The effects of using nintendo wii exergames on hand function and depression in post-stroke: A pilot study

Abstract

Background/Objectives: Previous studies have not clearly identified whether the Nintendo Wii is effective in improving hand function and reducing depression after stroke. Thus, the aim of this pilot study was to examine the effect of upper limb training using the Wii on hand function and depression in patients with stroke. Methods/Statistical Analysis: A total of 16 patients with acute stroke were randomly assigned to either the Wii group (n=8) or the control group (n=8). In both groups, conventional occupational therapy was performed 30 min/day, five times a week, for 4 weeks. In the Wii group, upper limb training using the Wii was additionally performed for 30 min. The control group received the usual care. The Jebsen-Taylor Hand Function Test (JTHFT) was performed to measure hand function. Depression level was assessed using the Beck Depression Inventory (BDI). Statistical analysis was performed using a Wilcoxon signed-rank test, chi-square test, and Mann-Whitney U test. Findings: Both groups showed a significant improvement in JTHFT scores,but BDI scores were not significantly improved after the intervention. There was no significant difference between the two groups after the intervention. Conclusions: The results of this pilot study suggest that Wii training does not seem to improve depression in post-stroke patients.