Straudi Sofia, Severini Giacomo, Sabbagh Charabati Amira, Pavarelli Claudia, Gamberini Giulia, Scotti Anna, Basaglia Nino
Neuroscience and Rehabilitation Department, Ferrara University Hospital, Ferrara, Italy.
School of Electrical and Electronic Engineering, University College Dublin, Dublin, Ireland.
BMC Neurol. 2017 May 10;17(1):86. doi: 10.1186/s12883-017-0871-9.
Patients with traumatic brain injury often have balance and attentive disorders. Video game therapy (VGT) has been proposed as a new intervention to improve mobility and attention through a reward-learning approach. In this pilot randomized, controlled trial, we tested the effects of VGT, compared with a balance platform therapy (BPT), on balance, mobility and selective attention in chronic traumatic brain injury patients.
We enrolled chronic traumatic brain injury patients (n = 21) that randomly received VGT or BPT for 3 sessions per week for 6 weeks. The clinical outcome measures included: i) the Community Balance & Mobility Scale (CB&M); ii) the Unified Balance Scale (UBS); iii) the Timed Up and Go test (TUG); iv) static balance and v) selective visual attention evaluation (Go/Nogo task).
Both groups improved in CB&M scores, but only the VGT group increased on the UBS and TUG with a between-group significance (p < 0.05). Selective attention improved significantly in the VGT group (p < 0.01).
Video game therapy is an option for the management of chronic traumatic brain injury patients to ameliorate balance and attention deficits.
NCT01883830 , April 5 2013.
创伤性脑损伤患者常伴有平衡和注意力障碍。视频游戏疗法（VGT）已被提议作为一种新的干预措施，通过奖励学习方法来改善运动能力和注意力。在这项初步随机对照试验中，我们测试了VGT与平衡平台疗法（BPT）相比，对慢性创伤性脑损伤患者平衡、运动能力和选择性注意力的影响。
我们招募了慢性创伤性脑损伤患者（n = 21），他们被随机分配接受VGT或BPT，每周3次，共6周。临床结局指标包括：i）社区平衡与运动能力量表（CB&M）；ii）统一平衡量表（UBS）；iii）定时起立行走测试（TUG）；iv）静态平衡；v）选择性视觉注意力评估（Go/Nogo任务）。
两组的CB&M评分均有所改善，但只有VGT组的UBS和TUG得分增加，组间差异具有统计学意义（p < 0.05）。VGT组的选择性注意力有显著改善（p < 0.01）。
视频游戏疗法是管理慢性创伤性脑损伤患者以改善平衡和注意力缺陷的一种选择。
NCT01883830，2013年4月5日。
