L.H.CHUNG1, Z.R.YEE1, W.Q.LEE2, J.Y.VOON2, W.L.POH1, Y.Q.CHUA1, M.L.TAN2, X.M.NEO3
Tan Tock Seng Hospital1, Singapore Institute of Technology2, National Neuroscience Institute3
Current physiotherapy management for Parkinson Disease (PD) is largely clinic-based with reduced adherence to prescribed home-based exercise programs.
We aim to create and test the usability of a smart device-based application delivering a gamified exercise program for people with early PD.
A prototype of an application that delivers gamified exercises integrated with motion and heart rate (HR) sensors was designed. For the 1st session, participants tested the mock-up prototype and commercial games. Feedback on design and functionality were collected. In the 2nd session, participants completed a 4 point-Likert scale survey on safety, usability, game content and user satisfaction post exergaming. Feedback were used to further refine the prototype. Participants’ HR were monitored throughout. Modified ratings of perceived exertion (RPE) were obtained. HR changes were analysed with Wilcoxon signed-rank test. Survey responses were analysed.
9 patients with early PD (HY stage ≤2) were recruited at a tertiary hospital through convenience sampling. All participants (mean age 62.8±7.4) completed the first visit. 8 completed both sessions without adverse events. Participants felt safe (3.6/4), were satisfied (3.1/4) and reported that the application was usable (3.1/4). Overall, exergaming was perceived as enjoyable and motivating. Significant increase in HR was observed post exergaming (p=0.012). Participants were exercising at light to moderate intensity. The mean training HR as percentage of HR reserve was 29.8%±4.4, while mean modified RPE was 5.5±2.2.
Tailored aerobic exergaming is feasible in patients with early PD. Further study is warranted to investigate its clinical efficacy and feasibility as a home-based program.