Abstract:
Objective: To assess the efficacy of Constraint
Induced Movement Therapy (CIMT) based
"motion capture/Augmented Reality (AR)"
Rehabilitation using Nintendo Wii with
conventional physiotherapy for the upper limb post
stroke in terms of the upper extremity modalities of
Barthel Index.
Methodology: This randomized controlled trial
was conducted at the Physiotherapy department,
Holy Family Hospital, Rawalpindi from March 2015
to March 2016.40 stroke patients were recruited
and were divided into "study" and "control" groups.
Stroke type and hemisphere involved, time since
stroke, handedness and blood pressure as well as
scores of Barthel index of both the groups were
recorded. The control group received conventional
physiotherapy and the study group engaged in
CIMT augmented by Nintendo Wii based Augmented Reality Rehabilitation for the upper
extremity. Four sessions per week for four weeks
were given and the above parameters were
recorded post-intervention.
Results: Both the control and study groups
showed marked improvement in all parameters
post-intervention. The difference of the average
scores of Barthel Index amongst the control and
study groups was highly significant (p<0.001).
Conclusion: CIMT based Augmented Reality
Rehabilitation employing Nintendo Wii is an
effective means of rehabilitation for upper
extremity motor function improvement in addition
to Activities of Daily Living parameters in stroke
patients.