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Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury

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Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury

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dc.contributor.author Gil-Gómez, José-Antonio es_ES
dc.contributor.author Llorens Rodríguez, Roberto es_ES
dc.contributor.author Alcañiz Raya, Mariano Luis es_ES
dc.contributor.author Colomer Font, Carolina es_ES
dc.date.accessioned 2013-05-13T14:18:00Z
dc.date.available 2013-05-13T14:18:00Z
dc.date.issued 2011
dc.identifier.issn 1743-0003
dc.identifier.uri http://hdl.handle.net/10251/28795
dc.description.abstract Background: Acquired brain injury (ABI) is the main cause of death and disability among young adults. In most cases, survivors can experience balance instability, resulting in functional impairments that are associated with diminished health-related quality of life. Traditional rehabilitation therapy may be tedious. This can reduce motivation and adherence to the treatment and thus provide a limited benefit to patients with balance disorders. We present eBaViR (easy Balance Virtual Rehabilitation), a system based on the Nintendo¿ Wii Balance Board¿ (WBB), which has been designed by clinical therapists to improve standing balance in patients with ABI through motivational and adaptative exercises. We hypothesize that eBaViR, is feasible, safe and potentially effective in enhancing standing balance. Methods. In this contribution, we present a randomized and controlled single blinded study to assess the influence of a WBB-based virtual rehabilitation system on balance rehabilitation with ABI hemiparetic patients. This study describes the eBaViR system and evaluates its effectiveness considering 20 one-hour-sessions of virtual reality rehabilitation (n = 9) versus standard rehabilitation (n = 8). Effectiveness was evaluated by means of traditional static and dynamic balance scales. Results: The final sample consisted of 11 men and 6 women. Mean ±SD age was 47.3 ± 17.8 and mean SD chronicity was 570.9 ± 313.2 days. Patients using eBaViR had a significant improvement in static balance (p = 0.011 in Berg Balance Scale and p = 0.011 in Anterior Reaches Test) compared to patients who underwent traditional therapy. Regarding dynamic balance, the results showed significant improvement over time in all these measures, but no significant group effect or group-by-time interaction was detected for any of them, which suggests that both groups improved in the same way. There were no serious adverse events during treatment in either group. Conclusions: The results suggest that eBaViR represents a safe and effective alternative to traditional treatment to improve static balance in the ABI population. These results have encouraged us to reinforce the virtual treatment with new exercises, so an evolution of the system is currently being developed. © 2011 Gil-Gómez et al; licensee BioMed Central Ltd. es_ES
dc.description.sponsorship This study was funded in part by Ministerio de Educacion y Ciencia Spain, Projects Consolider-C (SEJ2006-14301/PSIC), "CIBER of Physiopathology of Obesity and Nutrition, an initiative of ISCIII" and the Excellence Research Program PROMETEO (Generalitat Valenciana. Conselleria de Educacion, 2008-157). en_EN
dc.language Inglés es_ES
dc.publisher BioMed Central es_ES
dc.relation info:eu-repo/grantAgreement/MEC//SEJ2006-14301/ES/NUEVAS TECNOLOGIAS DE LA INFORMACION Y LA COMUNICACION: INTEGRACION Y CONSOLIDACION DE SU USO EN CIENCIAS SOCIALES PARA MEJORAR LA SALUD, LA CALIDAD DE VIDA Y EL BIENESTAR./ es_ES
dc.relation CIBER of Physiopathology of Obesity and Nutrition, an initiative of ISCIII es_ES
dc.relation Excellence Research Program PROMETEO (Generalitat Valenciana. Conselleria de Educacion) 2008-157 es_ES
dc.relation.ispartof Journal of NeuroEngineering and Rehabilitation es_ES
dc.rights Reconocimiento (by) es_ES
dc.subject.classification EXPRESION GRAFICA EN LA INGENIERIA es_ES
dc.subject.classification LENGUAJES Y SISTEMAS INFORMATICOS es_ES
dc.title Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1186/1743-0003-8-30
dc.rights.accessRights Abierto es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Ingeniería Gráfica - Departament d'Enginyeria Gràfica es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Sistemas Informáticos y Computación - Departament de Sistemes Informàtics i Computació es_ES
dc.description.bibliographicCitation Gil-Gómez, J.; Llorens Rodríguez, R.; Alcañiz Raya, ML.; Colomer Font, C. (2011). Effectiveness of a Wii balance board-based system (eBaViR) for balance rehabilitation: a pilot randomized clinical trial in patients with acquired brain injury. Journal of NeuroEngineering and Rehabilitation. 8(30):1-9. https://doi.org/10.1186/1743-0003-8-30 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://dx.doi.org/10.1186/1743-0003-8-30 es_ES
dc.description.upvformatpinicio 1 es_ES
dc.description.upvformatpfin 9 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 8 es_ES
dc.description.issue 30 es_ES
dc.relation.senia 206798
dc.identifier.pmid 21600066 en_EN
dc.identifier.pmcid PMC3120756 en_EN
dc.contributor.funder Ministerio de Educación y Ciencia es_ES
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