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Journal Article

Effects of Exergaming on Attentional Deficits and Dual-Tasking in Parkinson's Disease

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Schaeffer, E., Busch, J.-H., Roeben, B., Otterbein, S., Saraykin, P., Leks, E., et al. (2019). Effects of Exergaming on Attentional Deficits and Dual-Tasking in Parkinson's Disease. Frontiers in Neurology, 10: 646, pp. 1-8. doi:10.3389/fneur.2019.00646.

Cite as: https://hdl.handle.net/21.11116/0000-0007-8236-9
Introduction: Impairment of dual-tasking, as an attention-based primary cognitive dysfunction, is frequently observed in Parkinson's Disease (PD). The Training-PD study investigated the efficiency of exergaming, as a novel cognitive-motor training approach, to improve attention-based deficits and dual-tasking in PD when compared to healthy controls.

Methods: Eighteen PD patients and 17 matched healthy controls received a 6-week home-based training period of exergaming. Treatment effects were monitored using quantitative motor assessment of gait and cognitive testing as baseline and after 6 weeks of training.

Results: At baseline PD patients showed a significantly worse performance in several quantitative motor assessment parameters and in two items of cognitive testing. After 6 weeks of exergames training, the comparison of normal gait vs. dual-tasking in general showed an improvement of stride length in the PD group, without a gait-condition specific improvement. In the direct comparison of three different gait conditions (normal gait vs. dual-tasking calculating while walking vs. dual-tasking crossing while walking) PD patients showed a significant improvement of stride length under the dual-tasking calculating condition. This corresponded to a significant improvement in one parameter of the D2 attention test.

Conclusions: We conclude, that exergaming, as an easy to apply, safe technique, can improve deficits in cognitive-motor dual-tasking and attention in PD.