title: The effects of Nintendo Wii(TM)-based balance and upper extremity training on activities of daily living and quality of life in patients with sub-acute stroke: a randomized controlled study.
abstract: OBJECTIVE
  The aim of this study was to investigate the effects of Nintendo Wii(TM)-based balance and upper extremity training on activities of daily living and quality of life in patients with subacute stroke.
  
  
  METHODS
  42 adults with stroke (mean age (SD) = 58.04 (16.56) years and mean time since stroke (SD) = (55.2 ± 22.02 days (∼8 weeks)) were included in the study. Participants were enrolled from the rehabilitation department of a medical center (a single inpatient rehabilitation facility). Participants were randomly assigned to Nintendo Wii group (n = 20) or Bobath neurodevelopmental treatment (NDT) (n = 22). The treatments were applied for 10 weeks (45-60 minutes/day, 3 days/week) for both of two groups. Nintendo Wii group used five games selected from the Wii sports and Wii Fit packages for upper limb and balance training, respectively. The patients in Bobath NDT group were applied a therapy program included upper extremity activites, strength, balance gait and functional training. The functional independence in daily life activities and health-related quality of life was assessed with Functional Independence Measure (FIM) and Nottingham Health Profile (NHP), respectively. Participant's treatment satisfaction was recorded by using Visual Analogue Scale. A second evaluation (FIM and NHP) occurred after 10 weeks at the end of rehabilitative treatment (post-training). Treatment satisfaction was measured after 10 sessions.
  
  
  RESULTS
  There were significant difference between FIM and NHP values in NDT and Nintendo Wii group (p < 0.05). However, a significant difference was not found between the groups with regard to FIM and NHP (p > 0.05). The patients in Nintendo Wii group were detected to be better satisfied from the therapy (p < 0.05). A significant difference was found between subparameters and total FIM score, all subparameters and total NHP score in both groups (p < 0.05).
  
  
  CONCLUSIONS
  These findings suggested that the Nintendo Wii training was as effective as Bobath NDT on daily living functions and quality of life in subacute stroke patients.
authors.affiliation: a School of Physical Therapy and Rehabilitation , Dokuz Eylül University , İzmir , Turkey.
authors.forename: Tülay Tarsuslu
authors.initials: TT
authors.lastname: Şimşek
authors.affiliation: b Department of Physical Therapy and Rehabilitation , Medicalpark Izmir Hospital , İzmir , Turkey.
authors.forename: Kübra
authors.initials: K
authors.lastname: Çekok
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology*; D016037:Single-Blind Method; D020521:Stroke / Q000000981:diagnostic imaging / Q000523:psychology*; D000071939:Stroke Rehabilitation; D014057:Tomography, X-Ray Computed; D034941:Upper Extremity / Q000502:physiology*; D018910:Video Games; D064232:Visual Analog Scale
keywords: Nintendo Wii; daily life activities; quality of life; stroke