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

Federal University of Bahia48 enrolled

Overview

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.

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).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Stroke Cerebrovascular Disorders

Interventions

Virtual RehabilitationOTHER

It is the use of the NW games for rehabilitation of balance and gaite in post-stroke patients.

Conventional therapeutic exercisesOTHER

It is the use of the conventional therapeutic exercises for rehabilitation of balance and gait in post-stroke patients.

Virtual Rehabilitation and Conventional Therapeutic ExerciseOTHER

It is the use of the conventional exercises and of the NW for rehabilitation of balance and gait in post-stroke patients.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * age between 18 and 80 years, of both sexes; clinical diagnosis of stroke confirmed by neurological assessment report or neuroimaging; * a stroke at least 6 months prior to the study * the ability to walk independently with or without an assistive device; * absence of visual or auditory deficits as reported by the subject. Exclusion Criteria: * score \<24 on the Mini Mental State Examination; * other associated neurological conditions; * other orthopedic injuries that could impair mobility and make the execution of the proposed activity impossible; * participation in other physical rehabilitation programs.

Locations (1)

Complex Hospital Professor Edgard Santos, Federal University of Bahia

Salvador, Estado de Bahia, Brazil

Outcomes

Primary Outcomes

BBS

It is a scale that allows a functional assessment of the balance of the performance. It is based on 14 common items of everyday life, graduated from 0 to 4 points, reaching 56 points maximum score.

Time frame: 8 weeks

Secondary Outcomes

TGS

It is a 12-point instrument of observational analysis of gait ability. The count for each exercise ranges from 0 to 1 or from 0 to 2, with a lower score indicating a poorer physical ability.

Time frame: 8 weeks

QLSSS

The QLSS was developed to measure the quality of life of patients with stroke sequela.It contains 49 items arranged into 12 fields, and the score for each item ranges from 1 to 5 points and the total score can range from 49 to 245, so that the lower the score, the greater the degree of dependence and difficult to perform tasks, which indicates a worse perception of quality of life.

Time frame: 8 weeks

Data from ClinicalTrials.gov

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