Feasibility of Somato-Cognitive Coordination Therapy Using Virtual Reality for Patients with Advanced Severe Parkinson's Disease
- PMID: 38607764
- PMCID: PMC11191467
- DOI: 10.3233/JPD-240011
Feasibility of Somato-Cognitive Coordination Therapy Using Virtual Reality for Patients with Advanced Severe Parkinson's Disease
Abstract
This feasibility study enrolled 20 patients with advanced severe Parkinson's disease (PD) to evaluate somato-cognitive coordination therapy (SCCT) using virtual reality. Focusing on the safety and tolerability of SCCT, 17 patients (76±9 years old and 64.7% male) completed the 3-month trial. Key observations included absence of adverse events and tolerability of the participants to SCCT despite initial apprehensions and minor adjustments in medication. Physical functions showed no significant deterioration, suggesting the safety of SCCT. In conclusion, SCCT emerges as feasible and well-tolerated intervention in advanced severe PD, requiring further research to assess its therapeutic efficacy.
Keywords: Parkinson’s disease; Virtual reality; motor coordination.
Conflict of interest statement
Masahiko Hara and Masatake Tamaki are directors of mediVR, Inc. and hold private equity. Yuichiro Murakawa, Tomomi Wagatsuma, and Keito Shinmoto are full-time employees of mediVR, Inc. Otherwise, the authors have no conflict of interest to report.
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References
-
- Shulman LM, Gruber-Baldini AL, Anderson KE, Vaughan CG, Reich SG, Fishman PS, Weiner WJ (2008) The evolution of disability in Parkinson disease. Mov Disord 23 790–796. - PubMed
-
- Gilbert R, Khemani P (2022) Treatment of advanced Parkinson’s disease. J Geriatr Psychiatry Neurol 35 12–23. - PubMed
-
- Fox SH, Katzenschlager R, Lim SY, Barton B, de Bie RMA, Seppi K, Coelho M, Sampaio C; (2018) Movement Disorder Society Evidence-Based Medicine Committee International Parkinson and movement disorder society evidence-based medicine review: Update on treatments for the motor symptoms of Parkinson’s disease. Mov Disord 33 1248–1266. - PubMed
-
- Schrag A, Hommel ALAJ, Lorenzl S, Meissner WG, Odin P, Coelho M, Bloem BR, Dodel R; (2020) CLaSP consortium The late stage of Parkinson’s -results of a large multinational study on motor and non-motor complications. Parkinsonism Relat Disord 75 91–96. - PubMed
-
- Canning CG, Allen NE, Nackaerts E, Paul SS, Nieuwboer A, Gilat M (2020) Virtual reality in research and rehabilitation of gait and balance in Parkinson disease. Nat Rev Neurol 16 409–425. - PubMed
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