Wii Fit-Based Biofeedback Rehabilitation Among Post-Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trial.

IF 1.9 4区医学 Q2 NURSING Biological research for nursing Pub Date : 2024-01-01 Epub Date: 2023-05-29 DOI:10.1177/10998004231180316

Seyedeh Maryam Ghazavi Dozin, Nasser Mohammad Rahimi, Reza Aminzadeh

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Abstract

Background: Stroke is one of the most widespread reasons for acquired adult disability. Recent experimental studies have reported the beneficial influence of Wii Fit-based feedback on improving overall balance and gait for stroke survivors.

Methods: We conducted a systematic review of the literature using the following keywords to retrieve the data: feedback, biofeedback, stroke, visual, auditory, tactile, virtual reality, videogame rehabilitation, Nintendo Wii stroke, videogame stroke, exergame stroke, Nintendo Wii rehabilitation, balance, and gait. A review and meta-analysis of RCTs regarding Wii Fit-based rehabilitation accompanied by conventional therapy effects on Berg Balance Scale (BBS), Timed Up and Go (TUG), functional reach test, and gait (speed) in stroke survivors was conducted.

Objective: To determine the impacts of Wii Fit-based feedback combined with traditional therapy on balance and gait in stroke survivors.

Results: 22 studies were included. The meta-analysis results revealed statistically significant improvements in functional ambulation measured using TUG (p < 0.0001), balance measured using BBS (p = 0.0001), and functional reach test (p = 0.01), but not in gait speed (p = 0.32) following Wii Fit-based feedback. Regarding the types of feedback, significant differences were found in BBS scores when mixed visual and auditory feedback was used.

Conclusion: Wii Fit-based feedback has desired effects on improving balance in stroke patients, making it a suitable adjunct to physical therapy.

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脑卒中后患者基于Wii fit的生物反馈康复:一项随机对照试验的系统回顾和meta分析。

背景:脑卒中是成人获得性残疾最普遍的原因之一。最近的实验研究报道了基于Wii fit的反馈对中风幸存者改善整体平衡和步态的有益影响。方法:我们使用以下关键词对文献进行系统回顾，检索数据:反馈、生物反馈、中风、视觉、听觉、触觉、虚拟现实、电子游戏康复、任天堂Wii中风、电子游戏中风、运动游戏中风、任天堂Wii康复、平衡和步态。对基于Wii fit的康复伴常规治疗对脑卒中幸存者Berg平衡量表(BBS)、Timed Up and Go (TUG)、功能到达测试和步态(速度)的影响的随机对照试验进行回顾和荟萃分析。目的:探讨基于Wii fit的反馈结合传统疗法对脑卒中幸存者平衡和步态的影响。结果:纳入22项研究。meta分析结果显示，使用TUG测量的功能行走(p < 0.0001)，使用BBS测量的平衡(p = 0.0001)和功能到达测试(p = 0.01)有统计学意义的改善，但在基于Wii fit的反馈后，步态速度没有统计学意义(p = 0.32)。在反馈类型方面，视觉和听觉混合反馈在BBS评分上存在显著差异。结论:基于Wii fit的反馈对改善脑卒中患者的平衡有理想的效果，使其成为物理治疗的合适辅助手段。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Biological research for nursing 医学-护理

CiteScore

5.10

自引率

4.00%

发文量

审稿时长

>12 weeks

期刊介绍： Biological Research For Nursing (BRN) is a peer-reviewed quarterly journal that helps nurse researchers, educators, and practitioners integrate information from many basic disciplines; biology, physiology, chemistry, health policy, business, engineering, education, communication and the social sciences into nursing research, theory and clinical practice. This journal is a member of the Committee on Publication Ethics (COPE)