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中风后使用Wii Fit进行视觉生物反馈平衡训练:一项随机对照试验。

Visual biofeedback balance training using wii fit after stroke: a randomized controlled trial.

作者信息

Barcala Luciana, Grecco Luanda André Collange, Colella Fernanda, Lucareli Paulo Roberto Garcia, Salgado Afonso Shiguemi Inoue, Oliveira Claudia Santos

机构信息

Universidade Nove de Julho.

出版信息

J Phys Ther Sci. 2013 Aug;25(8):1027-32. doi: 10.1589/jpts.25.1027. Epub 2013 Sep 20.

Abstract

[Purpose] The aim of the present study was to investigate the effect of balance training with visual biofeedback on balance, body symmetry, and function among individuals with hemiplegia following a stroke. [Subjects and Methods] The present study was performed using a randomized controlled clinical trial with a blinded evaluator. The subjects were twenty adults with hemiplegia following a stroke. The experimental group performed balance training with visual biofeedback using Wii Fit(®) together with conventional physical therapy. The control group underwent conventional physical therapy alone. The intervention lasted five weeks, with two sessions per week. Body symmetry (baropodometry), static balance (stabilometry), functional balance (Berg Balance Scale), functional mobility (Timed Up and Go test), and independence in activities of daily living (Functional Independence Measure) were assessed before and after the intervention. [Results] No statistically significant differences were found between the experimental and control groups. In the intragroup analysis, both groups demonstrated a significant improvement in all variables studied. [Conclusion] The physical therapy program combined with balance training involving visual biofeedback (Wii Fit(®)) led to an improvement in body symmetry, balance, and function among stroke victims. However, the improvement was similar to that achieved with conventional physical therapy alone.

摘要

[目的]本研究旨在探讨视觉生物反馈平衡训练对中风后偏瘫患者平衡能力、身体对称性和功能的影响。[对象与方法]本研究采用随机对照临床试验,评估者为盲法。研究对象为20名中风后偏瘫的成年人。实验组采用Wii Fit(®)进行视觉生物反馈平衡训练并结合传统物理治疗。对照组仅接受传统物理治疗。干预持续5周,每周两次。在干预前后评估身体对称性(压力板测力法)、静态平衡(稳定测力法)、功能平衡(伯格平衡量表)、功能移动性(计时起立行走测试)以及日常生活活动独立性(功能独立性测量)。[结果]实验组和对照组之间未发现统计学上的显著差异。在组内分析中,两组在所有研究变量上均表现出显著改善。[结论]结合视觉生物反馈(Wii Fit(®))的平衡训练的物理治疗方案可改善中风患者的身体对称性、平衡能力和功能。然而,这种改善与仅采用传统物理治疗所取得的改善相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04f1/3820213/5c539cb49799/jpts-25-1027-g001.jpg

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