Stroke
Conditions
Keywords
exergaming, physiotherapy, balance
Brief summary
The study will include 20 patients after stroke, randomly assigned to the experimental and control group (10 each). In both groups, the program with last for five days; walking and balance will be assessed before and after the program. Both groups will receive regular neurophysiotherapy; in addition, the experimental group will exercise each day by playing REWIRE games, while the control group will perform standing balance exercises.
Detailed description
Detailed inclusion and exclusion criteria are specified in the appropriate section. Both groups will perform the additional exercises for 15 minutes daily. In addition to the outcome measurement, informal feedback will be obtained from the patients and the therapists on the feasibility of the REWIRE system.
Interventions
DEVICEREWIRE
First, the patient will play the Fruit Catcher (weight transfer) game on the 3rd level for 3 minutes, followed by 3 minutes of rest. Next, the patient will play the Horse Runner (squats) on the 3rd level for 3 minutes, followed by 3 minutes of rest. In the end, the patient will play the Animal Hurdler (standing on one leg) on the 3rd level for 3 minutes. During the games, the patient will be standing on the Wii Balance Board, holding to a firm support if necessary. During the rest periods, the patients will be sitting. A physiotherapist will be present throughout the exercise for safety and help if requested.
OTHERBalance exercises
The patient will first practice balance transfer for 3 minutes (standing by a ladder, holding position on each leg for 3 seconds), followed by 3 minutes of rest. Next, the patient will be performing squats for 3 minutes, followed by 3 minutes of rest. In the end, the patient will practice alternatively lifting lower limbs (like stepping on a footstool) for 3 minutes. During the rest periods, the patients will be sitting. A physiotherapist will be present throughout the exercise for safety and help if requested.
Sponsors
Jozef Stefan Institute
University Rehabilitation Institute, Republic of Slovenia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* first stroke * first admission to inpatient rehabilitation
Exclusion criteria
* less than 25 points scored on the Mini-Mental State Examination * inability to walk independently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in walking speed | Assessment one day before and one day after the program | Assessed using 10 Meter Walking Test |
| Change in dynamic balance | Assessment one day before and one day after the program | Assessed using Four Step Square Test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in mobility | Assessment one day before and one day after the program | Assessed using Timed Up and Go test |
| Change in static standing balance | Assessment one day before and one day after the program | Assessed using Romberg test |
Countries
Slovenia
Outcome results
None listed