Neuroscience Research Australia and University of New South Wales, Sydney, Australia.
J Rehabil Med. 2011 May;43(6):527-33. doi: 10.2340/16501977-0816.
Virtual-reality is increasingly used to improve rehabilitation outcomes. The Nintendo Wii offers an in-expensive alternative to more complex systems.
To investigate the efficacy of Wii-based therapy for post-stroke rehabilitation.
Seven patients (5 men, 2 women, aged 42-83 years; 1-38 months post-stroke, mean 15.3 months) and 5 healthy controls (3 men, 2 women, aged 41-71 years) undertook 1 h of therapy on 10 consecutive weekdays. Patients progressively increased home practice to 3 h per day.
Functional ability improved for every patient. The mean performance time significantly decreased per Wolf Motor Function Test task, from 3.2 to 2.8 s, and Fugl-Meyer Assessment scores increased from 42.3 to 47.3. Upper extremity range-of-motion increased by 20.1º and 14.33º for passive and active movements, respectively. Mean Motor Activity Log (Quality of Movement scale) scores increased from 63.2 to 87.5, reflecting a transfer of functional recovery to everyday activities. Balance and dexterity did not improve significantly. No significant change was seen in any of these measures for healthy controls, despite improved skill levels for Wii games.
An intensive 2-week protocol resulted in significant and clinically relevant improvements in functional motor ability post-stroke. These gains translated to improvement in activities of daily living.
虚拟现实技术正越来越多地被用于改善康复效果。任天堂 Wii 为更复杂的系统提供了一种经济实惠的替代方案。
研究基于 Wii 的疗法在中风后康复中的疗效。
7 名患者（5 男 2 女，年龄 42-83 岁；中风后 1-38 个月，平均 15.3 个月）和 5 名健康对照者（3 男 2 女，年龄 41-71 岁）在 10 个连续工作日内接受了 1 小时的治疗。患者逐渐将家庭练习增加到每天 3 小时。
每位患者的功能能力都有所提高。Wolf 运动功能测试任务的平均表现时间显著缩短，从 3.2 秒降至 2.8 秒，Fugl-Meyer 评估评分从 42.3 分增加到 47.3 分。上肢活动范围分别增加了 20.1°和 14.33°，被动和主动运动。平均运动活动日志（运动质量量表）评分从 63.2 分增加到 87.5 分，反映出功能恢复向日常生活活动的转移。平衡和灵巧度没有显著改善。尽管 Wii 游戏的技能水平有所提高，但健康对照组的这些指标均无明显变化。
为期 2 周的强化方案导致中风后患者的功能性运动能力显著且具有临床意义的改善。这些收益转化为日常生活活动能力的提高。
