Comparison of scores obtained in videogame with biomechanical variables in stroke
DOI:
https://doi.org/10.5935/0104-7795.20160027Keywords:
Stroke/rehabilitation, Video Games, Postural BalanceAbstract
Virtual reality (VR) promotes intensive training of a single task, enabling the motor learning, thereby affecting the recovery of postural control (PC) in individuals with stroke. Video game with balance platform are used as a form of intervention and, at the end of the game, a score is provided, but there is no evidence that it can be used as a quantitative parameter of PC. Objective: To determine whether there is a correlation between the score obtained by a video game and stabilometric variables. Methods: Nine individuals with stroke participated in an experimental protocol using the game Penguin Slide as intervention. The score was collected in the first and last sessions. The 2.0 AMTI force platform was used, with an acquisition frequency of 200Hz for evaluating before and after intervention. The volunteers were positioned with open eyes (OE) and closed eyes (CE) in the upright position for 1 minute, with one foot on each platform. Using the Matlab software, the variables of center of pressure (COP) were obtained: total COP area (ACOPt), COP area on the mediolateral (ACOPx) and anteroposterior (ACOPy) axis, average speed of COP (VCOP). The non-parametric paired Wilcoxon test (p < 0.05) was used to compare the initial and final results of Penguin Slide game score and the pre and post intervention data obtained by the force platform in the OE and CE conditions. The analysis were done with the software R. Results: Comparison of initial and final score (p = 0.003). In OE condition, the initial and final comparison: ACOPt (p = 0.91), ACOPx (p = 0.57), ACOPy (p = 0.49), VCOP (p = 0.09). In CE condition, the initial and final comparison: ACOPt (p = 0.73) ACOPx (p = 1.0), ACOPy (p = 0.73) VCOP (p = 0.73). Conclusion: The VR did not provide PC improvement of the patients despite the score of the Penguin Slide game have increased significantly at the end of the protocol. Thus, there was no correlation between the score obtained by video game and the stabilometric variables
Downloads
References
Velasques BB, Ribeiro P. Reabilitação motora no acidente vascular encefálico: uma abordagem das neurociências. 2 ed. São Paulo: Rubio; 2013.
Pollock AS, Durward BR, Rowe PJ, Paul JP. What is balance? Clin Rehabil. 2000;14(4):402-6.
An S, Lee Y, Lee G. Validity of the performance-oriented mobility assessment in predicting fall of stroke survivors: a retrospective cohort study. Tohoku J Exp Med. 2014;233(2):79-87. DOI: http://dx.doi.org/10.1620/tjem.233.79
Almeida S. Análise epidemiológica do acidente vascular cerebral no Brasil. Rev Neurocienc. 2012;20(4):481-2.
Shumway-Cook A, Woollacott MH. Controle motor: teoria e aplicações práticas. Barueri: Manole; 2003.
Oliveira CB, Medeiros IR, Frota NA, Greters ME, Conforto AB. Balance control in hemiparetic stroke patients: main tools for evaluation. J Rehabil Res Dev. 2008;45(8):1215-26. DOI: http://dx.doi.org/10.1682/JRRD.2007.09.0150
Barbosa AF, Costa TDA, Oliveira MFP, Castro PCG, Moreira MCS, Goroso DG, et al. Quantificação do equilíbrio pelo vídeo game: estudo piloto. Acta Fisiatr.2014;21(1):21-5.
Gil-Gómez JA, Lloréns R, Alcañiz M, Colomer C. Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury. J Neuroeng Rehabil. 2011;8:30. DOI: http://dx.doi.org/10.1186/1743-0003-8-30
Lohse KR, Hilderman CG, Cheung KL, Tatla S, Van der Loos HF. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014;9(3):e93318. DOI: http://dx.doi.org/10.1371/journal.pone.0093318
Cho KH, Lee KJ, Song CH. Virtual-reality balance training with a video-game system improves dynamic balance in chronic stroke patients. Tohoku J Exp Med. 2012;228(1):69-74. DOI: http://dx.doi.org/10.1620/tjem.228.69
Barcala L, Colella F, Araujo MC, Salgado ASI, Oliveira CS. Balance analysis in hemiparetics patients after training with Wii Fit program. Fisioter Mov. 2011;24(2):337-43. DOI: http://dx.doi.org/10.1590/S0103-51502011000200015
Morone G, Tramontano M, Iosa M, Shofany J, Iemma A, Musicco M, et al. The efficacy of balance training with video game-based therapy in subacute stroke patients: a randomized controlled trial. Biomed Res Int. 2014;2014:580861. DOI: http://dx.doi.org/10.1155/2014/580861
Valerio Netto A, Machado LS, Oliveira MCF. Realidade virtual: definições, dispositivos e aplicações. RElC. 2002:1-33.
Saposnik G, Teasell R, Mamdani M, Hall J, McIlroy W, Cheung D, et al. Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle. Stroke. 2010;41(7):1477-84. DOI: http://dx.doi.org/10.1161/STROKEAHA.110.584979
Souza LB, Paim CRP, Imamura M, Alfieri FM. Uso de um ambiente de realidade virtual para reabilitação de acidente vascular encefálico. Acta Fisiatr. 2011;18(4):217-21. DOI: http://dx.doi.org/10.5935/0104-7795.20110010
Halton, J. Virtual rehabilitation with video games: A new frontier for occupational therapy. Occup Ther Now. 2008;9(6):12-4.
Deutsch JE, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88(10):1196-207. DOI: http://dx.doi.org/10.2522/ptj.20080062
Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206-7.
Meldrum D, Glennon A, Herdman S, Murray D, McConn-Walsh R. Virtual reality rehabilitation of balance: assessment of the usability of the Nintendo Wii® Fit Plus. Disabil Rehabil Assist Technol. 2012;7(3):205-10. DOI: http://dx.doi.org/10.3109/17483107.2011.616922
Goble DJ, Cone BL, Fling BW. Using the Wii Fit as a tool for balance assessment and neurorehabilitation: the first half decade of "Wii-search". J Neuroeng Rehabil. 2014;11:12. DOI: http://dx.doi.org/10.1186/1743-0003-11-12
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
