Der Einfluss vom Exergaming mit kommerziell verfügbaren Spielkonsolen auf die Balance und Lebensqualität bei Menschen mit idiopathischem Parkinson-Syndrom – Eine systematische Übersichtsarbeit

Zusammenfassung

Hintergrund Exergaming könnte als Kombination aus Spielspaß und Training ein effektiver Therapie-Ansatz bei Gleichgewichtsstörungen und verminderte Lebensqualität (QoL) bei Parkinson-Patient*innen sein. Zugängliche Arten von Exergaming mit kommerziellen Spielkonsolen wurden bisher nicht umfassend untersucht.

Ziel Untersuchung der Fragestellung, ob Exergaming mit kommerziell verfügbaren Spielkonsolen die Balance und QoL von Patient*innen mit Morbus Parkinson verbessert.

Methode Es erfolgte eine systematische Literaturrecherche in den Datenbanken MEDLINE, Cochrance Library, EMBASE, CINHAL und PEDro. Berücksichtigt wurden Studien, die Patient*innen mit Morbus Parkinson mit kommerziell verfügbaren Exergaming-Konsolen behandelten. Als Messinstrument für Balance wurden „Berg Balance Scale“ (BBS) und „Dynamic Gait Index“ (DGI) festgelegt. Die QoL wurde mittels „Parkinsonʼs Disease Questionnaire“ (PDQ-39) evaluiert. Das Verzerrungsrisikos wurde mithilfe der PEDro-Skala und MINORS eingeschätzt. Die Studienergebnisse wurden tabellarisch zusammengefasst und ausführlich gegenübergestellt.

Ergebnisse Es wurden insgesamt 6 randomisierte kontrollierte Studien sowie 6 Kohortenstudien eingeschlossen. Die Studien umfassten insgesamt 413 Proband*innen, wovon 205 die Exergaming-Intervention erhielten. Die Analyse dieser Studien bestätigte einen positiven Effekt von Exergaming mit kommerziellen Spielkonsolen auf die Balance (BBS, DGI) und QoL (PDQ-39) bei Patient*innen mit Morbus Parkinson im ersten bis dritten Hoehn-und-Yahr-Stadium (H&Y-Stadium).

Schlussfolgerung Exergaming mit kommerziell verfügbaren Spielkonsolen kann zur Verbesserung der Balance und QoL bei Patient*innen mit Morbus Parkinson im H&Y-Stadium 1–3 verwendet werden. Für die Untersuchung des Heim-Exergaming werden weitere Studien benötigt.

Abstract

Background Exergaming, as a combination of gaming fun and training, could represent an effective therapeutic approach against balance disorders and reduced quality of life (QoL) in Parkinsonʼs disease (PD) patients. However, accessible types of exergaming have not been extensively studied.

Aim To find out whether exergaming with commercially available game consoles improves balance and QoL in patients with PD.

Methods A systematic literature search was performed in the databases MEDLINE, Cochrance Library, EMBASE, CINHAL and PEDro Studies that treated PD patients with commercially available exergaming consoles were considered. “Berg Balance Scale” (BBS) and “Dynamic Gait Index” (DGI) were determined as measurement tools for balance. QoL was evaluated using “Parkinsonʼs Disease Questionnaire” (PDQ-39). Risk of bias was assessed using PEDro scale and MINORS. Study results were tabulated and compared in detail.

Results A total of 6 randomized controlled trials and 6 cohort studies were included in this work. The studies included a total of 413 subjects, 205 of whom received the exergaming intervention. Analysis of these studies confirmed a positive effect of exergaming with commercial game consoles on balance (BBS, DGI) and QoL (PDQ-39) in Parkinsonʼs disease patients in the first to third Hoehn and Yahr (H&Y) stages.

Conclusion Exergaming with commercially available game consoles can be used to improve balance and QoL in Parkinsonʼs disease (PD) patients* in H&Y stages 1–3. Further studies are needed to investigate home exergaming.

Schlüsselwörter

Morbus Parkinson - Balance - Lebensqualität - Exergaming - Virtual Reality

Key words

Parkinsonʼs disease - balance - quality of life - exergaming - virtual reality

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