Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury
Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury
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DOI：
10.1186/1743-0003-8-30
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发表时间：
2011-05-23
影响因子：
5.1
通讯作者：
Colomer, Carolina
中科院分区：
文献类型：
--
作者：
Gil-Gomez, Jose-Antonio;Llorens, Roberto;Colomer, Carolina
背景：获得性脑损伤（ABI）是年轻人死亡和残疾的主要原因。在大多数情况下，幸存者可能会经历平衡不稳定，导致与健康相关的生活质量下降相关的功能障碍。传统的康复治疗可能是乏味的。这可能会降低治疗的动力和依从性，从而为平衡障碍患者提供有限的益处。我们介绍了eBaViR（简易平衡虚拟康复），这是一个基于任天堂（R）Wii平衡板（R）（WBB）的系统，由临床治疗师设计，通过激励和适应性练习来改善ABI患者的站立平衡。我们假设，eBaViR，是可行的，安全的，并可能有效地提高站立balance.Methods：在这方面的贡献，我们提出了一个随机和对照的单盲研究，以评估基于WBB的虚拟康复系统对平衡康复与ABI偏瘫患者的影响。本研究描述了eBaViR系统，并评估了其有效性，考虑到20个一小时的虚拟现实康复（n = 9）与标准康复（n = 8）。结果：最终样本包括11名男性和6名女性。平均+/- SD年龄为47.3 +/- 17.8，平均+/- SD慢性期为570.9 +/- 313.2天。与接受传统治疗的患者相比，使用eBaViR的患者在静态平衡方面有显著改善（贝格平衡量表p = 0.011，前伸测试p = 0.011）。关于动态平衡，结果显示，随着时间的推移，所有这些措施都有显着改善，但没有发现任何显着的组效应或组与时间的相互作用，这表明两组以相同的方式改善。在治疗过程中没有严重的不良事件，在任何group.Conclusions：结果表明，eBaViR代表了一种安全有效的替代传统治疗，以改善静态平衡的ABI人口。这些结果鼓励我们通过新的练习来加强虚拟治疗，因此目前正在开发该系统的演变。
Background: Acquired brain injury (ABI) is the main cause of death and disability among young adults. In most cases, survivors can experience balance instability, resulting in functional impairments that are associated with diminished health-related quality of life. Traditional rehabilitation therapy may be tedious. This can reduce motivation and adherence to the treatment and thus provide a limited benefit to patients with balance disorders. We present eBaViR (easy Balance Virtual Rehabilitation), a system based on the Nintendo (R) Wii Balance Board (R) (WBB), which has been designed by clinical therapists to improve standing balance in patients with ABI through motivational and adaptative exercises. We hypothesize that eBaViR, is feasible, safe and potentially effective in enhancing standing balance.Methods: In this contribution, we present a randomized and controlled single blinded study to assess the influence of a WBB-based virtual rehabilitation system on balance rehabilitation with ABI hemiparetic patients. This study describes the eBaViR system and evaluates its effectiveness considering 20 one-hour-sessions of virtual reality rehabilitation (n = 9) versus standard rehabilitation (n = 8). Effectiveness was evaluated by means of traditional static and dynamic balance scales.Results: The final sample consisted of 11 men and 6 women. Mean +/- SD age was 47.3 +/- 17.8 and mean +/- SD chronicity was 570.9 +/- 313.2 days. Patients using eBaViR had a significant improvement in static balance (p = 0.011 in Berg Balance Scale and p = 0.011 in Anterior Reaches Test) compared to patients who underwent traditional therapy. Regarding dynamic balance, the results showed significant improvement over time in all these measures, but no significant group effect or group-by-time interaction was detected for any of them, which suggests that both groups improved in the same way. There were no serious adverse events during treatment in either group.Conclusions: The results suggest that eBaViR represents a safe and effective alternative to traditional treatment to improve static balance in the ABI population. These results have encouraged us to reinforce the virtual treatment with new exercises, so an evolution of the system is currently being developed.