Effect of virtual reality on balance and gait speed in individuals after stroke: case series study

Authors

  • Inês Rodrigues Escola Superior de Tecnologia da Saúde de Lisboa
  • Beatriz Fernandes H&TRC – Health & Technology Research Center, ESTeSL – Escola Superior de Tecnologia da Saúde, Instituto Politécnico de Lisboa. Lisboa, Portugal.

DOI:

https://doi.org/10.25758/set.864

Keywords:

Stroke, Balance, Rehabilitation, Virtual reality

Abstract

Introduction Stroke is a neurological condition that leads to changes in balance and functional limitations. Many individuals do not recover independence in activities of daily living, interfering with their quality of life, which highlights the need to look for strategies to promote motor function improvement. Virtual reality (VR) is an innovative intervention for the rehabilitation of neurological patients, as it promotes motivation and pleasure in performing specific tasks. Purpose – To identify the effects of VR-based therapy on balance and gait speed in individuals after stroke. Methods A case series study which included two participants from a stroke population with balance deficits, who underwent a VR-based intervention using the Wii console and the Wii Balance Board platform, three sessions per week, for twelve weeks. Three assessment moments were carried out using the Berg Balance Scale, the Timed Up and Go Test, and the 4-meter gait speed test. Results At the end of the twelve weeks, all the participants showed improvements in the scores of the three tests. Conclusion The results obtained allow us to conclude that the program based on VR, using Wii console games, provided an improvement in balance and gait speed in two individuals after stroke. This suggests that experimental studies should be carried out to validate these results and strengthen the potential for associating this intervention with conventional therapy.

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References

Aho K, Harmsen P, Hatano S, Marquardsen J, Smirnov VE, Strasser T. Cerebrovascular disease in the community: results of a WHO collaborative study. Bull World Health Organ. 1980;58(1):113-30.

Fishbein P, Hutzler Y, Ratmansky M, Treger I, Dunsky A. A preliminary study of dual-task training using virtual reality: influence on walking and balance in chronic poststroke survivors. J Stroke Cerebrovasc Dis. 2019;28(11):104343.

Marques-Sule E, Arnal-Gómez A, Buitrago-Jiménez G, Suso-Martí L, Cuenca-Martínez F, Espí-López GV. Effectiveness of Nintendo Wii and physical therapy in functionality, balance, and daily activities in chronic stroke patients. J Am Med Dir Assoc. 2021;22(5):1073-80.

Demeco A, Zola L, Frizziero A, Martini C, Palumbo A, Foresti R, et al. Immersive virtual reality in post-stroke rehabilitation: a systematic review. Sensors (Basel). 2023;23(3):1712.

Schiavinato AM, Machado BC, Pires MA, Baldan C. Influência da realidade virtual no equilíbrio de paciente portador de disfunção cerebelar: estudo de caso [Virtual reality influence on balance of patient with cerebelar dysfunction: case study]. Rev Neurocienc. 2011;19(1):119-27. Portuguese

Karasu AU, Batur EB, Karataş GK. Effectiveness of Wii-based rehabilitation in stroke: a randomized controlled study. J Rehabil Med. 2018;50(5):406-12.

Madhavan S, Pradhan S. Relationship between Nintendo's Wii balance board derived variables and clinical balance scores in individuals with stroke. Gait Posture. 2020;79:170-4.

Bang YS, Son KH, Kim HJ. Effects of virtual reality training using Nintendo Wii and treadmill walking exercise on balance and walking for stroke patients. J Phys Ther Sci. 2016;28(11):3112-5.

Mósca E. Contributo para a validação à população portuguesa da escala de equilíbrio de Berg. Alcoitão: Escola Superior de Saúde do Alcoitão; 2001.

Berg KO, Maki BE, Williams JI, Holliday PJ, Wood-Dauphinee SL. Clinical and laboratory measures of postural balance in an elderly population. Arch Phys Med Rehabil. 1992;73(11):1073-80.

Berg KO, Wood-Dauphinee SL, Williams JI, Maki B. Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992;83 Suppl 2:S7-11.

Podsiadlo D, Richardson S. The timed ‘Up & Go’: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8.

Bonnyaud C, Pradon D, Zory R, Bensmail D, Vuillerme N, Roche N. Gait parameters predicted by Timed Up and Go performance in stroke patients. NeuroRehabilitation. 2015;36(1):73-80.

Silva LV, Pereira PC, Oliveira LH, Rosa MA. Valores normativos e variabilidade de aplicação do teste Timed Up and Go em idosos: uma revisão de literatura. Artigos.com. 2019;10:e2324.

Ng SS, Hui-Chan CW. The Timed Up & Go Test: its reliability and association with lower-limb impairments and locomotor capacities in people with chronic stroke. Arch Phys Med Rehabil. 2005;86(8):1641-7.

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.

Fernández-Huerta L, Córdova-León K. Reliability of two gait speed tests of different timed phases and equal non-timed phases in community-dwelling older persons. Medwave. 2019;19(3):e7611.

Cabanas-Valdés R, García-Rueda L, Salgueiro C, Pérez-Bellmunt A, Rodríguez-Sanz J, López-de-Celis C. Assessment of the 4-meter walk test test-retest reliability and concurrent validity and its correlation with the five sit-to-stand test in chronic ambulatory stroke survivors. Gait Posture. 2023;101:8-13.

Coutinho NB, Mendes PV, Sime MM. A influência do uso do Nintendo WII® na reabilitação de um paciente com sequelas de acidente vascular cerebral: um estudo de caso [The influence of the use of Nintendo Wii® in a rehabilitation process of a patient with stroke sequels: a case study]. REVISBRATO – Rev Interinst Bras Ter Ocup. 2020;4(1):81-9. Portuguese

Kwakkel G, van Peppen R, Wagenaar RC, Dauphinee SW, Richards C, Ashburn A, et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke. 2004;35(11):2529-39.

Ribeiro NM, Ferraz DD, Pedreira É, Pinheiro Í, Pinto AC, Neto MG, et al. Virtual rehabilitation via Nintendo Wii® and conventional physical therapy effectively treat post-stroke hemiparetic patients. Top Stroke Rehabil. 2015;22(4):299-305.

Lopes SM, Ribeiro BF, Corrêa LN, Batista MG, Fonseca BG, Santos CM, et al. Os efeitos da realidade virtual para reabilitação de pacientes pós AVE [The effects of virtual reality for rehabilitation of post stroke patients]. Braz J Dev. 2023;9(1):5733-48. Portuguese

Lee HY, Kim YL, Lee SM. Effects of virtual reality-based training and task-oriented training on balance performance in stroke patients. J Phys Ther Sci. 2015;27(6):1883-8.

Yatar GI, Yildirim SA. Wii Fit balance training or progressive balance training in patients with chronic stroke: a randomised controlled trial. J Phys Ther Sci. 2015;27(4):1145-51.

Navakkode S, Kennedy BK. Neural ageing and synaptic plasticity: prioritizing brain health in healthy longevity. Front Aging Neurosci. 2024;16:1428244.

Gazerani P. The neuroplastic brain: current breakthroughs and emerging frontiers. Brain Res. 2025;1858:149643.

Published

2025-08-25

Issue

Section

Artigos

How to Cite

Effect of virtual reality on balance and gait speed in individuals after stroke: case series study. (2025). Saúde & Tecnologia, e864. https://doi.org/10.25758/set.864