Article

The aims of this work were to determine whether game-based
constraint-induced movement therapy (CIMT) is effective at improving balance
ability in patients with stroke, and to provide clinical knowledge of game-based
training that allows application of CIMT to the lower extremities. DESIGN: Thirty-six patients with chronic stroke were randomly assigned to game-based CIMT
(n = 12), general game-based training (n = 12), and conventional (n = 12) groups.
All interventions were conducted 3 times a week for 4 weeks.
The static balance
control and weight-bearing symmetry were assessed, and the Functional Reach Test
(FRT), modified Functional Reach Test (mFRT), and Timed Up and Go (TUG) test were
performed to evaluate balance ability. RESULTS: All 3 groups showed significant
improvement in anterior-posterior axis (AP-axis) distance, sway area,
weight-bearing symmetry, FRT, mFRT, and TUG test after the intervention (P <
0.05). Post hoc analysis revealed significant differences in AP-axis, and sway
area, weight-bearing symmetry of the game-based CIMT group compared with the
other group (P < 0.05). CONCLUSIONS: Although the general game-based training and
the game-based CIMT both improved on static and dynamic balance ability,
game-based CIMT had a larger effect on static balance control, weight-bearing
symmetry, and side-to-side weight shift.

Langue : ANGLAIS