Three-Dimensional Balance Training Using Visual Feedback on Balance and Walking Ability in Subacute Stroke Patients: A Single-Blinded Randomized Controlled Pilot Trial

2019 ◽  
Vol 28 (4) ◽  
pp. 994-1000 ◽  
Author(s):  
Hyeon-Jeong Noh ◽  
Soon-Hyun Lee ◽  
Dae-Hyouk Bang
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Giovanni Morone ◽  
Marco Tramontano ◽  
Marco Iosa ◽  
Jacob Shofany ◽  
Antonella Iemma ◽  
...  

The video game-based therapy emerged as a potential valid tool in improving balance in several neurological conditions with controversial results, whereas little information is available regarding the use of this therapy in subacute stroke patients. The aim of this study was to investigate the efficacy of balance training using video game-based intervention on functional balance and disability in individuals with hemiparesis due to stroke in subacute phase. Fifty adult stroke patients participated to the study: 25 subjects were randomly assigned to balance training with Wii Fit, and the other 25 subjects were assigned to usual balance therapy. Both groups were also treated with conventional physical therapy (40 min 2 times/day). The main outcome was functional balance (Berg Balance Scale-BBS), and secondary outcomes were disability (Barthel Index-BI), walking ability (Functional Ambulation Category), and walking speed (10-meters walking test). Wii Fit training was more effective than usual balance therapy in improving balance (BBS: 53 versus 48,P=0.004) and independency in activity of daily living (BI: 98 versus 93,P=0.021). A balance training performed with a Wii Fit as an add on to the conventional therapy was found to be more effective than conventional therapy alone in improving balance and reducing disability in patients with subacute stroke.


2014 ◽  
Vol 10 (2) ◽  
pp. 141-148 ◽  
Author(s):  
Michiel P. M. van Nunen ◽  
Karin H. L. Gerrits ◽  
Manin Konijnenbelt ◽  
Thomas W. J. Janssen ◽  
Arnold de Haan

PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S99-S99 ◽  
Author(s):  
Zeev Meiner ◽  
Iris Fisher ◽  
Michal Katz-Leurer ◽  
Martin Neeb ◽  
Anna Sajin ◽  
...  

2015 ◽  
Vol 28 (2) ◽  
pp. 241-249
Author(s):  
Fabiane Maria Klitzke dos Santos ◽  
Franciely Voltolini Mendes ◽  
Simone Suzuki Woellner ◽  
Noé Gomes Borges Júnior ◽  
Antonio Vinicius Soares

Introduction Hemiparetic Stroke patients have their daily activities affected by the balance impairment. Techniques that used visual information for training this impairment it seems to be effective. Objective To analyze the effects of the unstable balance board training and compare two ways of visual feedback: the biomechanical instrumentation and the mirror. Materials and methods Eight chronic hemiparetic Stroke patients participated in the research, randomized in two groups. The first group (G1) accomplished the training with biomechanical instrumentation, and the second group (G2) trained in front of the mirror. Sixteen training sessions were done with feet together, and feet apart. The evaluation instruments that were used before and after the period of training were the Time Up and Go Test (TUGT), Berg Balance Scale (BBS) and the Instrumented Balance Board (IBB), that quantified the functional mobility, the balance and the posture control respectively. Results The TUGT showed significant results (p < 0.05) favorable to G1. Despite the results of BBS were significant for G2, the intergroup comparison did not reveal statistical significance. Both groups obtained decrease in levels of IBB oscillation, what can indicate a higher stability, however the results did not indicate statistical significance (p > 0.05). A strong correlation between all the applied tests was observed in this research. Conclusion Although the advantages found were different between the groups, in both it could be observed that the training brought benefits, with the transference to the functional mobility.


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