Title:	Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease : overview of systematic reviews
Authors:	Rocha, Poliany Silva Sousa, Bianca Brenda Leite de D’Amelio, Marco Pompeu, José Eduardo Garcia, Patrícia Azevedo Leal, Josevan Cerqueira Mendes, Felipe Augusto dos Santos
metadata.dc.identifier.orcid:	https://orcid.org/0000-0002-2029-7388 https://orcid.org/0000-0001-7597-6110 https://orcid.org/0000-0002-2058-7481
metadata.dc.contributor.affiliation:	University of Brasilia, Faculty of Ceilândia, Graduate Program in Rehabilitation Sciences University of Brasilia, Faculty of Ceilândia University of Palerm, Department of Biomedicine, Neurosciences and Advanced Diagnostics University of São Paulo, Faculty of Medicine, Fonoaudiology, Physiotherapy and Occupational Therapy Department University of Brasilia, Faculty of Ceilândia, Graduate Program in Rehabilitation Sciences University of Brasilia, Faculty of Ceilândia University of Brasilia, Faculty of Ceilândia, Graduate Program in Rehabilitation Sciences
Assunto::	Marcha humana Equilíbrio (Fisiologia) Parkinson, Doença de Qualidade de vida Parkinson, Doença de - reabilitação
Issue Date:	2023
Publisher:	John Wiley & Sons Ltd.
Citation:	ROCHA, Poliany Silva et al. Exergaming in the treatment of gait, balance, and quality of life in Parkinson's disease : overview of systematic reviews. Physiotherapy Research International, v. 28, n. 3, e2002, jul. 2023. DOI: https://doi.org/10.1002/pri.2002.
Abstract:	Introduction Postural instability and gait impairments are common in people with PD, both of which have a negative effect on their quality of life. Systematic reviews have demonstrated benefits of using exergaming in enhancing these outcomes. However, there is no consensus over whether exergaming therapy is better than conventional physical therapy for enhancing gait, balance, and quality of life. Objectives: The aim of this overview is to systematically synthesize and evaluate the available evidence found in published systematic reviews and meta-analyses, on the effects of exergaming therapy on balance, gait, and quality of life, compared to conventional physical therapy or no intervention. Methods This overview was reported in accordance with the statement of Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA). A comprehensive search was carried out in nine databases. Two reviewers independently extracted data using a standardized forms and the search strategy included terms related to intervention, population, and study type. The methodological quality of the included systematic reviews/meta-analysis (SRs/Mas) was evaluated using the “A Measurement Tool to Assess Systematic Reviews 2” (AMSTAR-2). The “Grading of Recommendations Assessment, Development and Evaluation” (GRADE) was used to assess the quality of the evidence. The risk of bias assessment was performed using the “Risk Of Bias In Systematic Reviews” (ROBIS). PROSPERO registration number: CRD42021238131. Results 112 SRs/MAs were found and nine of them were selected. Six reviews were rated as very low methodological quality and three reviews as low methodological quality. Five reviews were classified with low risk of bias and four reviews with high risk of bias. Most of the SR/MAs demonstrated significant effects on balance favoring exergaming therapy over conventional therapy, however those studies had been rated as very low quality of evidence. Inconclusive results were found for the quality of life and gait outcomes. Conclusion Exergaming therapy shows promise for the rehabilitation of PD. However, this overview was unable to conclude with certainty that exergaming therapy is superior to conventional physical therapy in improving gait, balance, or quality of life in people with PD. The effectiveness of exergaming therapy in the treatment of people with PD still need to be verified by high-quality studies.
metadata.dc.description.unidade:	Faculdade UnB Ceilândia (FCE) Curso de Fisioterapia (FCE-FISIO)
metadata.dc.description.ppg:	Programa de Pós-Graduação em Ciências da Reabilitação
DOI:	https://doi.org/10.1002/pri.2002
metadata.dc.relation.publisherversion:	https://onlinelibrary.wiley.com/doi/10.1002/pri.2002
Appears in Collections:	Artigos publicados em periódicos e afins

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