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Perhaps health insurances will pay...

Parkinson's disease is a degenerative disease that impairs motor skills. The 
Nintendo Wii may help treat symptoms of Parkinson's disease, including 
depression, a Medical College of Georgia researcher says.


Dr. Herz theorized that the popular computer game console, which simulates 
various sports and activities, could improve coordination, reflexes and other 
movement-related skills, but he found additional benefits as well.

"The Wii allows patients to work in a virtual environment that's safe, fun and 
motivational," says Dr. Ben Herz, program director and assistant professor in 
the School of Allied Health Sciences Department of Occupational Therapy. "The 
games require visual perception, eye-hand coordination, figure-ground 
relationships and sequenced movement, so it's a huge treatment tool from an 
occupational therapy perspective."

In an eight-week pilot study, 20 Parkinson's patients spent an hour playing 
the Wii three times a week for four weeks. The patients, all in a stage of the 
disease in which both body sides are affected but with no significant gait 
disturbance yet, played two games each of tennis and bowling and one game of 
boxing-games entailing exercise, bilateral movement, balance and fast pace.

Participants showed significant improvements in rigidity, movement, fine motor 
skills and energy levels. Perhaps most impressively, most participants' 
depression levels decreased to zero.

An estimated 45 percent of Parkinson's patients are reported to suffer from 
depression, though Dr. Herz suspects the actual figure is much higher.

Studies have shown that exercise and video games independently can increase 
the production of dopamine, a neurotransmitter deficient in Parkinson's 
patients. He suspects that's the case with the Wii's exercise effect. Dopamine 
also helps improve voluntary, functional movements, which Parkinson's patients 
"use or lose," Dr. Herz says.

Wii, which features simulated movements such as cracking an egg, swinging a 
tennis racket and throwing a bowling ball, responds to a player's movements 
rather than cues from a controller, so players can do full body movements and 
see their progress on a screen.

"I think we're going to be using virtual reality and games a lot more because 
it provides a controlled physical environment that allows patients to 
participate in the activities they need or want to do. A patient doesn't have 
to go to a bowling alley and worry about environmental problems or 
distractions," Dr. Herz says.

Dr. Herz presented his preliminary findings at the fifth annual Games for 
Health Conference in Boston.


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