Erika Pedreira da Fonseca1, Nildo Manoel da Silva Ribeiro2, Elen Beatriz Pinto3. 1. Católica University of Salvador, Salvador, Bahia, Brazil; Bahia School of Medicine and Public Health, Salvador, Brazil. Electronic address: erikapedreira@gmail.com. 2. Federal University of Bahia, Salvador, Brazil. 3. Bahia School of Medicine and Public Health, Salvador, Brazil.
Abstract
OBJECTIVES: The study aimed to check the therapeutic effect of virtual reality associated with conventional physiotherapy on gait balance and the occurrence of falls after a stroke. METHODS: This was a randomized, blinded clinical trial conducted with post-stroke patients, randomized into two groups-treatment group and control group-and subjected to balance assessments by the Dynamic Gait Index and investigation of falls before and after 20 intervention sessions. Statistically significant difference was considered at P < .05. RESULTS: We selected 30 patients, but there were three segment losses, resulting in a total of 13 patients in the control group and 14 in the treatment group. There was an improvement in gait balance and reduced occurrence of falls in both groups. After intervention, the differences in gait balance in the control group (P = .047) and the reduction in the occurrence of falls in the treatment group (P = .049) were significant. However, in intergroup analysis, there was no difference in the two outcomes. CONCLUSIONS: Therapy with games was a useful tool for gait balance rehabilitation in post-stroke patients, with repercussions on the reduction of falls.
RCT Entities:
OBJECTIVES: The study aimed to check the therapeutic effect of virtual reality associated with conventional physiotherapy on gait balance and the occurrence of falls after a stroke. METHODS: This was a randomized, blinded clinical trial conducted with post-strokepatients, randomized into two groups-treatment group and control group-and subjected to balance assessments by the Dynamic Gait Index and investigation of falls before and after 20 intervention sessions. Statistically significant difference was considered at P < .05. RESULTS: We selected 30 patients, but there were three segment losses, resulting in a total of 13 patients in the control group and 14 in the treatment group. There was an improvement in gait balance and reduced occurrence of falls in both groups. After intervention, the differences in gait balance in the control group (P = .047) and the reduction in the occurrence of falls in the treatment group (P = .049) were significant. However, in intergroup analysis, there was no difference in the two outcomes. CONCLUSIONS: Therapy with games was a useful tool for gait balance rehabilitation in post-strokepatients, with repercussions on the reduction of falls.
Authors: Emily Evans; Megan Dass; William M Muter; Christopher Tuthill; Andrew Q Tan; Randy D Trumbower Journal: Front Hum Neurosci Date: 2022-06-09 Impact factor: 3.473
Authors: Xiao-Ming Yu; Xue-Ming Jin; Yan Lu; Yang Gao; Hai-Chen Xu; Xin Xue; Lei Fang; Jun Hu Journal: Evid Based Complement Alternat Med Date: 2020-12-19 Impact factor: 2.629