Title: Influence of Interactive Therapy on Improving Balance Outcomes in Patients with Multiple Sclerosis
Authors: Wanees M Badawy, Hoda M Zakaria, Bassam A El-Nassag
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.43
Abstract
Background: Multiple sclerosis (MS) is a chronic progressive auto-immune disease that results in demyelination of the central nervous system. The symptoms and complications in addition to impairments and disability in MS patient often reduce the balance outcomes.
Purpose: To determine the influence of using the Wii interactive video game as a treatment program to improve the balance outcomes in MS patient.
Materials and methods: Thirty MS patients were randomly allocated to two equal groups. The control group received a traditional balance program for 45 minutes and the study group received a virtual reality rehabilitation based on the Nintendo® Wii Balance Board® (WBB) for 30 minutes in addition to the balance exercises given to the control group. The training was three times per week for 4 successive weeks.
The outcome measures: Berg Balance Scale (BBS), Timed Up and Go test (TUG), the overall dynamic limits of stability measured by the Biodex Balance System, and the Activities-Specific Balance Confidence Scale (ABC).
Results: There was an improvement in all measures in both groups. But the improvement in the balance outcomes was more in the study group.
Conclusion: Wii rehabilitation appears to be a useful tool in improving balance outcomes in MS. Further studies have to be carried out to assess the retention of results and generalization.
Keywords: Multiple sclerosis, Balance, Wii interactive video game
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