Stroke
Conditions
Keywords
stroke, balance, exer-gaming, home-based exercises, Wii, postural balance, Nintendo, balance board, Wii-Fit, home, feasibility
Brief summary
BACKGROUND: Virtual gaming systems offer new possibilities for home-based exercises (HBE) in rehabilitation. Pilot studies with stroke patients indicate that the application of Nintendo Wii® (WII) is practicable and can improve balance under clinical conditions. However, larger trials are necessary to verify these positive effects after discharge from the hospital. AIM: This study aims to prepare and optimize a phase III trial which compares the effects of two HBE programs for stroke patients. METHODS: A pilot study with randomized control design and repeated measures over three-months will be conducted. Twenty elderly stroke patients will be randomly allocated to an experimental group (EG) and a control group (CG). All participants will receive an introduction to a HBE program by an individual mentoring over 6 weeks. During the following 6 weeks the participants perform the HBE on their own. The EG will perform a balance exercise program using the WII, the CG will perform a balance exercise program without technical support. Recruiting potential, the participants' acceptance of the intervention and economic aspects will be examined. Additionally, basic information about sensitivity of change and potential effect sizes regarding the proposed instruments to measure mobility are expected.
Interventions
OTHERHBE Wii (EG)
Wii-Fit Balance games (Soccer Heading, Ski Slalom, Table Tilt, Balance Bubble etc.)
OTHERHBE Control (CG)
Simple balance exercises with own body weight (Single limb stance, stepping, side sways etc.)
Sponsors
Martin-Luther-Universität Halle-Wittenberg
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* cerebral infarction * place of residence: Halle (Saale) and immediate surroundings * television in household * independent ambulatory (functional ambulation classification \> 3) * self-selected walking speed \> 0,4 m/s
Exclusion criteria
* Strong visual impairment despite visual aid * Deafness / verbal communication is not possible * distinct mobility limitations due to comorbidity * Body weight \>120kg * Epilepsy * Cardiac pacemaker * Acute psychiatric, disease/dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility | 12-weeks | Recruiting potential, the participants' acceptance/satisfaction of the intervention and economic aspects |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mobility | Baseline - after 6 weeks - after 12 weeks | Berg Balance Scale, Dynamic Gait Index, Timed Up and Go (TUG) Test, Activities-Specific Balance Confidence Scale |
Countries
Germany
Outcome results
None listed