Comparison of Two Different Virtual Reality Methods in Patients With Multiple Sclerosis
Condition: Multiple Sclerosis
MeSH terms: Multiple Sclerosis; Sclerosis
Study type: Interventional

Summary: 
      As a chronic, autoimmune, inflammatory disease of the central nervous system, Multiple
      Sclerosis (MS) is a neurologic problem which the most frequent cause of disability in young
      adults. Fatigue, pain, spasticity, muscle weakness, depression, as well as balance and gait
      disorders are amongst the symptoms of MS. Balance disorders and the falls caused by them are
      the most frequent problems which result in disability of MS patients, with 75% of all
      patients being affected during the course of disease. When considering previous studies
      carried out on physiotherapy and rehabilitation practices in the light of balance disorders
      and other related problems faced by MS patients, it can been that various physiotherapeutic
      approaches are applied with varying follow-up times and in the form of hospital sessions,
      home sessions, or group training. Posture and balance problems in MS patients are tried to be
      solved through long-lasting treatment sessions using traditional methods of physiotherapy,
      where less patient participation is observed. Fatigue, psychological impairment, and
      insufficient motivation are other aspects which influence the success of treatment and which
      need to be addressed in MS patients. In contrast to traditional methods of physiotherapy
      applied in form of long-lasting treatment sessions, technology-supported rehabilitation
      approaches have emerged in recent years. It can be seen that different systems have started
      to be employed in the physiotherapy of many chronic diseases, either alone or in company with
      traditional methods. Even though the clinical use of these systems is becoming widespread,
      there are certain gaps in terms of the systems' impacts, comparative advantages, or cost
      effectiveness. Keeping this in mind, the purpose of this study is to investigate and compare
      the impacts of 'Nintendo Wii Fit' and 'Balance Trainer', as two of the technologic methods
      with therapeutic impact which have started to be used for different diagnosis groups in
      recent years, on the balance and posture parameters of MS patients, with the ultimate aim to
      introduce a whole new point of view to traditional physiotherapy and rehabilitation studies.
    


Intervention name(s): Nintendo Wii Fit Balance exercises; Balance Trainer Balance Exercises
Intervention type(s): Other; Other
Intervention description(s): Nintendo Wii Fit' training protocol consisted of 'Penguin Slide', 'Table Tilt', 'Ski Slalom', 'Heading' and 'Balance Bubble' games that selected from the Wii Fit Plus balance games section; Balance Trainer' training protocol consisted of 'Collect Apples', 'Outline', 'Paddle War' and 'Evaluation of Movement' games which were included in the device software and allowed the patients to done balance exercises in different directions.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Multiple Sclerosis; rehabilitation; postural balance; exercise