Abstract：
Stroke is one of the most widespread reasons for acquired adult disability. Recent experimental studies have reported the beneficial influence of Wii Fit-based feedback on improving overall balance and gait for stroke survivors.
We conducted a systematic review of the literature using the following keywords to retrieve the data: feedback, biofeedback, stroke, visual, auditory, tactile, virtual reality, videogame rehabilitation, Nintendo Wii stroke, videogame stroke, exergame stroke, Nintendo Wii rehabilitation, balance, and gait. A review and meta-analysis of RCTs regarding Wii Fit-based rehabilitation accompanied by conventional therapy effects on Berg Balance Scale (BBS), Timed Up and Go (TUG), functional reach test, and gait (speed) in stroke survivors was conducted.
To determine the impacts of Wii Fit-based feedback combined with traditional therapy on balance and gait in stroke survivors.
22 studies were included. The meta-analysis results revealed statistically significant improvements in functional ambulation measured using TUG (p < 0.0001), balance measured using BBS (p = 0.0001), and functional reach test (p = 0.01), but not in gait speed (p = 0.32) following Wii Fit-based feedback. Regarding the types of feedback, significant differences were found in BBS scores when mixed visual and auditory feedback was used.
Wii Fit-based feedback has desired effects on improving balance in stroke patients, making it a suitable adjunct to physical therapy.
We conducted a systematic review of the literature using the following keywords to retrieve the data: feedback, biofeedback, stroke, visual, auditory, tactile, virtual reality, videogame rehabilitation, Nintendo Wii stroke, videogame stroke, exergame stroke, Nintendo Wii rehabilitation, balance, and gait. A review and meta-analysis of RCTs regarding Wii Fit-based rehabilitation accompanied by conventional therapy effects on Berg Balance Scale (BBS), Timed Up and Go (TUG), functional reach test, and gait (speed) in stroke survivors was conducted.
To determine the impacts of Wii Fit-based feedback combined with traditional therapy on balance and gait in stroke survivors.
22 studies were included. The meta-analysis results revealed statistically significant improvements in functional ambulation measured using TUG (p < 0.0001), balance measured using BBS (p = 0.0001), and functional reach test (p = 0.01), but not in gait speed (p = 0.32) following Wii Fit-based feedback. Regarding the types of feedback, significant differences were found in BBS scores when mixed visual and auditory feedback was used.
Wii Fit-based feedback has desired effects on improving balance in stroke patients, making it a suitable adjunct to physical therapy.
摘要：
背景：卒中是成人获得性残疾最普遍的原因之一。最近的实验研究报告了基于WiiFit的反馈对改善中风幸存者的整体平衡和步态的有益影响。
方法：我们使用以下关键字对文献进行了系统回顾，以检索数据：反馈，生物反馈,中风,视觉，听觉,触觉,虚拟现实,电子游戏康复，任天堂Wii中风，电子游戏中风，exergamestroke,任天堂Wii康复，balance,和步态。Berg平衡量表（BBS）关于WiiFit为基础的康复伴随常规治疗效果的RCT的回顾和荟萃分析，定时和去（TUG），功能达到测试，并对中风幸存者进行步态(速度)。
目的：确定基于WiiFit的反馈结合传统疗法对中风幸存者平衡和步态的影响。
结果：纳入22项研究。荟萃分析结果显示，使用TUG测量的功能性步行有统计学意义的改善（p<0.0001），使用BBS测量的天平(p=0.0001)，和功能达到测试(p=0.01)，但不是在基于WiiFit的反馈之后的步态速度(p=0.32)。关于反馈的类型，当使用视觉和听觉混合反馈时,BBS评分存在显著差异.
结论：基于WiiFit的反馈对改善中风患者的平衡具有预期效果，使其成为物理治疗的合适辅助手段。
方法：我们使用以下关键字对文献进行了系统回顾，以检索数据：反馈，生物反馈,中风,视觉，听觉,触觉,虚拟现实,电子游戏康复，任天堂Wii中风，电子游戏中风，exergamestroke,任天堂Wii康复，balance,和步态。Berg平衡量表（BBS）关于WiiFit为基础的康复伴随常规治疗效果的RCT的回顾和荟萃分析，定时和去（TUG），功能达到测试，并对中风幸存者进行步态(速度)。
目的：确定基于WiiFit的反馈结合传统疗法对中风幸存者平衡和步态的影响。
结果：纳入22项研究。荟萃分析结果显示，使用TUG测量的功能性步行有统计学意义的改善（p<0.0001），使用BBS测量的天平(p=0.0001)，和功能达到测试(p=0.01)，但不是在基于WiiFit的反馈之后的步态速度(p=0.32)。关于反馈的类型，当使用视觉和听觉混合反馈时,BBS评分存在显著差异.
结论：基于WiiFit的反馈对改善中风患者的平衡具有预期效果，使其成为物理治疗的合适辅助手段。
