitation of patients with Parkinson’s disease (PD) in several studies. In VR trials, the motor, physical characteristics, and the degree of the disease are often well defined, while PD cognitive reserve is not. This systematic review was performed to define a cognitive profile for patients with PD who could best benefit from using VR to enhance functional motor aspects during rehabilitation. PubMed, Cochrane Library, Scopus, and Web of Sciences databases were analysed to identify randomized clinical trials (RCT) and randomized pilot trials that addressed the rehabilitation of motor symptoms in subjects with PD using VR. The included studies used Mini-Mental State Examination (MMSE) or Montreal Cognitive Assessment (MoCA) to evaluate the cognitive aspect. Only articles written in English and with full texts were considered. The risk of bias from all included studies was assessed based on the Cochrane risk-of-bias tool and the PRISMA guideline was considered. Eighteen articles were eligible for review, including three randomized pilot trials. All studies aimed to evaluate the effect of VR on the motor aspects typically affected by PD (balance, postural control, risk of falls, walking, and reaching). The most widely adopted approach has been nonimmersive VR, except for one study that used immersive VR. Both the benefits of physical activity on the motor symptoms of patients with PD and the impact of cognitive reserve during the rehabilitation of these patients were highlighted. The analysis of the results allowed us to outline the ideal cognitive profile of patients with PD who can benefit from the effects of rehabilitation using VR.http://dx.doi.org/10.1155/2022/7389658 |
| spellingShingle | Letizia Pezzi Andrea Di Matteo Roberta Insabella Sara Mastrogiacomo Carlo Baldari Victor Machado Reiss Teresa Paolucci How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease Parkinson's Disease |
| title | How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease |
| title_full | How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease |
| title_fullStr | How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease |
| title_full_unstemmed | How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease |
| title_short | How Cognitive Reserve should Influence Rehabilitation Choices using Virtual Reality in Parkinson’s Disease |
| title_sort | how cognitive reserve should influence rehabilitation choices using virtual reality in parkinson s disease |
| url | http://dx.doi.org/10.1155/2022/7389658 |
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