Home-based step training using videogame technology in people with Parkinson’s disease: a single-blinded randomised controlled trial

Objectives:To determine whether 12-week home-based exergame step training can improve stepping performance, gait and complementary physical and neuropsychological measures associated with falls in Parkinson’s disease.Design:A single-blinded randomised controlled trial.Setting:Community (experimental intervention), university laboratory (outcome measures).Subjects:Sixty community-dwelling people with Parkinson’s disease.Interventions:Home-based step training using videogame technology.Main measures:The primary outcomes were the choice stepping reaction time test and Functional Gait Assessment. Secondary outcomes included physical and neuropsychological measures associated with falls in Parkinson’s disease, number of falls over six months and self-reported mobility and balance.Results:Post intervention, there were no differences between the intervention (n = 28) and control (n = 25) groups in the primary or secondary outcomes except for the Timed Up and Go test, where there was a significant difference in f...