Secondary Logo

Institutional members access full text with Ovid®

Effects of Game-Based Constraint-Induced Movement Therapy on Balance in Patients with Stroke

A Single-Blind Randomized Controlled Trial

Choi, Ho-Suk, PT, MS; Shin, Won-Seob, PT, PhD; Bang, Dae-Hyouk, PT, MS; Choi, Sung-Jin, PT, MS

American Journal of Physical Medicine & Rehabilitation: March 2017 - Volume 96 - Issue 3 - p 184–190
doi: 10.1097/PHM.0000000000000567
Original Research Articles

Objective The aims of this work were to determine whether game-based constraint-induced movement therapy (CIMT) is effective at improving balance ability in patients with stroke, and to provide clinical knowledge of game-based training that allows application of CIMT to the lower extremities.

Design Thirty-six patients with chronic stroke were randomly assigned to game-based CIMT (n = 12), general game-based training (n = 12), and conventional (n = 12) groups. All interventions were conducted 3 times a week for 4 weeks. The static balance control and weight-bearing symmetry were assessed, and the Functional Reach Test (FRT), modified Functional Reach Test (mFRT), and Timed Up and Go (TUG) test were performed to evaluate balance ability.

Results All 3 groups showed significant improvement in anterior-posterior axis (AP-axis) distance, sway area, weight-bearing symmetry, FRT, mFRT, and TUG test after the intervention (P < 0.05). Post hoc analysis revealed significant differences in AP-axis, and sway area, weight-bearing symmetry of the game-based CIMT group compared with the other group (P < 0.05).

Conclusions Although the general game-based training and the game-based CIMT both improved on static and dynamic balance ability, game-based CIMT had a larger effect on static balance control, weight-bearing symmetry, and side-to-side weight shift.

From the Department of Physical Therapy, Graduate School of Daejeon University, Daejeon, Republic of Korea.

All correspondence and requests for reprints should be addressed to: Won-Seob Shin, PT, PhD, Department of Physical Therapy, Daejeon University, 62 Daehak-ro, Dong-gu, Daejeon, 300–716, Republic of Korea.

The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.