Original ArticleThe Use of Nintendo Wii in the Rehabilitation of Poststroke Patients: A Systematic Review
Section snippets
Method
This systematic review followed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) protocol guidelines.
The electronic survey was conducted from January to March 2014 using the following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed), Cochrane Register of Controlled Trials (CENTRAL CCTR/Cochrane Library), Physiotherapy Evidence Database (PEDro), CAPES Periodic, Regional Library of Medicine (BIREME), Latin American and Caribbean
Results
A total of 319 papers were identified using the strategy applied in electronic databases survey. After the reading of the titles and abstracts, which was performed by 2 reviewers independently, 305 articles were excluded for not having relation with the subject studied. The reviewers in common selected 12 potentially relevant articles, and in a consensus meeting, 2 separate articles were included, totalizing 14 articles. From the 14 studies selected, 5 met the inclusion criteria after full
Discussion
This systematic review has shown that there is insufficient evidence to ensure the effectiveness and support the inclusion of the treatment with NW in patients with sequelae caused by a stroke. However, the results of some studies in this review suggest that the treatment with NW can provide improvements in motor function and therefore be an adjuvant therapy for motor rehabilitation. However, the data are still unclear to assure its efficiency in balance and functional independence.
In this
Conclusion
Faced with the systematic review performed, it is possible to conclude that there is little evidence to reach generalized conclusions about the efficacy of NW in this population. However, some of the studies analyzed here suggest that NW can provide improvement in motor function. In this sense, more RCTs investigating the use of NW as a therapeutic resource are needed.
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2022, Annals of Physical and Rehabilitation MedicineCitation Excerpt :These systems are attractive because they are fun, low cost, simple to use and provide meaningful activity and facilitate large numbers of repeated movements. They are of clinical interest because they can be used to increase rehabilitation time by promoting self-rehabilitation in the hospital or the patient's home [2] and have been shown to improve upper-limb motor function [3]. However, an important issue is whether the use of gaming systems to improve upper-limb motor function leads to increased development of compensatory trunk movements [4].
Motor-cognitive intervention concepts can improve gait in chronic stroke, but their effect on cognitive functions is unclear: A systematic review with meta-analyses
2022, Neuroscience and Biobehavioral ReviewsCitation Excerpt :Yoga, tai chi and other mind-body exercises have repeatedly been found to not add benefits to physical trainings for improving motor functions in stroke patients (Lawrence et al., 2017; Lazaridou et al., 2013; Silveira and Smart, 2020). Exergames, on the other hand, have been reported to be at least as effective or superior to single training for improving motor functions in subacute to chronic stroke and other neurological patients (Barry et al., 2014; Bonnechère et al., 2016; Cheok et al., 2015; Dos Santos et al., 2015; Garcia-Agundez et al., 2019; Morone et al., 2014; Parra-Moreno et al., 2018) as well as healthy older adults (Pacheco et al., 2020; Schoene et al., 2014; Xu et al., 2020). Regarding cognitive outcomes, little is yet known about the effect of mind-body exercises on cognitive functions in stroke patients, it has, however, been speculated that most cognitive functions might not be affected by these exercises (Lazaridou et al., 2013).
Effectiveness of Nintendo Wii and Physical Therapy in Functionality, Balance, and Daily Activities in Chronic Stroke Patients
2021, Journal of the American Medical Directors AssociationExercise-based games interventions at home in individuals with a neurological disease: A systematic review and meta-analysis
2019, Annals of Physical and Rehabilitation MedicineCitation Excerpt :In the literature, IVG could improve balance impairments in patients with neurological diseases [11,40], but this result was not found in the meta-analysis. EBGs have already been considered as an alternative to conventional therapy in center rehabilitation [3,11–13,15,16,19], but further studies with more homogenous data are needed to determine the efficiency of EBGs at home. EBGs show interesting promise regarding its long-term benefits, but these benefits were not found superior to the CG.
Effects of Virtual Reality Compared to Conventional Therapy on Balance Poststroke: A Systematic Review and Meta-Analysis
2019, Journal of Stroke and Cerebrovascular Diseases
The authors declare that they have no conflict of interest.