Use of Virtual Reality Games for the Treatment of Balance and Reducing the Occurrence of Falls in Patients After Stroke

Completed

Phase N/A Results N/A

Trial Description

The aim of this study was to investigate the therapeutic effect of virtual reality associated with conventional physiotherapy on balance during gait and the occurrence of falls in patients after stroke.

Detailed Description

Randomized clinical trial conducted with patients of both sexes with hemiparesis after stroke of 18 to 65 years. They excluded those who had less than six months of injury, with sensory or perceptual deficit. Patients included were randomized into two groups, a treatment group, which conducted rehabilitation with virtual reality associated with conventional physical therapy and the control group that performed only conventional physiotherapy. Randomization was done by a computer program in blocks, by a third person, respecting the allocation concealment. After selection and randomization, patients were evaluated at baseline, when they were collected demographic and clinical data, investigated the occurrence of falls in the three months prior to evaluation and rated the balance in motion using the Dynamic Gait Index (DGI). Patients were followed for 20 physiotherapy sessions, visits twice a week for an hour each. The assessment of the balance and the investigation of the occurrence of falls were repeated at the end of treatment, which occurred on average three months after the start of the intervention, by the same examiner, who remained blind to the group that the patient belonged.

Conditions

Interventions

  • Virtual Reality Device
    Intervention Desc: Rehabilitation with virtual reality, using Football games, Boxe, Bambolê and Tennis.
    ARM 1: Kind: Experimental
    Label: Virtual Reality Group
    Description: Rehabilitation with virtual reality using games with balance training goal.
  • Conventional Behavioral
    Intervention Desc: Stretching exercises in limbs, trunk mobilization in the three planes, balance training in standing position, training of balance reactions and gait training.
    ARM 1: Kind: Experimental
    Label: Virtual Reality Group
    Description: Rehabilitation with virtual reality using games with balance training goal.
    ARM 2: Kind: Experimental
    Label: Conventional Group
    Description: Conventional physiotherapy with exercises for balance training.

Trial Design

  • Allocation: Randomized
  • Masking: Single Blind (Investigator)
  • Purpose: Treatment
  • Endpoint: Efficacy Study
  • Intervention: Parallel Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Dynamic Gait Index (DGI) avarage 8 weeks Yes
Secondary Number of Falls avarage 8 weeks Yes

Sponsors