Effects of Balance Training Using a Virtual Reality Program in Hemiplegic Patients

Kwon, Jung-Ah; Shin, Yeseul; Kim, Deok-Ju; Cho, Sung Rae

doi:10.3390/ijerph19052805

Cited by 5 publications

(5 citation statements)

References 42 publications

(53 reference statements)

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“…In the literature, TUG and BERG tests [14,[24][25][26] for balance assessment in hemiplegia patients, MAS scoring [27] for spasticity assessment, MMSE [28] for mental status, and RMI [29] for functional status are frequently used. To determine the efficacy of the treatments, the parameters were evaluated with pre-test and posttests.…”

Section: Discussionmentioning

confidence: 99%

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Proprioceptive Exercises in Hemiplegia Improve Balance and Spatiotemporal Parameters

Deniz

Bilek

2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Objective It was planned to investigate the effects of proprioceptive exercises applied to patients with hemiplegia on muscle tone, balance, perception, posture, mobility, and spatiotemporal parameters. Materials and Methods 70 participants with hemiplegia were randomized to an experimental group (conventional stroke rehabilitation program+proprioceptive exercise, 30 sessions) and a control group (conventional stroke rehabilitation program, 30 sessions). Timed Up and Go (TUG) Test, Modified Ashworth Scale (MAS), Posture Assessment Scale for Stroke Patients (PASS), Mini-Mental State Examination (MMSE), Rivermead Mobility Index (RMI), Spatiotemporal parameters (cadence, maximum plantar pressure, total weight transfer, step cycle duration, swing phase, step length and foot angle), and Berg Balance Scale (BERG) were applied on all participants before and after treatment. Results When the intra-group values were compared before and after the treatment, TUG, PASS, MMSE, RMI and BERG values increased significantly. MAS upper extremity and MAS lower extremity values decreased significantly. (p<0.01). In the comparison between the groups, one of the spatiotemporal parameters, cadence, total weight transfer, and maximum plantar pressure values, increased significantly after the treatment. Step cycle duration, swing phase, step length and foot angle values decreased significantly after the treatment. (p<0.01) Conclusion Unlike the literature, proprioceptive exercises that we add to the conventional rehabilitation program can be used to improve muscle tone, balance, perception, postural control, mobility, and spatiotemporal parameters.

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Section: Discussionmentioning

confidence: 99%

“…Evaluation is made out of a total of 56 points. 0-20 points indicate severely, 23-40 points moderate, 41-56 points mild balance disorder [14].…”

Section: Bergmentioning

confidence: 99%

Proprioceptive Exercises in Hemiplegia Improve Balance and Spatiotemporal Parameters

Deniz

Bilek

2023

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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“…Five patients did not improve on the 10-Meter Walk Test (10 MWT). Another study examined the effects of a VR system for balance training on hemiplegic patients with neurological impairments [29]. The intervention consisted of two sessions per week for eight weeks, with a total of 15 training sessions.…”

Section: Retrospective Studiesmentioning

confidence: 99%

“…The intervention consisted of two sessions per week for eight weeks, with a total of 15 training sessions. This study included 6 TBI, 29 stroke, and 6 tumor patients but did not divide the results by patient population [29]. The study used the Nintendo Wii Fit system (Nintendo, Kyoto, Japan) (non-immersive).…”

Section: Retrospective Studiesmentioning

confidence: 99%

Virtual Reality-Based Interventions to Improve Balance in Patients with Traumatic Brain Injury: A Scoping Review

Hernan,

Ingale,

Somayaji

et al. 2024

Brain Sciences

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Introduction: Virtual reality (VR)-based interventions to improve balance and mobility are gaining increasing traction across patient populations. VR-based interventions are believed to be more enjoyable and engaging for patients with traumatic brain injury. This scoping review aims to summarize existing studies from the literature that used VR to improve balance and mobility and determine the gap in VR-based balance literature specific to individuals with traumatic brain injury. Methods: Two authors independently searched the literature using the search terms “Virtual Reality Traumatic Brain Injury Lower Limb”, “Virtual Reality Traumatic Brain Injury Balance”, and “Virtual Reality Traumatic Brain Injury Gait”. Results: A total of seventeen studies, specifically, three randomized controlled trials, one one-arm experimental study, two retrospective studies, two case studies, one feasibility/usability study, one cohort study, and seven diagnostic (validation) studies, met the inclusion criteria for this review. The methodological quality of the studies evaluated using the PEDro scale was fair. Discussion: Future studies should focus on large-scale clinical trials using validated technology to determine its effectiveness and dose–response characteristics. Additionally, standard assessment tools need to be selected and utilized across interventional studies aimed at improving balance and mobility to help compare results between studies.

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“…The methodology incorporates the use of the Wii Balance Board, a cutting-edge fitness device that can be conveniently utilized by patients in their own homes. [ 15 16 ]…”

Section: Introductionmentioning

confidence: 99%

Impact of Wii Fit Training (WFT) and Reactive Balance Training (RBT) for in Elder Age Population: A Comparative Analysis

AlQahtani

2024

Journal of Pharmacy and Bioallied Sciences

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Objective: This study aims to assess the comparative efficacy of two distinct balancing training intervention strategies, namely, Wii Fit Balance Training (WFT) and Reactive Balance Training (RBT), in reducing older individuals’ fear of falling, as well as enhancing their balance and functional mobility. Materials and Methods: One of the two groups was randomly assigned a total of 45 individuals. The first group received Wii Fit training, whereas the second group engaged in reactive balancing challenges. The efficiency of the techniques was evaluated using three outcome measures: the Fullerton Advanced Balance (FAB), Scale Time up and Go Test (TUG), and Berg Balance Scale (BBS). To facilitate the comparison between the groups, an independent student t-test was employed. Results: Both experimental groups showed significant improvements compared to their respective control groups in the research study (BBS: P = 0.023; P = 0.036; FAB: P = 0.027; P = 0.044; and TUG: P = 0.017; P = 0.025). Conclusion: It can be inferred that both reactive balance training and Wii Fit training have the potential to serve as efficacious treatment interventions aimed at mitigating balance deterioration among older individuals.

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Effects of Balance Training Using a Virtual Reality Program in Hemiplegic Patients

Cited by 5 publications

References 42 publications

Proprioceptive Exercises in Hemiplegia Improve Balance and Spatiotemporal Parameters

Proprioceptive Exercises in Hemiplegia Improve Balance and Spatiotemporal Parameters

Virtual Reality-Based Interventions to Improve Balance in Patients with Traumatic Brain Injury: A Scoping Review

Impact of Wii Fit Training (WFT) and Reactive Balance Training (RBT) for in Elder Age Population: A Comparative Analysis

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