Effect of video-based exergaming on arm and cognitive function in persons with multiple sclerosis: A randomized controlled trial

• Published in: Multiple sclerosis and related disorders 2020-05, Vol.40, p.101966-101966, Article 101966
• Main Authors: Ozdogar, Asiye Tuba, Ertekin, Ozge, Kahraman, Turhan, Yigit, Pinar, Ozakbas, Serkan
• Format: Article
• Language: English
• Subjects: Adult; Cognitive Dysfunction - etiology; Cognitive Dysfunction - physiopathology; Cognitive Dysfunction - rehabilitation; Cognitive functions; Exercise; Exercise Therapy - instrumentation; Exercise Therapy - methods; Female; Game; Humans; Male; Middle Aged; Multiple sclerosis; Multiple Sclerosis - complications; Multiple Sclerosis - physiopathology; Multiple Sclerosis - rehabilitation; Neurological Rehabilitation - methods; Outcome Assessment, Health Care; Upper extremity; Upper Extremity - physiopathology; Video Games
• ISSN: 2211-0348; 2211-0356
• DOI: 10.1016/j.msard.2020.101966

•Developments in technology can support multiple sclerosis (MS) rehabilitation.•Effects of video-based exergaming on arm and cognitive functions is unclear.•Video-based exergaming can improve arm and cognitive functions in persons with MS.•Video-based exergaming and conventional rehabilitation has similar effects. Developments in rehabilitation technology such as video-based exergaming contributes to the treatment process as well as to increase the active participation of persons with multiple sclerosis (pwMS). The aim was to investigate the effect of video-based exergaming training on upper extremity and cognitive function as well as core stability, walking, depression, fatigue, and quality of life in pwMS. This randomized controlled trial included 60 pwMS who were randomly divided into three groups; video-based exergaming (n = 21), conventional rehabilitation (n = 19), and control groups (n = 20). The experimental groups received therapy sessions once a week for 8 weeks. All the participants were assessed at baseline and after 8 weeks. The outcome measures included upper extremity and cognitive functions as well as core stability, walking, depression, fatigue, and quality of life measures. Significant improvements were observed in the primary outcome, measured by Nine-Hole Peg Test in the video-based exergaming [before= 25.8 (11.1) s; after= 22.3 (11.0) s] and conventional rehabilitation [before= 23.3 (8.1) s; after= 19.9 (3.8) s] groups (p