Xbox-Kinect for balance, motor function, functional status and muscle tone in post-stroke patients
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Abstract
Stroke is an acute onset focal neurological dysfunction caused by cerebral vascular lesion, becoming the first cause of death worldwide and the third cause of disability in survivors, with motor and cognitive alterations, such as hemiplegia, spasticity, muscle weakness and loss of balance. The use of active virtual reality-based games has been used as a treatment for vestibular disorders, balance disorders and stroke. The Xbox 360/Kinect is a device that employs a camera to enable the gaming experience without the need for a physical controller, allowing cognitive decisions to be induced through visual stimuli. The objective of this review was to analyze the effects of the Xbox/Kinect on the rehabilitation of balance, motor function, functional status, and muscle tone in stroke survivors. This review followed the methodological process of the Prisma guidelines. Ten studies were selected from the scientific databases PubMed, Scopus, PEDro for analysis. The main results in four studies addressed three of the variables raised. However, only the effect of the Xbox/Kinect intervention on motor function stands out in most studies followed by balance. In conclusion, the Xbox/Kinect is an innovative complementary method that does not replace other physical therapy modalities, improves patient adherence to treatment thus optimizing neuroplasticity through repetitive activities.
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