Time performance and CoP displacement of hemiplegic subjects in a virtual reality game task: short and long-term effects of a training protocol

Authors

  • Danilo de Oliveira Silva Universidade Estadual Paulista. SP. Brasil
  • Fábio Mícolis de Azevedo Universidade Estadual Paulista. SP. Brasil
  • Ronaldo Valdir Briani Universidade Estadual Paulista. SP. Brasil
  • Carolina Silva Flóride Universidade Estadual do Oeste do Paraná, Cascavel-PR, Brasil
  • Carlos Eduardo de Albuquerque Universidade Estadual do Oeste do Paraná, Cascavel-PR, Brasil
  • Fernando Amâncio Aragão Universidade Estadual do Oeste do Paraná, Cascavel-PR, Brasil

DOI:

https://doi.org/10.590/1809-2950/14008622042015

Abstract

Video games with virtual interaction have been successfully used in physical therapy programs, although there is a lack of knowledge regarding evidence involving clinical results. This study aimed to evaluate learning and some parameters of the center of pressure (COP) displacement of a Nintendo Wii Fit task in hemiplegic and healthy subjects immediately after a rehabilitation training program and after a 3-month washout period. Twenty subjects being 10 hemiplegic and 10 healthy performed three assessments over different periods; Pre, Post and 3-months after rehabilitation training. Participants were positioned on the Wii Balance Board(r). The game task performed (Ski Slalom(r) game) involved mediolateral movements. During the task's execution, the Wii Balance Board(r) was placed on a force plate (AMTI OR-6, USA). As such, COP data displacement could be collected during the game. After the training, the hemiplegic subjects showed no change in COP sway pattern and this condition persisted after three months. However, both groups improved their time performance to finish the task after training and maintained the improvement in performance after 3-months. COP displacement of hemiplegic subjects did not change after training, healthy subjects were able to reduce their mediolateral and anteroposterior COP displacement.

Downloads

Download data is not yet available.

References

Kesikburun S, Omaç Ö, Yaşar E, Hazneci B, Alaca R. Severe

heterotopic ossification in the non-affected limbs of a

hemiplegic patient with traumatic brain injury. Brain Inj.

;25(1):127-9.

Zissimopoulos A, Stine R, Fatone S, Gard S. Mediolateral

foot placement ability during ambulation in individuals

with chronic post-stroke hemiplegia. Gait Posture. 2014.

doi:10.1016/j.gaitpost.2014.01.015.

Moriello C, Finch L, Mayo N. Relationship between muscle

strength and functional walking capacity among people with

stroke. J Rehabil Res Dev. 2011;48(3):267-76.

Campbell M, Parry A, West S, Care P. Balance disorder and

traumatic brain injury : Preliminary findings of a multifactorial observational study. Brain Inj. 2005;19:1095-104.

doi:10.1080/02699050500188898.

Ustinova KI, Fung J, Levin MF. Disruption of bilateral

temporal coordination during arm swinging in patients with

hemiparesis. Exp Brain Res. 2006;169(2):194-207. doi:10.1007/

s00221-005-0136-5.

Stinear CM, Petoe M a, Anwar S, Barber PA, Byblow WD.

Bilateral priming accelerates recovery of upper limb function

after stroke: A randomized controlled trial. Stroke. 2013:1-6.

doi:10.1161/STROKEAHA.113.003537.

Kim SI, Song I-H, Cho S, et al. Proprioception rehabilitation

training system for stroke patients using virtual reality

technology. Annu Int Conf IEEE Eng Med Biol Soc. 2013:4621-

doi:10.1109/EMBC.2013.6610577.

Duque G, Boersma D, Loza-Diaz G, et al. Effects of balance

training using a virtual-reality system in older fallers. Clin

Interv Aging. 2013;8:257-63. doi:10.2147/CIA.S41453.

Dores AR, Barbosa F, Marques A, Carvalho IP, De Sousa L,

Castro-Caldas A. Realidade virtual na reabilitação: Por que

sim e por que não? Uma revisão sistemática. Acta Med Port.

;25(6):414-21.

Silva DO, Briani RV, Flóride CS, Aragão FA. Treinamento

de sujeitos hemiparéticos em tarefas virtuais utilizando o

Nintendo Wii. Fisioter Bras. 2013;14(45):344-50.

Silva D de O, Briani RV, Flóride CS, Aragão FA. Padrão de

deslocamento do centro de pressão e treinamento de

descarga de peso por meio de jogo em realidade virtual. Fiep

Bull. 2013;83(Special Edition).

Silva DO, Gonçalves AV, Costa MD, Briani RV, Flóride

CS, Aragão FA. Performance de sujeitos saudáveis

em um programa de treinamento em realidade

virtual: Efeito imediato e ao longo do tempo. RBPFEX

;9(51):24-30.

Michalski A, Glazebrook CM, Martin AJ, Wong WW, Kim AJ,

Moody KD, et al. Assessment of the postural control strategies

used to play two Wii FitTM videogames. Gait Posture.

;36(3):449-53. doi:10.1016/j.gaitpost.2012.04.005.

Duarte M, Freitas SMSF. Revisão sobre posturografia baseada

em plataforma de força para avaliação do equilíbrio. Rev

Bras Fisioter. 2010;14(3):183-92.

Palmieri RM, Ingersoll CD, Stone MB, Krause A. Center-ofpressure parameters used in the assessment of postural

control. J Sport Rehabil. 2002;11:51-66.

Huisinga JM, St George RJ, Spain R, Overs S, Horak FB.

Postural response latencies are related to balance control

during standing and walking in patients with multiple

sclerosis. Arch Phys Med Rehabil. 2014. doi:10.1016/j.

apmr.2014.01.004.

Fasotti L, Kessel M Van. Novel insights in the rehabilitation

of neglect. Front Hum Neurosci. 2013;7:1-8. doi:10.3389/

fnhum.2013.00780.

Folstein M, Folstein S, McHugh P. Mini-mental state: a

practical method for grading the cognitive state of patients

for the clinician. J Psychiatr Res. 1975;12:189-98.

Wee JXM, Bagg SD, Palepu A, Jym AW, Sd B, Berg PAT.

The Berg Balance Scale as a predictor of length of stay

and discharge destination in an Acute stroke rehabilitation

setting. Arch Phys Med Rehabil. 1999;80(4):448-52.

Ng SS, Hui-Chan CW. The timed up & go test : Its reliability

and association with lower-limb impairments and locomotor

capacities in people with chronic stroke. Arch Phys Med

Rehabil. 2005;86(8):1641-7. doi:10.1016/j.apmr.2005.01.011.

Saposnik G, Levin M. Virtual reality in stroke rehabilitation:

a meta-analysis and implications for clinicians. Stroke.

;42(5):1380-6. doi:10.1161/STROKEAHA.110.605451.

Garcia-palacios A, Hoffman HG, See SK, Tsai AMY, Botella C.

Redefining therapeutic success with virtual reality exposure

therapy. Cyberpsychology Behav. 2001;4(3):341-8.

Bainbridge E, Bevans S, Keeley B, Oriel K. The effects of the

Nintendo Wii fit on community-dwelling older adults with

perceived balance deficits: A pilot study. Phys Occup Ther

Geriatr. 2011;29(2):126-35. doi:10.3109/02703181.2011.569053.

Hatzitaki V, Konstadakos S. Visuo-postural adaptation during

the acquisition of a visually guided weight-shifting task: agerelated differences in global and local dynamics. Exp Brain

Res. 2007;182(4):525-35. doi:10.1007/s00221-007-1007-z.

Barcala L, Colella F, Araujo MC, Shiguemi A, Salgado I, Oliveira

CS. Análise do equilíbrio em pacientes hemiparéticos após o

treino com o programa Wii Fit. Fisioter Mov. 2011;24(2):337-

doi:10.1590/S0103-51502011000200015.

Yang S, Hwang W-H, Tsai Y-C, Liu F-K, Hsieh L-F, Chern J-S.

Improving balance skills in patients who had stroke through

virtual reality treadmill training. Am J Phys Med Rehabil.

;90(12):969-78. doi:10.1097/PHM.0b013e3182389fae.

Elion O, Bahat Y, Sela I, Siev-ner I, Karni A. Postural

adjustments as an acquired motor skill: Delayed gains and

robust retention after a single training session within a virtual

environment. Virtual Rehabil. 2008:50-53.

Barcala L, Grecco LAC, Colella F, Lucareli PRG, Salgado ASI,

Oliveira CS. Visual biofeedback balance training using wii fit

after stroke: a randomized controlled trial. J Phys Ther Sci.

;25(8):1027-32. doi:10.1589/jpts.25.1027.

Hausdorff JM, Rios DA, Edelberg HK. Gait variability and fall risk in

community-living older adults: a 1-year prospective study. Arch Phys

Med Rehabil. 2001;82(8):1050-6. doi:10.1053/apmr.2001.24893.

Cho KH, Lee KJ, Song CH. Virtual reality balance training with

a video game system improves dynamic balance in chronic

stroke patients. Tohoku J Exp Med. 2012;228:69-74.

Pavão SL, Sousa NVC, Oliveira CM, Castro PCG, Santos MCM.

O ambiente virtual como interface na reabilitação pós-AVE :

relato de caso. Fisioter Mov. 2013;26(2):455-62.

Ribeiro AP, Souza ER, Atie S, Souza AC, Schilithz AO. A

influência das quedas na qualidade de vida de idosos. Cienc

Saude Colet. 2008;13(4):1265-73.

Voos MC, Pimentel Piemonte ME, Castelli LZ, Andrade

Machado MS, Dos Santos Teixeira PP, Caromano FA, et

al. Association between educational status and dualtask performance in young adults. Percept Mot Skills.

;120(2):417-37. doi:10.2466/22.PMS.120v18x8

Downloads

Published

2015-12-12

Issue

Section

Original Research

How to Cite

Time performance and CoP displacement of hemiplegic subjects in a virtual reality game task: short and long-term effects of a training protocol . (2015). Fisioterapia E Pesquisa, 22(4), 363-369. https://doi.org/10.590/1809-2950/14008622042015