Comparing the Cognitive Effects of Two Exergame Balance Training Systems and Traditional Weight Shifting Training in Patients With Chronic Stroke
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 43
- 试验地点
- 2
- 主要终点
- Change from Baseline in Cognitive Abilities Screening Instrument Scale Chinese version (CASI C-2.0)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •Bilateral hemispheric
- •Cerebellar lesions
- •Significant visual field deficits
- •Hemineglect
- •History of orthopedic
- •Other neurological diseases
- •Medical conditions that would prevent adherence to the exercise protocol
研究组 & 干预措施
Wii Fit
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.
干预措施: Wii Fit(30 Mins) (Device)
Tetrax biofeedback
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.
干预措施: Tetrax biofeedback(30 Mins) (Device)
Conventional weight-shifting
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
干预措施: Conventional weight-shifting(30 Mins) (Other)
结局指标
主要结局
Change from Baseline in Cognitive Abilities Screening Instrument Scale Chinese version (CASI C-2.0)
时间窗: Subjects will be assesed at 12 weeks and 24 weeks
The CASI C-2.0 consists of 20 item sets, which can be divided into 9 domains, including long-term memory, short-term memory, attention, concentration or mental manipulation, orientation, abstraction/judgment, language, visual construction, and category fluency. The CASI scores range from 0 to 100, with higher scores indicating better cognitive performance.
次要结局
- Change from Baseline in The Stroop test(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in The modified Trail Making Test(TMT)(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in Tetrax balance system(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in Timed Up and Go (TUG) test(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in The 10m walking test(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in Stroke Impact Scale(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in The digit backward performance(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in Physiological profile assessment(PPA)(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in The Frenchay Activities Index (FAI)(Subjects will be assesed at 12 weeks and 24 weeks)
- Change from Baseline in Physical Activity Enjoyment Scale (PACES)(Subjects will be assesed at 12 weeks and 24 weeks)