Virtual Rehabilitation through Nintendo Wii in Poststroke Patients: Follow-Up

J Stroke Cerebrovasc Dis. 2018 Feb;27(2):494-498. doi: 10.1016/j.jstrokecerebrovasdis.2017.09.029.

Abstract

Objective: To evaluate in the follow-up the sensory-motor recovery and quality of life patients 2 months after completion of the Nintendo Wii console intervention and determine whether learning retention was obtained through the technique.

Methods: Five hemiplegics patients participated in the study, of whom 3 were male with an average age of 54.8 years (SD = 4.6). Everyone practiced Nintendo Wii therapy for 2 months (50 minutes/day, 2 times/week, during 16 sessions). Each session lasting 60 minutes, under a protocol in which only the games played were changed, plus 10 minutes of stretching. In the first session, tennis and hula hoop games were used; in the second session, football (soccer) and boxing were used. For the evaluation, the Fulg-Meyer and Short Form Health Survey 36 (SF-36) scales were utilized. The patients were immediately evaluated upon the conclusion of the intervention and 2 months after the second evaluation (follow-up).

Results: Values for the upper limb motor function sub-items and total score in the Fugl-Meyer scale evaluation and functional capacity in the SF-36 questionnaire were sustained, indicating a possible maintenance of the therapeutic effects.

Conclusion: The results suggest that after Nintendo Wii therapy, patients had motor learning retention, achieving a sustained benefit through the technique.

Keywords: Stroke; physiotherapy; rehabilitation; virtual reality exposure therapy.

MeSH terms

  • Exercise Therapy*
  • Female
  • Follow-Up Studies
  • Health Status
  • Hemiplegia / diagnosis
  • Hemiplegia / physiopathology
  • Hemiplegia / psychology
  • Hemiplegia / rehabilitation*
  • Humans
  • Learning
  • Longitudinal Studies
  • Male
  • Mental Health
  • Middle Aged
  • Motor Activity
  • Motor Neurons
  • Quality of Life
  • Recovery of Function
  • Sensation
  • Sensory Receptor Cells
  • Stroke / diagnosis
  • Stroke / physiopathology
  • Stroke / psychology
  • Stroke / therapy*
  • Stroke Rehabilitation / methods*
  • Time Factors
  • Treatment Outcome
  • Upper Extremity / innervation*
  • Video Games*
  • Virtual Reality Exposure Therapy*