Article

OBJECTIVE: To investigate the feasibility, acceptability, and safety of a
supervised video game exercise program administered via Dance Dance Revolution in
individuals with Huntington's disease. DESIGN:
A cross-over, controlled,
single-blinded, six-week trial. SETTING: Home-based. PARTICIPANTS: Eighteen
ambulatory individuals with Huntington's disease (seven male, mean age 50.7 SD
14.7). INTERVENTIONS: Participants played the Dance Dance Revolution game with
supervision and the handheld game without supervision for 45 minutes, two days
per week for six weeks. OUTCOME MEASURES: Game play performance and adherence,
participant perceptions of the game, safety (vital signs, adverse health
changes), spatiotemporal gait measures, Four-Square Step Test, Tinetti Mobility
Test, Activities-Specific Balance Confidence Scale, and World Health Organization
Quality of Life - Bref, before and after each intervention. RESULTS: Most
participants improved on game play, enjoyed playing the game, and wanted to
continue playing after study completion. After playing Dance Dance Revolution,
participants showed significant reductions in double support percentage (adjusted
mean difference (95% confidence intervals): -2.54% (-4.75, -0.34) for forward
walking and -4.18 (-6.89, -0.48) for backward walking) and those with less severe
motor symptoms had reductions in heel-to-heel base of support during forward
walking. The remaining measures were not significantly impacted by the
intervention. CONCLUSION: Dance Dance Revolution appears to be a feasible,
motivating, and safe exercise intervention for individuals with Huntington's
disease.

Langue : ANGLAIS