Overview
The study aims to compare the effects of treadmill gait training in a gamified virtual reality environment with tDCS versus treadmill gait training in a gamified virtual reality environment versus treadmill training in people with Parkinson's Disease.
Description
Treadmill gait training has been stablished as a solid gait rehabilitation option for people with Parkinson's Disease. However, gait training by itself fails to address the cognitive aspect needed for safe walking, which could be affected by situations in which concurrent tasks must be managed simultaneously to gait. It also lacks motivational aspects key to keep people with Parkinson's Disease adhered to treatment. Virtual reality and gamification are posed as useful tools to address both these issues, turning training into a more engaging activity and allowing complicated gait situations to be trained in a safe environment. Transcranial direct current stimulation (tDCS) could be combined with these mentioned treatment options, which could reinforce the learning of motor and cognitive skills during training.
The aim of this study is to evaluate the effects of the inclusion of a gamified virtual reality environment to a treadmill gait training program with tDCS in PD compared to the same training protocol with virtual reality and without it
Eligibility
Inclusion Criteria:
- Idiopathic Parkinson's Disease
- Stage II - III in the Hoehn and Yahr Scale during ON state
- Ability to walk for 10 minutes independently without stop
Exclusion Criteria:
- Significant cognitive decline based on mini mental status examination (MMSE <23)
- Severe auditory or visual deficits
- Other neurological/psychiatric conditions
- Any kind of cardiovascular complications that contraindicates physical activity
- Clinical history of any brain surgery or deep brain stimulation device