Videojuegos comerciales en la rehabilitación de pacientes con ictus subagudo: estudio piloto

Abstract

Introduction. Stroke generates dependence on the patients due to the various impairments associated. The use of lowcost technologies for neurological rehabilitation may be beneficial for the treatment of these patients. Aim. To determine whether combined treatment using a semi-immersive virtual reality protocol to an interdisciplinary rehabilitation approach, improve balance and postural control, functional independence, quality of life, motivation, selfesteem and adherence to intervention in stroke patients in subacute stage. Patients and methods. A longitudinal prospective study with pre and post-intervention evaluation was carried out. Fourteen were recruited at La Fuenfría Hospital (Spain) and completed the intervention. Experimental intervention was performed during eight weeks in combination with conventional treatment of physiotherapy and occupational therapy. Each session was increased in time and intensity, using commercial video games linked to Xbox 360° videoconsole and Kinect sensor. Results. There were statistical significant improvements in modified Rankin scale (p = 0.04), baropodometry (load distribution, p = 0.03; support surface, p = 0.01), Barthel Index (p = 0.01), EQ-5D Questionnaire (p = 0.01), motivation (p = 0.02), selfesteem (p = 0.01) and adherence to the intervention (p = 0.02). Conclusions. An interdisciplinary rehabilitation approach supplemented with semi-immersive virtual reality seems to be useful for improving balance and postural control, functional independence in basic activities of daily living, quality of life, as well as motivation and self-esteem, with excellent adherence. This intervention modality could be adopted as a therapeutic tool in neurological rehabilitation of stroke patients in subacute stage.

Effect of the Wii Sports Resort on Mobility and Health-Related Quality of Life in Moderate Stroke

“…The improvement in mobility after a stroke by applying the traditional procedures included in the rehabilitation protocols has already been proven [ 16 , 17 , 19 , 21 ] and has also been confirmed in our findings. However, it has also been seen that the improvement effect observed in all participants was greater in the group that had used the Nintendo Wii, which leads to the conclusion that this practice can have a synergic effect with the standard rehabilitation plan.…”

“…These results were analogous to those reported in the literature [ 37 , 38 ], and the same results were found with Virtual Reality [ 39 ]. In addition, using other video games and measuring those variables with an equivalent test (EQ-5D—European Quality of Life 5 Dimensions), the results were also similar [ 19 ].…”

“…While the physical and cognitive aspects of this pathology have been studied, and research is relatively readily available [ 19 – 21 ], little literature exists regarding the quality of life after a stroke [ 22 ] using exergames. Therefore, the main objective of this study is to analyze the changes that occur in terms of mobility and health-related quality of life after engaging in physical activity using the console Nintendo Wii with the game Sports Resort in people who have suffered a moderate stroke.…”

Gaming como Método de Intervención en el Trastorno por Déficit de Atención e Hiperactividad

“…& Schmalz, 2017), Wii Fit Plus(Fernandes et al, 2017) o Kinect Sports I & II(Cano-Mañas et al, 2017), para diferentes tipos de patologías y trastornos.Respecto a las limitaciones, este estudio presenta un número de participantes reducido, con tan solo 3 participantes. En otros estudios, el número de participantes es mucho mayor, como es el caso del estudio de Cano-Mañas (2017) que tuvo un total de 21 participantes, el estudio de Mendelevich (2016) que tuvo un total de 14 participantes y el estudio de Zolyomi (2016) que tuvo un total de 6 participantes.…”

“…En el estudio de Cano-Mañas (2017) se realizaron sesiones a lo largo de un total de 8 semanas. Y en el estudio de Fernandes (2017) se realizaron un total de 10 sesiones, dos veces por semana durante 1 mes.Este estudio comparte la idea de que los videojuegos pueden ser utilizados como método de intervención(Cano-Mañas et al, 2017;Fernandes et al, 2017;Zolyomi & Schmalz, 2017) y como herramienta fundamental para el desarrollo de habilidades(de Prado, 2018;Restrepo Escobar, Taborda, Magdaly, & Arboleda Sierra, 2019).…”