title: Effects of Game-Based Constraint-Induced Movement Therapy on Balance in Patients with Stroke: A Single-Blind Randomized Controlled Trial.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
authors.affiliation: From the Department of Physical Therapy, Graduate School of Daejeon University, Daejeon, Republic of Korea.
authors.forename: Ho-Suk
authors.initials: HS
authors.lastname: Choi
authors.forename: Won-Seob
authors.initials: WS
authors.lastname: Shin
authors.forename: Dae-Hyouk
authors.initials: DH
authors.lastname: Bang
authors.forename: Sung-Jin
authors.initials: SJ
authors.lastname: Choi
mesh_terms: D005080:Exercise Test; D005260:Female; D006429:Hemiplegia / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D004856:Postural Balance / Q000502:physiology*; D016037:Single-Blind Method; D020521:Stroke / Q000503:physiopathology*; D000071939:Stroke Rehabilitation / Q000379:methods*; D018910:Video Games