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Visual Biofeedback Balance Training Using Wii Fit after Stroke: A Randomized Controlled Trial
Authors:Luciana Barcala  Luanda André Collange Grecco  Fernanda Colella  Paulo Roberto Garcia Lucareli  Afonso Shiguemi Inoue Salgado  Claudia Santos Oliveira
Affiliation:1) Universidade Nove de Julho;2) Universidade Estadual de São Paulo
Abstract:[Purpose] The aim of the present study was to investigate the effect of balance trainingwith visual biofeedback on balance, body symmetry, and function among individuals withhemiplegia following a stroke. [Subjects and Methods] The present study was performedusing a randomized controlled clinical trial with a blinded evaluator. The subjects weretwenty adults with hemiplegia following a stroke. The experimental group performed balancetraining with visual biofeedback using Wii Fit® together with conventionalphysical therapy. The control group underwent conventional physical therapy alone. Theintervention lasted five weeks, with two sessions per week. Body symmetry (baropodometry),static balance (stabilometry), functional balance (Berg Balance Scale), functionalmobility (Timed Up and Go test), and independence in activities of daily living(Functional Independence Measure) were assessed before and after the intervention.[Results] No statistically significant differences were found between the experimental andcontrol groups. In the intragroup analysis, both groups demonstrated a significantimprovement in all variables studied. [Conclusion] The physical therapy program combinedwith balance training involving visual biofeedback (Wii Fit®) led to animprovement in body symmetry, balance, and function among stroke victims. However, theimprovement was similar to that achieved with conventional physical therapy alone.Key words: Postural balance, Stroke, Visual biofeedback
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