Evidence map›Paper›PMID 24877116›Full record

Trial reportBioMed research international2014

The efficacy of balance training with video game-based therapy in subacute stroke patients: a randomized controlled trial.

Giovanni Morone, Marco Tramontano, Marco Iosa, Jacob Shofany, Antonella Iemma, Massimo Musicco, Stefano Paolucci, Carlo Caltagirone

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BioMed research international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05856045 (Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients), which is not on this map. Cited by 41 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05856045 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Effects of Proprioceptive Neuromuscular Facilitation Exercises Versus Perturbation-based Balance Training on Balance, Coordination and Proprioception in Subacute Stroke Patients

TypeinterventionalSponsorRiphah International UniversityRan2023 to 2023Enrolled40ConditionsStrokeArmsPNF(proprioceptive neuromuscular facilitation exercises), PBBT (pertubation based balance training), PNF and PBBT intervention group
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 9 syntheses or guidelines pooled it.

  1. Virtual reality for stroke rehabilitation.The Cochrane database of systematic reviews · 2025
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  8. Virtual reality for stroke rehabilitation.The Cochrane database of systematic reviews · 2017
    Pooled it
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  10. Trial
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  14. Article
  15. Review
  16. Current Trends in Virtual Exercise Interventions Among People With Disabilities: A Scoping Review.Archives of rehabilitation research and clinical translation · 2024
    Review
  17. Review
  18. Current Trends in Balance Rehabilitation for Stroke Survivors: A Scoping Review of Experimental Studies.International journal of environmental research and public health · 2023
    Article
  19. Article
  20. Validity and reliability of a wearable-controlled serious game and goniometer for telemonitoring of wrist fracture rehabilitation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Giovanni MoroneSanta Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy ; Clinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy.ORCID 0000-0003-3602-4197
Marco TramontanoSanta Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy.
Marco IosaClinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy.ORCID 0000-0003-2434-3887
Jacob ShofanySanta Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy.
Antonella IemmaSchool of Physiotherapy, Tor Vergata University of Rome, Via Orazio Raimondo 18, 00173 Rome, Italy.
Massimo MusiccoSanta Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy.
Stefano PaolucciSanta Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy ; Clinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy.
Carlo CaltagironeSanta Lucia Foundation, I.R.C.C.S., Via Ardeatina 306, 00179 Rome, Italy ; Tor Vergata University of Rome, Via Orazio Raimondo 18, 00173 Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The video game-based therapy emerged as a potential valid tool in improving balance in several neurological conditions with controversial results, whereas little information is available regarding the use of this therapy in subacute stroke patients. The aim of this study was to investigate the efficacy of balance training using video game-based intervention on functional balance and disability in individuals with hemiparesis due to stroke in subacute phase. Fifty adult stroke patients participated to the study: 25 subjects were randomly assigned to balance training with Wii Fit, and the other 25 subjects were assigned to usual balance therapy. Both groups were also treated with conventional physical therapy (40 min 2 times/day). The main outcome was functional balance (Berg Balance Scale-BBS), and secondary outcomes were disability (Barthel Index-BI), walking ability (Functional Ambulation Category), and walking speed (10-meters walking test). Wii Fit training was more effective than usual balance therapy in improving balance (BBS: 53 versus 48, P = 0.004) and independency in activity of daily living (BI: 98 versus 93, P = 0.021). A balance training performed with a Wii Fit as an add on to the conventional therapy was found to be more effective than conventional therapy alone in improving balance and reducing disability in patients with subacute stroke.

Indexed as

Physical Therapy ModalitiesPostural BalanceStroke RehabilitationVideo GamesAgedFemaleHumansMaleMiddle AgedStroke

Identifiers

PMID24877116
PMCPMC4026958

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.