Evidence mapPaperPMID 41637155Full record

Trial reportJournal of Parkinson's disease2026

Feasibility and potential effectiveness of an exergame program for people with moderate to advanced Parkinson's disease: A pilot randomized controlled trial.

Wataru Matsushita, Koichi Nagaki, Naoki Takashi, Shosuke Ohtera, Chisono Ohara, Makio Takahashi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Parkinson's disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wataru MatsushitaDepartment of Service Development, Sunwels Co., Ltd, 2-10-6 Hamamatsucho, Minato-ku, Tokyo 105-0013, Japan.ORCID 0009-0005-9226-5608
Koichi NagakiDepartment of Service Development, Sunwels Co., Ltd, 2-10-6 Hamamatsucho, Minato-ku, Tokyo 105-0013, Japan.ORCID 0000-0003-0519-5639
Naoki TakashiDepartment of Health Economics, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430, Morioka-cho, Obu-City, Aichi 474-8511, Japan.ORCID 0000-0003-4360-2194
Shosuke OhteraDepartment of Health Economics, Center for Gerontology and Social Science, Research Institute, National Center for Geriatrics and Gerontology, 7-430, Morioka-cho, Obu-City, Aichi 474-8511, Japan.ORCID 0000-0002-8873-3676
Chisono OharaFaculty of Nursing, Kansai Medical University, 2-5-1, Hirakata-City, Osaka 573-1010, Japan.ORCID 0000-0001-7208-5558
Makio TakahashiDepartment of Neurodegenerative Disorders, Kansai Medical University, 2-5-1, Hirakata-City, Osaka 573-1010, Japan.ORCID 0000-0001-6174-2591

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundExergaming has shown benefits in Parkinson's disease (PD) rehabilitation; however, its feasibility and potential effectiveness for people with moderate to advanced PD remain unclear.ObjectiveTo assess the feasibility and potential effectiveness of a universally designed exergame program in people with moderate to advanced PD.MethodsThis evaluator-blind, parallel randomized controlled trial was conducted at four specialized PD care facilities in Japan. Fifty-six participants (Hoehn & Yahr stages III-V) were randomly assigned (1:1) to the intervention or control group. The intervention group participated in an 8-week, universally designed exergame program alongside a standardized rehabilitation program. Sessions were conducted in supervised groups and lasted 15 min, thrice a week. Acceptability was assessed with a questionnaire. Adherence was based on attendance. Safety was monitored, and session-level experience (fatigue, effort, perceived progress, enjoyment) was assessed. Predefined criteria were applied for acceptability, attendance adherence, and session-level experience. The potential effectiveness was assessed by changes in health-related quality of life (HR-QoL), motor function, cognitive function, social engagement, and loneliness.ResultsThe final analysis included 37 participants. The program was judged acceptable by 84% participants, and the attendance adherence was 99.7%. No intervention-related adverse events occurred. Acceptability, attendance adherence, and session-level experience met the prespecified criteria. Exploratory findings suggested potential effectiveness for HR-QoL and loneliness, whereas no significant changes were observed in motor or cognitive function scores.ConclusionThis pilot study supports the feasibility of our exergame program for people with moderate to advanced PD and shows its potential effectiveness for HR-QoL/loneliness.Trial Registration

Indexed as

Exercise TherapyOutcome Assessment, Health CareParkinson DiseaseVideo GamesAgedFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeSeverity of Illness IndexSingle-Blind MethodTreatment Outcomeacceptabilityadvanced stageexergamehealth-related quality of lifeParkinson's diseaserandomized controlled trial

Identifiers

PMID41637155
PMCPMC13347586

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.