The effects of video game therapy on balance and attention in chronic ambulatory traumatic brain injury: an exploratory study

Straudi, Sofía; Severini, Giacomo; Charabati, Amira Sabbagh; Pavarelli, Claudia; Gamberini, Giulia; Scotti, Alessandra; Basaglia, Nino

doi:10.1186/s12883-017-0871-9

Cited by 36 publications

(32 citation statements)

References 47 publications

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“…Therefore, in addition to impaired sensory integration, an elevated PPT could also stem from the deficits in attention that occur in 39-62% of TBI survivors (Marsh et al, 2016). Selective attention is essential for dynamic aspects of activities of daily living (Straudi et al, 2017) and individuals with balance impairments due to deficits in their automatic postural responses (APRs) (Woollacott and Shumway-Cook, 2002) rely more heavily on attentional mechanisms during standing. Attentional deficits post TBI and potentially impaired APRs due to impaired sensory integration could interfere with a TBI survivor's ability to safely complete motor tasks (Ponsford and Kinsella, 1992).…”

Section: Discussionmentioning

confidence: 99%

Evaluating Sensory Acuity as a Marker of Balance Dysfunction After a Traumatic Brain Injury: A Psychophysical Approach

et al. 2020

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There is limited research on sensory acuity i.e., ability to perceive external perturbations via body-sway during standing in individuals with a traumatic brain injury (TBI). It is unclear whether sensory acuity diminishes after a TBI and if it is a contributing factor to balance dysfunction. The objective of this investigation is to first objectively quantify the sensory acuity in terms of perturbation perception threshold (PPT) and determine if it is related to functional outcomes of static and dynamic balance. Ten individuals with chronic TBI and 11 age-matched healthy controls (HC) performed PPT assessments at 0.33, 0.5, and 1 Hz horizontal perturbations to the base of support in the anteriorposterior direction, and a battery of functional assessments of static and dynamic balance and mobility [Berg balance scale (BBS), timed-up and go (TUG) and 5-m (5MWT) and 10-m walk test (10MWT)]. A psychophysical approach based on Single Interval Adjustment Matrix Protocol (SIAM), i.e., a yes-no task, was used to quantify the multi-sensory thresholds of perceived external perturbations to calculate PPT. A mixeddesign analysis of variance (ANOVA) and post-hoc analyses were performed using independent and paired t-tests to evaluate within and between-group differences. Pearson correlation was computed to determine the relationship between the PPT and functional measures. The PPT values were significantly higher for the TBI group (0.33 Hz: 2.97 ± 1.0, 0.5 Hz: 2.39 ± 0.7, 1 Hz: 1.22 ± 0.4) compared to the HC group (0.33 Hz: 1.03 ± 0.6, 0.5 Hz: 0.89 ± 0.4, 1 Hz: 0.42 ± 0.2) for all three perturbation frequencies (p < 0.006 post Bonferroni correction). For the TBI group, the PPT for 1 Hz perturbations showed significant correlation with the functional measures of balance

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Section: Discussionmentioning

confidence: 99%

Evaluating Sensory Acuity as a Marker of Balance Dysfunction After a Traumatic Brain Injury: A Psychophysical Approach

et al. 2020

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“…Although video games were originally designed for entertainment purposes, a variety of auditory and visual sensory feedback systems have been developed specifically for balance rehabilitation and training [ 14 , 15 ]. Several recent studies have revealed that interactive video game-based (IVGB) exercises can ameliorate static and dynamic balance control in multiple sclerosis patients [ 16 ]; promote the correct weight shifting in stroke patients [ 17 ]; improve balance and attention deficits in chronic traumatic brain injury patients [ 18 ]; enhance functional balance and mobility in teenagers with cerebral palsy [ 19 ]. Some studies also suggested that IVGB exercise improve balance control, as well as self-reported balance confidence and mental health in healthy older population [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Interactive Video Game-Based Exercise on Balance in Diabetic Patients with Peripheral Neuropathy: An Open-Level, Crossover Pilot Study

Hung

Chen

Chang

et al. 2019

Evidence-Based Complementary and Alternative Medicine

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Purpose. This study evaluated the effects of interactive video game-based (IVGB) exercise on balance in diabetic patients with peripheral neuropathy. Materials and Methods. Twenty-four patients were randomly assigned to two groups (12 participants per group). Group A received IVGB training for the first 6 weeks, with no exercise in the subsequent 6 weeks. Group B had no exercise for the first 6 weeks and then underwent IVGB training in the subsequent 6 weeks. For all participants, the Modified Falls Efficacy Scale (MFES), Time Up and Go (TUG) test, Berg Balance Scale (BBS), and Unipedal Stance Test (UST) were employed at weeks 0, 6, and 12 of the experiment. Results. BBS, right-leg UST, and TUG test scores significantly improved after IVGB intervention, whereas MFES and left-leg UST tended to improve after IVGB intervention. Conclusions. This study revealed that 6-week balance-based exercise training using the IVGB system exerted positive effects on functional balance in patients with diabetic peripheral neuropathy (DPN).

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“…The PICOS approach (Patients, Intervention, Control, Outcomes, and Study design) was followed (Liberati et al, 2009). Eight studies met the inclusion criteria (Peters et al, 2014;Damiano et al, 2016;Kleffelgaard et al, 2018;Cuthbert et al, 2014;Straudi et al, 2017;Cuff et al, 2014;Sveistrup et al, 2003;Thornton et al, 2005). A total of 259 patients post-TBI were included in this review, 71 (27.41%) of which were females.…”

Section: Participantsmentioning

confidence: 99%

Effects of physical therapy interventions on balance ability in people with traumatic brain injury: A systematic review

Alashram

Annino

Raju

et al. 2020

NRE

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BACKGROUND: Balance deficits are common impairments in individuals with post-traumatic brain injury (TBI). Balance deficits can restrict the activities of daily living and productive participation in social life. To date, no systematic reviews have examined the impact of physical therapy intervention on balance post-TBI. OBJECTIVE: To examine the effects of physical therapy interventions on balance impairments in individuals with TBI. METHODS: We systematically searched in PubMed, EMBASE, Scopus, PEDro, MEDLINE, REHABDATA, and Web of Science for randomized controlled trials (RCTs), clinical control trials, and pilot studies that examined the effects of physical therapy interventions on balance deficits in individuals post-TBI. The methodological quality was estimated using the Physiotherapy Evidence Database (PEDro) scale. RESULTS: Eight studies published from 2003 to 2019 were included in this study. A total of 259 TBI participants post-TBI were included in this review, 71 (27.41%) of which were females. The methodological quality of the selected studies ranged from low to high. There were no significant differences between experimental interventions, virtual reality (VR), vestibular rehabilitation therapy (VRT), control group interventions, and other traditional physical therapy interventions. CONCLUSIONS:The evidence about the effects of the physical therapy interventions in improving the balance ability post-TBI was limited. Further randomized controlled trials are strongly warranted to understand the role of physical therapy in patients with TBI who complain about balance deficits.

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The effects of video game therapy on balance and attention in chronic ambulatory traumatic brain injury: an exploratory study

Cited by 36 publications

References 47 publications

Evaluating Sensory Acuity as a Marker of Balance Dysfunction After a Traumatic Brain Injury: A Psychophysical Approach

Evaluating Sensory Acuity as a Marker of Balance Dysfunction After a Traumatic Brain Injury: A Psychophysical Approach

Effects of Interactive Video Game-Based Exercise on Balance in Diabetic Patients with Peripheral Neuropathy: An Open-Level, Crossover Pilot Study

Effects of physical therapy interventions on balance ability in people with traumatic brain injury: A systematic review

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