Improvement of balance and gait in patients with stroke after training based on Nintendo Wii Fit™ games: randomized controlled trial

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

“…For hemiplegic patients, the balance training focused on improving symmetricity between the lower extremities through dynamic virtual reality programs. Previous studies have reported that improved dynamic balance is closely associated with the performance of functional activities, including walking [ 13 , 18 ]. By using biofeedback and relying on self-motivated training, symmetricity was improved, and eventually controlled mobility was as well, which increased walking speed in comparison to the patients who received conventional therapy under supervision by therapists [ 12 , 19 , 20 ].…”

“…As a self-modulating exercise in a variety of weight-bearing directions, the Wii Fit balance training was applied to control weight distribution in hemiplegic patients. Enhanced muscle activation during sufficient weight loading on the affected lower extremity eventually resulted in improved balance, performance of daily activities and body composition [ 12 , 18 , 20 , 41 ].…”

“…Indeed, some groups revealed that Wii Fit balance training is more effective than conventional treatment, resulting in enhanced functional capacity in activities such as walking [ 16 , 17 ]. Oliveira et al (2015) revealed that Wii Fit games were superior in terms of improving balance and gait compared to similar training with no games in chronic stroke patients [ 18 ]. Da Silva Ribeiro et al (2015) identified that virtual rehabilitation using the Nintendo Wii Fit increased physical functioning more when compared to conventional physical therapy in post-stroke hemiparetic patients [ 19 ].…”