Wii Fit-Based Biofeedback Rehabilitation Among Post-Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trial
Seyedeh Maryam Ghazavi Dozin, Nasser Mohammad Rahimi, Reza Aminzadeh
Abstract
Background Stroke is one of the most widespread reasons for acquired adult disability. Recent experimental studies have reported the beneficial influence of Wii Fit-based feedback on improving overall balance and gait for stroke survivors. Methods We conducted a systematic review of the literature using the following keywords to retrieve the data: feedback, biofeedback, stroke, visual, auditory, tactile, virtual reality, videogame rehabilitation, Nintendo Wii stroke, videogame stroke, exergame stroke, Nintendo Wii rehabilitation, balance, and gait. A review and meta-analysis of RCTs regarding Wii Fit-based rehabilitation accompanied by conventional therapy effects on Berg Balance Scale (BBS), Timed Up and Go (TUG), functional reach test, and gait (speed) in stroke survivors was conducted. Objective To determine the impacts of Wii Fit-based feedback combined with traditional therapy on balance and gait in stroke survivors. Results 22 studies were included. The meta-analysis results revealed statistically significant improvements in functional ambulation measured using TUG ( p < 0.0001), balance measured using BBS ( p = 0.0001), and functional reach test ( p = 0.01), but not in gait speed ( p = 0.32) following Wii Fit-based feedback. Regarding the types of feedback, significant differences were found in BBS scores when mixed visual and auditory feedback was used. Conclusion Wii Fit-based feedback has desired effects on improving balance in stroke patients, making it a suitable adjunct to physical therapy.