Virtual rehabilitation via Nintendo Wii (R) and conventional physical therapy effectively treat post-stroke hemiparetic patients

Author(s)

da Silva Ribeiro, Nildo Manoel ^{[1, 2]} ; Ferraz, Daniel Dominguez ^[2] ; Pedreira, Erika ^[3] ; Pinheiro, Igor ^[4] ; da Silva Pinto, Ana Claudia ^[4] ; Neto, Mansueto Gomes ^[2] ; Aguiar dos Santos, Luan Rafael ^[2] ; Guimaraes Pozzato, Michele Gea ^[1] ; Pinho, Ricardo Silva ^[1] ; Masruha, Marcelo Rodrigues ^[1]

Affiliation

^[1] Univ Fed Sao Paulo, Dept Neurol & Neurosurg, BR-04023900 Sao Paulo - Brazil

^[2] Univ Fed Bahia, Inst Hlth Sci, BR-41170290 Salvador, BA - Brazil

^[3] Univ Catolica Salvador, Salvador, BA - Brazil

^[4] OSID, Salvador, BA - Brazil

• Document type: Journal article
• Source: Topics in Stroke Rehabilitation; v. 22, n. 4, p. 299-305, AUG 2015.
• Web of Science Citations: 18

Abstract

Background: The Nintendo (R) Wii is a simple and affordable virtual therapy alternative. It may be used at home, and it is a motivating recreational activity that provides continuous feedback. However, studies comparing the use of the Nintendo (R) Wii to conventional physical therapy are needed. Objective: To compare the effect of a rehabilitation treatment using the Nintendo (R) Wii (NW) with conventional physical therapy (CPT) to improve the sensorimotor function and quality of life for post-stroke hemiparetic patients. Methods: The present study applied a randomized, blind, and controlled clinical trial. In total, 30 patients with post-stroke hemiparesis were evaluated. A total of 15 patients were randomly assigned to each group. The SF-36 quality of life and Fugl-Meyer scales were used to evaluate the patients. Results: After treatment, the only variable that differed between the groups was the physical functioning domain of the SF-36 in the group that received conventional physical therapy. A significant difference was observed between both groups before and after treatment in terms of the following Fugl-Meyer scale items: passive movement and pain, motor function of the upper limbs (ULs), and balance. The CPT group also showed a significant difference with regard to their UL and lower limb (LL) coordination. The SF-36 scale analysis revealed a significant difference within both groups with regard to the following domains: physical functioning, role limitation due to physical aspects, vitality, and role limitation due to emotional aspects. The NW group also exhibited a significant difference in the mental health domain. The results indicate that both approaches improved the patients' performance in a similar manner. Conclusion: Virtual rehabilitation using the Nintendo (R) Wii (R) and CPT both effectively treat post-stroke hemiparetic patients by improving passive movement and pain scores, motor function of the upper limb, balance, physical functioning, vitality, and the physical and emotional aspects of role functioning. (AU)