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

Chang Gung Medical Foundation

Status: Completed

Conditions: Stroke

Treatments: Other: Conventional weight-shifting(30 Mins); Device: Tetrax biofeedback(30 Mins); Device: Wii Fit(30 Mins)

Study type: Interventional

Funder types: Other

Identifiers

NCT02553993

CMRPG8C0261

Details and patient eligibility

About

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.

Full 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.

Enrollment: 43 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Post-stroke duration of at least 6 months
• Ability to understand verbal instructions and learn
• Adequate visual acuity (with appropriate correction, if necessary)
• Ability to walk independently with or without device

Exclusion criteria

• Bilateral hemispheric
• Cerebellar lesions
• Aphasia
• Significant visual field deficits
• Hemineglect
• History of orthopedic
• Other neurological diseases
• Medical conditions that would prevent adherence to the exercise protocol

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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43 participants in 3 patient groups, including a placebo group

Wii Fit

Experimental group

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.

Treatment:

Device: Wii Fit(30 Mins)

Tetrax biofeedback

Experimental group

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.

Treatment:

Device: Tetrax biofeedback(30 Mins)

Conventional weight-shifting

Placebo Comparator group

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

Treatment:

Other: Conventional weight-shifting(30 Mins)