Effects of exergaming on cognition, lower limb functional coordination, and stepping time in people with multiple sclerosis: a randomized controlled trial Article Swipe
Farshad Molhemi
,
Mohammad Mehravar
,
Saeideh Monjezi
,
Reza Salehi
,
Hossein Negahban
,
Mohammad Jafar Shaterzadeh Yazdi
,
Nastaran Majdinasab
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1080/09638288.2022.2060332
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1080/09638288.2022.2060332
To compare the effects of exergaming versus conventional exercises on cognition, lower-limb functional coordination, and stepping time in people with multiple sclerosis (PwMS). Thirty-six PwMS were randomly assigned to either intervention (n = 18) or control (n = 18) group and received 18 training sessions during six weeks. The intervention group performed exergames that required multidirectional timed-stepping, weight-shifting, and walking while the control group performed conventional matched exercises. Trail making test (TMT part A, B; TMT-A, TMT-B, TMT B-A), six-spot step test (SSST), and choice stepping reaction time (CSRT-including reaction time (RT), movement time (MVT), and total response time (TRT)) were assessed pre- and post-intervention (short-term), and after three-month follow-up (mid-term). The intervention group showed faster TMT-B (p = 0.003) and TMT B-A (p = 0.002) at post-intervention and faster SSST at both post-intervention (p = 0.002) and follow-up (p = 0.04). The CSRT components showed no between-group differences at post-intervention; however, at follow-up, the intervention group had lower TRT (p = 0.046) and MVT (p = 0.015). TMT-A and RT had no significant between-group differences. In short-term, exergames led to more improvements in complex attention, executive function, and lower-limb functional coordination comparing to the matched conventional exercises. In mid-term, exergaming was more effective for improving stepping time and lower-limb functional coordination. However, the two approaches did not show any superiority over each other for improving simple attention and RT.Implications for rehabilitationWhen designed properly, exergames have great potential to improve attention and executive function of people with multiple sclerosis (PwMS), at least in the short-term.Exergames seem like an appropriate option for improving lower limb coordination and decreasing choice stepping response time among PwMS in the mid-term.Exergames do not have superiority in improving the choice stepping reaction time compared to their matched conventional treatment. When designed properly, exergames have great potential to improve attention and executive function of people with multiple sclerosis (PwMS), at least in the short-term. Exergames seem like an appropriate option for improving lower limb coordination and decreasing choice stepping response time among PwMS in the mid-term. Exergames do not have superiority in improving the choice stepping reaction time compared to their matched conventional treatment.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1080/09638288.2022.2060332
- OA Status
- green
- Cited By
- 9
- References
- 44
- Related Works
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- OpenAlex ID
- https://openalex.org/W4224210157
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4224210157Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1080/09638288.2022.2060332Digital Object Identifier
- Title
-
Effects of exergaming on cognition, lower limb functional coordination, and stepping time in people with multiple sclerosis: a randomized controlled trialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-04-20Full publication date if available
- Authors
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Farshad Molhemi, Mohammad Mehravar, Saeideh Monjezi, Reza Salehi, Hossein Negahban, Mohammad Jafar Shaterzadeh Yazdi, Nastaran MajdinasabList of authors in order
- Landing page
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https://doi.org/10.1080/09638288.2022.2060332Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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greenOpen access status per OpenAlex
- OA URL
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https://figshare.com/articles/journal_contribution/Effects_of_exergaming_on_cognition_lower_limb_functional_coordination_and_stepping_time_in_people_with_multiple_sclerosis_a_randomized_controlled_trial/19624401Direct OA link when available
- Concepts
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Intervention (counseling), Physical medicine and rehabilitation, Cognition, Physical therapy, Randomized controlled trial, Psychology, Timed Up and Go test, Lower limb, Medicine, Executive functions, Balance (ability), Surgery, Neuroscience, PsychiatryTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
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2025: 5, 2024: 1, 2023: 2, 2022: 1Per-year citation counts (last 5 years)
- References (count)
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44Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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