Wii Fit®遊戲平台對慢性中風患者平衡能力復健之效果

The Effect of Wii Fit® Gaming Console on Balance Deficit for Chronic Stroke Patients

10.6200/TCMJ.2013.10.4.01

陳玫樺(Mei-Hua Chen)；高木榮(Mu-Jung Kao)；鄭誠功(Cheng-Kung Cheng)；賴弘仁(Hong-Jen Lai)；陳芳蒂(Fang-Ti Chen)；徐菁蕾(Jing-Leei Shyu)

中風 ； 平衡 ； Wii Fit® ； stroke ； balance

北市醫學雜誌

10卷4期（2013 / 12 / 30）

295 - 308

繁體中文

目的：本研究利用Wii Fit®遊戲平台搭配改良式活動，應用在慢性中風患者的平衡訓練的效果。方法：16位慢性中風患者，實驗組及控制組各8位。兩組均接受規律的復健治療，實驗組額外接受6週，每週兩次，一次40分鐘的Wii Fit®遊戲搭配改良式活動的治療。評估包含利用Wii Fit®平衡板與自行開發的LabVIEW®程式收取壓力中心參數計算穩定限度，及柏格氏平衡量表和計時起走測試。結果：實驗組的健側穩定限度統計上顯著增加。柏格氏平衡量表，實驗組在每個評估時間點都有統計上顯著進步。計時起走測試方面，實驗組有統計上顯著的增加。結論：對有平衡缺失的慢性中風患者，利用Wii Fit®遊戲平台與改良式活動，在臨床平衡量表方面有較多進步。

Objectives: Chronic stroke patients show less motivation and interest in balance training. The purpose of this study was to evaluate the application of the WiiFit® gaming console with modified activites for chronic stroke patients with balance deficits. Methods: Sixteen chronic stroke patients were recruited and assigned to the control and experimental group. Both groups received regular traditional rehabilitation programs. The subjects in the experimental group received additional 40 minutes Wii Fit® training program, 2 sessions per week for six weeks. The outcome measurments consisted Berg balance scale, Timed Up and Go, and limits of stability calculated by Wii Fit® balance board and self-developed LabVIEW® program. Results: The ranges of limits of stability for sound side in the experimental group improved as compared to the control groupas well as the ranges of anterior limits of stability at the first follow-up assessment. The scores of Berg balance scale were statsitically increased at mid-, post-intervention, and follow-up assessment in the experimental group as compared to control group. In addition, the scores of Timed Up and Go were statistically increased for subjects in the experimental group at post-intervention assessment and maintained at 6 weeks follow-up assessment. Conclusion: Using the Wii Fit® gaming console with modified activities as a treatment protocol showed improvement on the balance for chronic stroke patients in 6-weeks intervention.