İNME HASTALARINDA NİNTENDO Wİİ OYUNLARININ DENGE VE ÜST EKSTREMİTE FONKSİYONLARINA ETKİSİ

Abstract

Purpose: The aim of this study was to investigate of the effects of Nintendo Wii (N-Wii) games on balance and upper extremity functions in patients with stroke. Methods: The study was performed with 42 stroke patients age between 18-85 years. The patients were divided to two groups: N-Wii group (n=20) and Bobath Neurodevelopmental treatment (NDT) group (n=22). Fugl-Meyer Motor Function Test and The Disabilities of the Arm, Shoulder, Hand Questionnaire (DASH) were used to evaluate the upper extremity functions and Postural Assessment Stroke Scale (PASS), Functional Reach Test (FRT) and Time up and go test (TUG) were used to evaluate functional balance and postural alignment. After the first evaluation, the treatment program was applied to the patients for 10 weeks. N-Wii games were applied for the patients in N-Wii group for 10 weeks/5 days/1 hour. Functional exercises were applied for the Bobath NDT group for 10 weeks/5 days/1 hour. Results: A statisticallly significant improvements were detected in Fugl-Meyer, DASH, PASS, FUT, TUG tests in both groups (p<0.05). Improvement in DASH, PASS and FUT tests score were superios in N-Wii group when compared to NDT group (p<0.05). Fugl-Meyer and TUG were not different between the groups (p>0.05). Conclusion: Present results demonstrated that N-Wii games have increased arm activities, weight bearing, reach, moving ability more than Bobath NDT approaches in stroke patients.