Randomized Comparison Trial of Balance Training by Using Exergaming and Conventional Weight-Shift Therapy in Patients With Chronic Stroke

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• 作者：Jen-Wen Hung ; MD ; ^{hung0702@adm.cgmh.org.tw" class="auth_mail" title="E-mail the corresponding author} ; Chiung-Xia Chou ; OT ; Yen-Wei Hsieh ; OT ; Wen-Chi Wu ; OT ; Min-Yuan Yu ; OT ; Po-Chih Chen ; OT ; Hsueh-Fen Chang ; OTA ; Shan-Er Ding ; OTA
• 关键词：Feedback ; sensory ; Postural balance ; Rehabilitation ; Stroke ; Video games
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：95
• 期：9
• 页码：1629-1637
• 全文大小：861 K

文摘

To compare the effects of exergaming with conventional weight-shift training on balance function in patients with chronic stroke.

Design

Single-blind randomized controlled trial.

Setting

Medical center.

Participants

Patients (N=30) with chronic stroke and balance deficits.

Interventions

Twelve weeks of Wii Fit training or conventional weight-shift training.

Main Outcome Measures

Static balance was assessed using posturography. We recorded the stability index and percentage of weight bearing on the affected leg in 8 positions. We also used the timed Up and Go and forward reach tests for dynamic balance evaluation, Falls Efficacy Scale-International for fear of falling assessment, and Physical Activity Enjoyment Scale for estimating the enjoyment of training.

Results

The exergaming group showed more improvement in stability index than the control group in head straight with eyes open while standing on a foam surface, eyes closed while standing on a solid surface with head turned 30° to the left, and eyes closed while standing on a solid surface with head turned up positions (time-group interaction P=.02, .04, and .03, respectively); however, the effects were not maintained. At 3-month follow-up, the control group showed more improvement in weight-bearing symmetry in the head straight with eyes open while standing on a solid surface position than the exergaming group (time-group interaction P=.03). Both groups showed improvement in the timed Up and Go test, forward reach test, and fear of falling. The improvement in fear of falling was not maintained. The exergaming group enjoyed training more than the control group (P=.03).

Conclusions

Exergaming is enjoyable and effective for patients with chronic stroke.