Medico-economic Evaluation Rehabilitation by Serious Games at Home for the Management of Patients With Parkinson's Disease Suffering From Gait and Balance Disorders

Other illness

• Parkinson's disease with Hoehn\&Yahr stage 5 corresponding to an inability of the subject to stand or walk alone ;
• Dementia (MMS \< 24 and/or MoCA \< 18) ;
• Presence of an impulse control disorder defined by item 6 of the MDS-UPDRS part I \> 2 ;

Age

• Pregnant woman or woman of childbearing age without contraceptive methods;

Other

• Absence of internet connection at home ;
• Serious pathology interfering with the test ;
• Estimated life expectancy of less than 2 years ;
• Subject in a period of exclusion from further research ;
• Persons under guardianship, curatorship or any other administrative or judicial measure of deprivation of rights and liberty ;

• Diagnosis of idiopathic Parkinson's disease (according to United Kingdom Parkinson's Disease Society Brain Bank \[UKPDD\] criteria) ;
• Age ≥ 18 years ;
• Patient with gait and/or balance disorders not improved by levodopa treatment with item 12 "walking and balance" ≥ 1 of the MDS-UPDRS (Movement-Disorders Society-Unified Parkinson's disease rating scale) part II, ON levodopa and/or item 13 of "gait freezing" ≥ 1 (Goetz, Tilley et al. 2008);
• Number of falls ≥ 2 in the previous year;
• Stable antiparkinsonian treatments for at least 1 month prior to inclusion in the study ;
• Patient with social health insurance ;
• Person who voluntarily and informedly agreed to participate in the study (signed written consent) ;
• Other medical problems that are stable or do not interfere with the proposed protocol;