Comparing the Cognitive Effects of Two Exergame Training and Traditional Training in Patients With Chronic Stroke

Completed

Phase N/A Results N/A

Trial Description

The objective of this study was to: compare the training and maintenance effects of 3 balance training programs (2 kinds of exergame systems and 1 conventional weight-shifting training program) on cognitive function of subjects with chronic stroke.

Detailed Description

The objective of this study was to: compare the training and maintenance effects of 3 balance training programs (2 kinds of exergame systems and 1 conventional weight-shifting training program) on cognitive function of subjects with chronic stroke. We hypothesized that the exergaming program using weight shifting as game controller is better than the weight shifting only program. The investigators further hypothesized that exergames designed for entertainment (such as Wii Fit) are more beneficial than exergames for rehabilitation purpose (such as Tetrax biofeedback) in gain of cognition function for patients with chronic stroke.

Conditions

Interventions

  • Wii Fit(30 Mins) Device
    Intervention Desc: Receive Wi Fit games training for 30 minutes. There are 2 sections for 1 week; the intervention period will be 12 weeks.
    ARM 1: Kind: Experimental
    Label: Wii Fit
    Description: The Wii Fit training was conducted using the Wii Fit bundle from Nintendo, which consists of the Wii console, a Wii Balance Board, and the Wii Fit Plus balance game disc. The Wii balance board has 4 transducers, which could assess the player's force distribution and resultant movements in the center of pressure (COP). The participants stood on the board and used the change of COP to play the games. Five games (Tilt, Soccer Heading, Balance Bubble, Penguin Slide, and Perfect 10) were selected from the Wii Fit Plus package based on the motor demand of these games. The major movement patterns to play the games included right-left weight shifting and front-back weight shifting.
  • Tetrax biofeedback(30 Mins) Device
    Intervention Desc: Receive Tetrax biofeedback games training for 30 minutes. There are 2 sections for 1 week; the intervention period will be 12 weeks.
    ARM 1: Kind: Experimental
    Label: Tetrax biofeedback
    Description: The Tetrax biofeedback games aimed at postural rehabilitation to help patients or athletes improve their balance abilities. There were 11 games in Tetrax system; 8 games (Speedtrack, Catch, Skyball, Gotcha, Speedball, Tag, Freeze, Immobilizer) were chosen based on the same principle as those used for choosing Wii Fit games. The parameters of games' difficulties included target size and/or speed of target movement, which could be adjusted according to the patients' ability. For the Wii Fit or Tetrax group, at each session, the supervising therapist chose 3 to 5 games for participants according to their ability, needs, and favorites.
  • Conventional weight-shifting(30 Mins) Other
    Intervention Desc: Receive weight-shifting exercise training for 30 minutes. There are 2 sections for 1 week; the intervention period will be 12 weeks.
    ARM 1: Kind: Experimental
    Label: Conventional weight-shifting
    Description: The conventional weight-shifting exercise group performed balance exercises with the similar movements and time required by the 2 exergame systems but without video games. By using occupational activities, participants did weight shifting in the sagittal and frontal planes. The investigators also used a balance board (Reebok Core board) for multi-directional weight shifting training

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Outcomes Assessor)
  • Purpose: Treatment
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Change from Baseline in Cognitive Abilities Screening Instrument Scale Chinese version (CASI C-2.0) Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in The Stroop test Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in The modified Trail Making Test(TMT) Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in The digit backward performance Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in Physiological profile assessment(PPA) Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in The 10m walking test Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in Tetrax balance system Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in Timed Up and Go (TUG) test Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in The Frenchay Activities Index (FAI) Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in Stroke Impact Scale Subjects will be assesed at 12 weeks and 24 weeks No
Secondary Change from Baseline in Physical Activity Enjoyment Scale (PACES) Subjects will be assesed at 12 weeks and 24 weeks No

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