Effectiveness of Wii-based rehabilitation in stroke: A randomized controlled study

Karasu, Ayça Utkan; Batur, Elif Balevi; Karataş, Gülçin Kaymak

doi:10.2340/16501977-2331

Cited by 78 publications

(109 citation statements)

References 20 publications

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“…The 57 selected studies by title and abstract were read in-depth: 39 of them were excluded, since they did not satisfy the eligibility criteria. Finally, 18 papers were included in this SR [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] (Figure 1 and Supplementary Materials).…”

Section: Resultsmentioning

confidence: 99%

Video Game-Based Therapy on Balance and Gait of Patients with Stroke: A Systematic Review

2020

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Background: Stroke patients with motor, sensory and cognitive diseases can take profits from information and communication technologies—in particular, from the latest commercial video consoles, which are based on motion capture. These technologies are positioning themselves as complementary therapeutic tools for treating gait and balance disorders. In this paper, a systematic review of the effect of video game-based therapy on balance and gait in stroke patients is shown and compared with other types of treatments. Methods: A systematic review of prospective controlled clinical trials published in the main biomedical databases in English and Spanish between 2005 and 2020 was performed. The systematic review presented in this paper has been done following the Cochrane Manual recommendations and the PRISMA Declaration by two independent reviewers. Data about participants, intervention, outcome measurements and outcome measurement results were extracted. The quality of evidence of each study was assessed using Cochrane’s standard quality assessment format, which includes a description of the risk of bias. Additionally, the Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of each paper. Results: A total of 18 papers, including 479 patients, were included in this systematic review, in which the use of video consoles (in combination with conventional rehabilitation or exclusively) was compared with conventional rehabilitation to treat balance or gait in post-stroke patients. In all studies, a tendency to improve balance was found in both intervention groups, finding, in 10 of 17 studies that analysed it, a better capacity in the experimental group that included video consoles compared to the conventional rehabilitation control group. Regarding gait, in six of seven studies that analysed it, improvements were found in both intervention groups, and these improvements were greater in the experimental group than compared to the control group in three of them. Conclusions: Commercial video game systems, in combination with conventional rehabilitation, have shown positive results on balance and gait in post-stroke patients. There were variations between the trials in terms of the video consoles used and the duration, frequency and number of sessions with commercial video games. Future studies should compare the effects of commercial video game treatments on balance and gait in stroke patients with a nonintervention group to know their real efficacy.

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Section: Resultsmentioning

confidence: 99%

Video Game-Based Therapy on Balance and Gait of Patients with Stroke: A Systematic Review

2020

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“…Individuals who have experienced stroke usually suffer from loss of ADLs and QoL performances, and importantly, they can also suffer loss of balance and injury. Stroke is a cerebrovascular disease that causes hemiplegia, muscle weakness, and sensory and motor deficits, which will result in stroke survivors facing a decrease in balance ability [3].…”

Section: Introductionmentioning

confidence: 99%

Development of a Smartphone-Based Balance Assessment System for Subjects with Stroke

Hou¹,

Chiu²,

Chiang

et al. 2019

Sensors

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Stroke is a cerebral artery disease that negatively affects activities of daily living (ADLs) and quality of life (QoL). Smartphones have demonstrated strong potential in assessing balance performance. However, such smartphone-based tools have thus far not been applied to stroke survivors. The purpose of this study was to develop a smartphone-based balance assessment system for subjects who have experienced strokes and evaluate the system feasibility. The smartphone-based balance assessment application was developed with Android Studio, and reliability and validity tests were conducted. The smartphone was used to record data using a built-in accelerometer and gyroscope, and increased changes represented greater instability. Six postures were tested for 30 s each. Ten healthy adults were recruited in the reliability test, and the intraclass correlation coefficient (ICC) was used to analyze the within-day and between-day reliabilities. Eight subjects with chronic stroke and eight healthy adults were recruited for the validity test, in which balance performance was compared to represent the application validity. The ICC values of the reliability tests were at least 0.76 (p = 0.00). The acceleration data exhibited no difference between individuals who have experienced stroke and healthy subjects; however, all six postures were found to differ significantly between the two groups in the gyroscope data. The study demonstrates that the smartphone application provides a convenient, reliable, and valid tool for the balance assessments of subjects who have experienced chronic stroke.

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“…In this randomized clinical trial, 46 patients with hemiplegic shoulder pain caused by ischemic stroke seeking evaluation by expert neurologist, were referred to Physical Medicine and Rehabilitation Clinic of a university hospital and were recruited between February 2016 and March 2017. Inclusion criteria were as follows: 1) Patients aged between 35 and 85 years old suffering from HSP with or without subluxation caused by ischemic stroke in which cerebral lesions were verified by CT or MRI scans, 2) having had a first episode of unilateral stroke during 1 month to 1 year after accident, 3) being able to understand and follow simple verbal commands and participate in a rehabilitation program [18].…”

Section: Participantsmentioning

confidence: 99%

Electrical interferential current stimulation versus electrical acupuncture in management of hemiplegic shoulder pain and disability following ischemic stroke-a randomized clinical trial

et al. 2020

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Background: Hemiplegic Shoulder Pain (HSP) is among common complications occurring after stroke leading to disability. This study was conducted to compare the effects of electrical Interferential Current stimulation (IFC) and Electrical Acupuncture (EAC) on pain intensity, range of motion, and functional ability in patients with HSP and also comparing the two modalities regarding improvement of above indices. Methods: In this randomized clinical trial, 46 patients with HSP caused by ischemic stroke were recruited and assigned into 2 groups. Conventional exercise trainings were applied for both groups. Group A received additional IFC with medium frequency of 4000 HZ, and Group B received additional EAC two times a week for a total of 10 sessions. Pain severity, daily function, and shoulder Range of Motion (ROM) were evaluated using Visual Analogue Scale (VAS), Shoulder Pain and Disability Index (SPADI), and goniometry, respectively before and 5 weeks after the treatment. Results: Both groups showed relative improvement in pain severity, SPADI score, and its subscales, and also active and passive shoulder ROM after the treatment. However, IFC group compared to EAC group had higher mean changes of active ROM in abduction (28.00 ± 3.81 vs. 12.25 ± 2.39) and functional subscale of SPADI (11.45 ± 1.88 vs. 5.80 ± 1.66) after the treatment. On the contrary, EAC group showed higher percentage of VAS changes (46.14 ± 6.88 vs. 34.28 ± 5.52), indicating better pain improvement compared to IFC group. Other parameters did not show significant difference between two groups. Conclusion: Both IFC and EAC caused short term improvement in functional state, increased motion, and decreased pain in patients with HSP. Although pain control was more evident in acupuncture group, IFC resulted in better effects on function and active ROM of abduction, and seems to have higher efficacy. Trial registration: This clinical trial was registered in the Iranian Registry of Clinical Trials at 2016-07-16 with a registry number of IRCT201602153217N10.

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Effectiveness of Wii-based rehabilitation in stroke: A randomized controlled study

Abstract: Virtual reality exercises with the Nintendo Wii system could represent a useful adjunctive therapy to traditional treatment to improve static and dynamic balance in stroke patients.

Cited by 78 publications

References 20 publications

Video Game-Based Therapy on Balance and Gait of Patients with Stroke: A Systematic Review

Video Game-Based Therapy on Balance and Gait of Patients with Stroke: A Systematic Review

Development of a Smartphone-Based Balance Assessment System for Subjects with Stroke

Electrical interferential current stimulation versus electrical acupuncture in management of hemiplegic shoulder pain and disability following ischemic stroke-a randomized clinical trial

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