Efectos del exergaming sobre la inestabilidad en enfermedad de parkinson: un ensayo clínico aleatorizado

• Autores: José Izaguirre Fernández, María Sierra Peña, Nuria Martín Pozuelo
• Localización: Revista Sanitaria de Investigación, ISSN-e 2660-7085, Vol. 6, Nº. 2, 2025
• Idioma: español
• DOI: 10.34896/RSI.2025.79.55.001
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivos: el objetivo de este estudio es comparar el efecto de un programa de ejercicios realizados mediante el sistema Nintendo Wii Fit™, respecto al uso de una cinta andadora eléctrica, para tratar la inestabilidad en la Enfermedad de Parkinson. De forma secundaria, se busca valorar el grado de satisfacción de los participantes con la terapia recibida.

    Método: el diseño del estudio es un ensayo clínico aleatorio a simple ciego. El grupo de intervención recibió 12 sesiones de ejercicios, usando el sistema Nintendo Wii Fit™. El grupo control recibió 12 sesiones de entrenamiento sobre una cinta andadora. Escalas usadas: Escala de Berg, Timed up and Go, y la app de Android Accelerometer Analyzer para registrar los datos del acelerómetro de un smartphone en apoyo unipodal, pies en tándem y el test Timed up and Go.

    Resultados: se reclutaron 9 participantes. No hubo diferencias estadísticamente significativas en la Escala de Berg (p = 0,065), el Timed up and Go (p = 1,000), ni en los datos del acelerómetro en los ejes X, Y y Z; en tándem (p = 0,413, p = 0,730, p = 0,730), apoyo unipodal (p = 730, p = 190, p = 413) ni en el test Timed up and Go (p = 0,556, p = 730, p = 0,286). Los participantes percibieron ambas terapias de forma positiva.

    Discusión: los resultados sugieren que el uso del sistema Nintendo Wii Fit™ es eficaz para tratar la inestabilidad en personas con Enfermedad de Parkinson, si bien no presenta ventajas estadísticamente significativas respecto al uso de una cinta andadora. Sin embargo, hay evidencia contradictoria respecto a su efecto a medio y largo plazo, por lo que se requieren más estudios para valorar su utilidad.

  • English

    Objetives: The aim of this study is to compare the effect of a Nintendo Wii Fit™ exercise program to a treadmill training program, in order to treat instability in Parkinson’s Disease, and to assess the satisfaction level of participants with the treatment received.

    Method: The design of the study is a single-blind, randomized clinical trial. Subjects in the intervention group received 12 Nintendo Wii Fit™ exercise sessions whereas subjects in the control group received 12 treadmill training sessions. Outcome measures: Berg Balance Scale, Timed up and Go and an Android app, Accelerometer analyzer, in order to register the data from a smartphone’s accelerometer during tandem stance, unipodal stance and Timed up and Go test.

    Results: 9 participants were recruited. There were no statistically significant differencies in Berg’s Balance Scale (p = 0,065), Timed up and Go (p = 1,000), and accelerometry data obtained on axis X, Y and Z in tandem stance (p = 0,413, p = 0,730, p = 0,730), unipodal stance (p = 730, p = 190, p = 413) and Timed up and Go test (p = 0,556, p = 730, p = 0,286). Participants perceived both therapies as positive.

    Discussion: Results suggest that Nintendo Wii Fit™ is an effective tool to treat instability in Parkinson’s Disease, although it shows no statistically significant advantages over the use of a treadmill. However, evidence over its mid and long-term effect is contradictory; more research is required in order to assess its usefulness.

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