da Silva Ribeiro Nildo Manoel, Ferraz Daniel Dominguez, Pedreira Érika, Pinheiro Ígor, da Silva Pinto Ana Cláudia, Neto Mansueto Gomes, Dos Santos Luan Rafael Aguiar, Pozzato Michele Gea Guimarães, Pinho Ricardo Silva, Masruha Marcelo Rodrigues
Top Stroke Rehabil. 2015 Aug;22(4):299-305. doi: 10.1179/1074935714Z.0000000017. Epub 2015 Feb 25.
The Nintendo® 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® Wii to conventional physical therapy are needed.
To compare the effect of a rehabilitation treatment using the Nintendo® Wii (NW) with conventional physical therapy (CPT) to improve the sensorimotor function and quality of life for post-stroke hemiparetic patients.
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.
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.
Virtual rehabilitation using the Nintendo Wii® 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.
任天堂Wii是一种简单且经济实惠的虚拟治疗方式。它可以在家中使用，是一种具有激励性的娱乐活动，能提供持续反馈。然而，需要开展将任天堂Wii的使用与传统物理治疗进行比较的研究。
比较使用任天堂Wii（NW）的康复治疗与传统物理治疗（CPT）对改善中风后偏瘫患者感觉运动功能和生活质量的效果。
本研究采用随机、盲法和对照临床试验。总共评估了30例中风后偏瘫患者。每组随机分配15例患者。使用SF-36生活质量量表和Fugl-Meyer量表对患者进行评估。
治疗后，两组之间唯一有差异的变量是接受传统物理治疗组的SF-36身体功能领域。在治疗前后，两组在以下Fugl-Meyer量表项目方面存在显著差异：被动运动和疼痛、上肢运动功能以及平衡。CPT组在上肢与下肢协调性方面也显示出显著差异。SF-36量表分析显示，两组在以下领域均存在显著差异：身体功能、身体方面导致的角色限制、活力以及情绪方面导致的角色限制。NW组在心理健康领域也表现出显著差异。结果表明，两种方法以相似的方式改善了患者的表现。
使用任天堂Wii进行的虚拟康复和CPT均通过改善被动运动和疼痛评分、上肢运动功能、平衡、身体功能、活力以及角色功能的身体和情感方面，有效治疗中风后偏瘫患者。
