Cerebrovascular Disorders, Stroke
Conditions
Keywords
Stroke, Hemiparesis, Physical Therapy, Virtual Reality Exposure Therapy, Video Games
Brief summary
The purpose of this study is to determine the effects of the use the Nintendo Wii® (NW) and conventional therapeutic exercises in the rehabilitation of balance and gait of the post-stroke patients and the impact on quality of life.
Detailed description
This Randomised clinical trial (RCT) has longitudinal and prospective feature, held at the Neurosciences Clinic located at the Clinic Professor Francisco Magalhães Neto the HUPES Complex / Federal University of Bahia from June 2015 until June 2017. In the initial evaluation were obtained by a trained examiner and blinded to the allocation of participants, all personal data of all patients, as well as evaluations of balance, gait, and quality of life through specific validated scales: 1. Berg Balance Scale (BBS); 2. Tinetti Gait Scale (TGS) 3. Quality of Life Scale Specific for stroke (QLSSS) ; The investigators employ a program of conventional therapeutic exercises and virtual rehabilitation with NW, for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).
Interventions
It is the use of the NW games for rehabilitation of balance and gaite in post-stroke patients.
It is the use of the conventional therapeutic exercises for rehabilitation of balance and gait in post-stroke patients.
OTHERVirtual Rehabilitation and Conventional Therapeutic Exercise
It is the use of the conventional exercises and of the NW for rehabilitation of balance and gait in post-stroke patients.
Sponsors
Federal University of Bahia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* age between 18 and 80 years, of both sexes; clinical diagnosis of stroke confirmed by neurological assessment report or neuroimaging; * a stroke at least 6 months prior to the study * the ability to walk independently with or without an assistive device; * absence of visual or auditory deficits as reported by the subject.
Exclusion criteria
* score \<24 on the Mini Mental State Examination; * other associated neurological conditions; * other orthopedic injuries that could impair mobility and make the execution of the proposed activity impossible; * participation in other physical rehabilitation programs.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BBS | 8 weeks | It is a scale that allows a functional assessment of the balance of the performance. It is based on 14 common items of everyday life, graduated from 0 to 4 points, reaching 56 points maximum score. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| TGS | 8 weeks | It is a 12-point instrument of observational analysis of gait ability. The count for each exercise ranges from 0 to 1 or from 0 to 2, with a lower score indicating a poorer physical ability. |
| QLSSS | 8 weeks | The QLSS was developed to measure the quality of life of patients with stroke sequela.It contains 49 items arranged into 12 fields, and the score for each item ranges from 1 to 5 points and the total score can range from 49 to 245, so that the lower the score, the greater the degree of dependence and difficult to perform tasks, which indicates a worse perception of quality of life. |
Countries
Brazil
Outcome results
None listed