Publication: The Impact of a Novel Immersive Virtual Reality Technology Associated with Serious Games in Parkinson's Disease Patients on Upper Limb Rehabilitation: A Mixed Methods Intervention Study
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2020-04-11
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MDPI
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Abstract
Parkinson’s disease is a neurodegenerative disorder that causes impaired
motor functions. Virtual reality technology may be recommended to optimize motor learning in a
safe environment. The objective of this paper was to evaluate the e ects of a novel immersive virtual
reality technology used for serious games (Oculus Rift 2 plus leap motion controller—OR2-LMC)
for upper limb outcomes (muscle strength, coordination, speed of movements, fine and gross
dexterity). Another objective was to obtain qualitative data for participants’ experiences related to the
intervention. Methods: A mixed methods intervention (embedded) study was used, with a qualitative
design after a technology intervention (quantitative design). The intervention and qualitative design
followed international guidelines and were integrated into the method and reporting subheadings.
Results: Significant improvements were observed in strength (p = 0.028), fine (p = 0.026 to 0.028) and
gross coordination dexterity, and speed movements (p = 0.039) in the a ected side, with excellent
compliance (100%) and a high level of satisfaction (3.66 0.18 points out of the maximum of
4). No adverse side e ects were observed. Qualitative findings described patients’ perspectives
regarding OR2-LMC treatment, facilitators and barriers for adherence, OR2-LMC applications,
and treatment improvements. Conclusions: The intervention showed positive results for the
upper limbs, with elements of discordance, expansion, and confirmation between qualitative and
quantitative results.
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Keywords
Parkinson’s disease, Biomedical Technology, Biomedical Enhancement, Neurological, Rehabilitation, Mixed Methods Research Disease, Biomedical Technology, Biomedical Enhancement, Neurological Rehabilitation, Mixed Methods Research
Bibliographic citation
Sánchez-Herrera-Baeza P, Cano-de-la-Cuerda R, Oña-Simbaña ED, Palacios-Ceña D, Pérez-Corrales J, Cuenca-Zaldivar JN, Gueita-Rodriguez J, Balaguer-Bernaldo de Quirós C, Jardón-Huete A, Cuesta-Gomez A. The Impact of a Novel Immersive Virtual Reality Technology Associated with Serious Games in Parkinson’s Disease Patients on Upper Limb Rehabilitation: A Mixed Methods Intervention Study. Sensors. 2020; 20(8):2168. https://doi.org/10.3390/s20082168