Virtual Rehabilitation and Conventional Therapeutic Exercises in the Treatment of Individuals Post Stroke

Completed

Phase N/A Results N/A

Trial Description

The purpose of this study is to determine the effects of the use the Nintendo Wii® (NW) and conventional therapeutic exercises in the rehabilitation of balance and gait of the post-stroke patients and the impact on quality of life.

Detailed Description

This Randomised clinical trial (RCT) has longitudinal and prospective feature, held at the Neurosciences Clinic located at the Clinic Professor Francisco Magalhães Neto the HUPES Complex / Federal University of Bahia from June 2015 until June 2017.
In the initial evaluation were obtained by a trained examiner and blinded to the allocation of participants, all personal data of all patients, as well as evaluations of balance, gait, and quality of life through specific validated scales:
1. Berg Balance Scale (BBS);
2. Tinetti Gait Scale (TGS)
3. Quality of Life Scale Specific for stroke (QLSSS) ;
The investigators employ a program of conventional therapeutic exercises and virtual rehabilitation with NW, for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).

Conditions

Interventions

  • Virtual Rehabilitation Other
    Other Names: NW; Non-immersive virtual reality; Commercial Game; Wii-rehabilitation
    Intervention Desc: It is the use of the NW games for rehabilitation of balance and gaite in post-stroke patients.
    ARM 1: Kind: Experimental
    Label: Virtual Rehabilitation
    Description: A virtual rehabilitation program (G0) based on the use of the Nintendo Wii for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).All treatment groups prior to perform the study interventions,stretches of upper and lower limbs for 10 minutes. The G0 treatment program consists of the following protocols: a) protocol 1 games (Balance Bubble Plus and Tennis); b) protocol 2 games (Rhythm Parade and Boxing).
    ARM 2: Kind: Experimental
    Label: Virtual Rehabilitation - VR
    Description: A virtual rehabilitation program (G0) based on the use of the NW for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).All treatment groups prior to perform the study interventions,stretches of upper and lower limbs for 10 minutes. The G0 treatment program consists of the following protocols: a) protocol 1 games (Balance Bubble Plus and Tennis); b) protocol 2 games (Rhythm Parade and Boxing).
  • PNF Method Other
    Other Names: Kabat method Diagonals of PNF
    Intervention Desc: It is the use of the therapeutic exercises based on the PNF diagonals for rehabilitation of balance in post-stroke patients.
    ARM 1: Kind: Experimental
    Label: PNF Method
    Description: A program of therapeutic exercises (G1) based on the PNF method for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).All treatment groups prior to perform the study interventions,stretches of upper and lower limbs for 10 minutes. The G1 treatment program consists of the following protocols: a) protocol 1 : 30 minutes diagonal exercise upper limb (flexion-abduction-external rotation and extension-abduction-internal rotation), and 10 minutes diagonal exercise scapula (anterior and posterior elevation); b) protocol 2: 20 minutes diagonal exercise lower limb (flexion-abduction-external rotation and flexion-abduction-internal rotation),10 minutes diagonal exercise pelvis (anterior and posterior depression), and 10 minutes gait cycle training;
  • Virtual Rehabilitation and PNF Method Other
    Other Names: Kabat method Wii-rehabilitation Commercial Game Diagonals of PNF
    Intervention Desc: It is the use of the exercises based on the PNF diagonals and of the Nintendo Wii® for rehabilitation of balance in post-stroke patients.
    ARM 1: Kind: Experimental
    Label: Virtual Rehabilitation and PNF Method
    Description: In G2 program will be performed 20 minutes G0 protocol (1 or 2, used alternately between sessions a week) and 20 minutes G1 protocol (1 or 2, used alternately between sessions a week), taking the time of the performed activities halved in both protocols.
  • Conventional therapeutic exercises Other
    Other Names: Conventional physical therapy; Conventional exercises to improve balance and gait; Diagonals of PNF; PNF method
    Intervention Desc: It is the use of the conventional therapeutic exercises for rehabilitation of balance and gait in post-stroke patients.
    ARM 1: Kind: Experimental
    Label: Conventional Therapeutic Exercises - CTE
    Description: A program of conventional therapeutic exercises (G1) for a period of two months, with sessions two times a week for 50 minutes (a total of 16 sessions).All treatment groups prior to perform the study interventions,stretches of upper and lower limbs for 10 minutes. The G1 treatment program consists of the following protocols: a) protocol 1: 30 minutes of upper limb PNF diagonal exercise (flexion-abduction-external rotation and extension-abduction-internal rotation), and 10 minutes of scapula PNF diagonal exercise (anterior and posterior elevation); b) protocol 2: 20 minutes of lower limb PNF diagonal exercise (flexion-abduction-external rotation and flexion-abduction-internal rotation),10 minutes of pelvis PNF diagonal exercise (anterior and posterior depression), and 10 minutes gait cycle training;
  • Virtual Rehabilitation and Conventional Therapeutic Exercise Other
    Other Names: Non-immersive virtual reality; Wii-rehabilitation; Commercial Game; Conventional exercises to improve balance and gait; Diagonals of PNF
    Intervention Desc: It is the use of the conventional exercises and of the NW for rehabilitation of balance and gait in post-stroke patients.
    ARM 1: Kind: Experimental
    Label: VR and CTE
    Description: In G2 program will be performed 20 minutes G0 protocol (1 or 2, used alternately between sessions a week) and 20 minutes G1 protocol (1 or 2, used alternately between sessions a week), taking the time of the performed activities halved in both protocols.

Trial Design

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

Outcomes

Type Measure Time Frame Safety Issue
Primary Berg Balance Scale (BBS) 8 weeks No
Secondary Quality of Life Scale Specific (QLSS) for stroke. 8 weeks No
Primary BBS 8 weeks
Secondary TGS 8 weeks
Secondary QLSSS 8 weeks

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