Article

OBJECTIVE: 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
degrees 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.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.
- Wii Fit
- Up and Go

Langue : ANGLAIS