Effects of virtual reality on gait and balance in patients with Parkinson's disease: A systematic review

Authors

  • María Victoria Palop-Montoro Catholic University of Murcia, Spain.
  • María de las Nieves Cremades-Santiago Catholic University of Murcia, Spain.
  • Inmaculada Ruiz-López Catholic University of Murcia, Spain.
  • Martha Cecilia León Garzón Catholic University of Murcia, Spain.
DOI: https://doi.org/10.6018/sportk.588541
Keywords: Parkinson's Disease, Virtual Reality, Balance, Gait

Abstract

Parkinson's disease causes a high level of motor and functional disability. New virtual reality techniques can improve the symptoms of these patients. This study aimed to know the effects of virtual reality on gait and balance in patients with Parkinson's, as well as to describe the virtual reality techniques and the tools used to measure these variables in this pathology. A systematic review was carried out following the PRISMA regulations. The databases used were PubMed/Medline, LILACS and IBECS, Cochrane Library, CINAHL, Sport Discus, Psycinfo and Web of Science. The last search was carried out in May 2023. A total of 8 studies are part of this review and demonstrate that patients with Parkinson's can improve balance and gait using different virtual reality modalities such as the Wii Fit and Xbox 360 video game consoles. The most used tools to measure balance were Sensory Organization Test and Berg Balance Scale, and those to measure gait were Timed Up and Go and Dynamic Gait Index. Virtual reality as a therapy improves gait and balance in patients with Parkinson's and no adverse effects are shown after its use.

Downloads

Download data is not yet available.
Metrics
Views/Downloads
  • Abstract
    62
  • PDF (Español (España))
    96

References

Bekkers, E. M. J., Mirelman, A., Alcock, L., Rochester, L., Nieuwhof, F., Bloem, B. R., Pelosin, E., Avanzino, L., Cereatti, A., Della Croce, U., Hausdorff, J. M., & Nieuwboer, A. (2020). Do patients with Parkinson’s disease with freezing of gait respond differently than those without to treadmill training augmented by virtual reality? Neurorehabilitation and Neural Repair, 34(5), 440–449. https://doi.org/10.1177/1545968320912756

Camacho Conde, J. A. (2019). Enfermedad de Parkinson: Implicaciones autonómicas y afectivas (p. 11). Wanceulen Editorial S.L.

Corral Bergantiños, Y. (2020). Desarrollo de un protocolo de realidad virtual con el objetivo de la reeducación funcional del movimiento de alcance en pacientes con Parkinson [Tesis Doctoral, Universidad de A Coruña].

De Melo, G. E. L., Kleiner, A. F. R., Lopes, J. B. P., Dumont, A. J. L., Lazzari, R. D., Galli, M., & Oliveira, C. S. (2018). Effect of virtual reality training on walking distance and physical fitness in individuals with Parkinson's disease. NeuroRehabilitation, 42(4), 473–480. https://doi.org/10.3233/NRE-172355

Gago, I., & Seco Calvo, J. (2008). Programa de fisioterapia mejora a largo plazo las habilidades motoras en pacientes con enfermedad de Parkinson. Revista Iberoamericana de Fisioterapia y Kinesiología, 11(2), 81–92. https://doi.org/10.1016/S1138-6045(08)76326-3

Kim, A., Darakjian, N., & Finley, J. M. (2017). Walking in fully immersive virtual environments: An evaluation of potential adverse effects in older adults and individuals with Parkinson’s disease. Journal of NeuroEngineering and Rehabilitation, 14(1), 1-12. https://doi.org/10.1186/s12984-017-0225-2

Lara, G., Santana, A., Lira, A., & Peña, A. (2019). El desarrollo del hardware para la realidad virtual. Revista Ibérica de Sistemas e Tecnologias de Informação, 31, 106–117. https://doi.org/10.17013/risti.31.106–117

Liao, Y. Y., Yang, Y. R., Cheng, S. J., Wu, Y. R., Fuh, J. L., & Wang, R. Y. (2015a). Virtual reality-based training to improve obstacle-crossing performance and dynamic balance in patients with Parkinson's disease. Neurorehabilitation and Neural Repair, 29(7), 658–667. https://doi.org/10.1177/1545968314562111

Liao, Y. Y., Yang, Y. R., Wu, Y. R., & Wang, R. Y. (2015b). Virtual reality-based Wii Fit training in improving muscle strength, sensory integration ability, and walking abilities in patients with Parkinson’s disease: A randomized control trial. International Journal of Gerontology, 9(4), 190–195. https://doi.org/10.1016/j.ijge.2014.06.007

Maranesi, E., Casoni, E., Baldoni, R., Barboni, I., Rinaldi, N., Tramontana, B., Amabili, G., Benadduci, M., Barbarossa, F., Luzi, R., Di Donna, V., Scendoni, P., Pelliccioni, G., Lattanzio, F., Riccardi, G. R., & Bevilacqua, R. (2022). The effect of non-immersive virtual reality exergames versus traditional physiotherapy in Parkinson’s disease older patients: Preliminary results from a randomized-controlled trial. International Journal of Environmental Research and Public Health, 19(22), 1-11. https://doi.org/10.3390/ijerph192214818

Monterroso Cardona, M. B. (2022). Rehabilitación en la enfermedad de Parkinson [Tesis de Maestría, Universidad de Costa Rica].

Organización Mundial de la Salud (2023). Enfermedad de Parkinson. Recuperado de https://www.who.int/es/newsroom/factsheets/detail/parkinson-disease

Pazzaglia, C., Imbimbo, I., Tranchita, E., Minganti, C., Ricciardi, D., Lo Monaco, R., Parisi, A., & Padua, L. (2020). Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson's disease: A randomised controlled trial. Physiotherapy, 106, 36–42. https://doi.org/10.1016/j.physio.2019.12.007

Peñasco-Martín, B., de los Reyes-Guzmán, A., Gil-Agudo, A., Bernal, A., Pérez-Aguilar, B., & de la Peña, A. I. (2010). Aplicación de la realidad virtual en los aspectos motores de la neurorrehabilitación. Revista de Neurología, 51(8), 481–488. https://doi.org/10.33588/rn.5108.2009665

Pérez Menéndez, A. (11 de abril de 2023). El número de afectados por la enfermedad de Parkinson se duplicará en 20 años y se triplicará en 2050 [Mensaje en un blog]. Recuperado de https://www.sen.es/saladeprensa/pdf/Link238.pdf

Pompeu, J. E., Mendes, F. A., Silva, K. G., Lobo, A. M., Oliveira, T. de P., Zomignani, A. P., & Piemonte, M. E. (2012). Effect of Nintendo Wii™-based motor and cognitive training on activities of daily living in patients with Parkinson's disease: A randomised clinical trial. Physiotherapy, 98(3), 196–204. https://doi.org/10.1016/j.physio.2012.06.004

Rojas-Bustamante, E., & Adalid-Peralta, L. V. (2022). Realidad virtual inmersiva para la rehabilitación de la enfermedad de Parkinson: una revisión narrativa. Archivos de Neurociencias, 27(4), 7–64. https://doi.org/10.31157/an.v27i4.366

Weiss, P. L. T., & Katz, N. (2004). The potential of virtual reality for rehabilitation. Journal of Rehabilitation Research and Development, 41(5), 7-10.

Yang, W. C., Wang, H. K., Wu, R. M., Lo, C. S., & Lin, K. H. (2016). Home-based virtual reality balance training and conventional balance training in Parkinson’s disease: A randomized controlled trial. Journal of the Formosan Medical Association, 115(9), 734–743. https://doi.org/10.1016/j.jfma.2015.07.012

Yen, C. Y., Lin, K. H., Hu, M. H., Wu, R. M., Lu, T. W., & Lin, C. H. (2011). Effects of virtual reality-augmented balance training on sensory organization and attentional demand for postural control in people with Parkinson disease: A randomized controlled trial. Physical Therapy, 91(6), 862–874. https://doi.org/10.2522/ptj.20100050

Published
09-10-2025
How to Cite
Palop-Montoro, M. V., Cremades-Santiago, M. de las N., Ruiz-López, I., & León Garzón, M. C. (2025). Effects of virtual reality on gait and balance in patients with Parkinson’s disease: A systematic review. SPORT TK-EuroAmerican Journal of Sport Sciences, 14, 91. https://doi.org/10.6018/sportk.588541
Issue
Section
Articles