Résumé des données probantes
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J'ai compris, masquez ceciIn adults with brain injuries, video game–based treatment improves functioning more than usual treatment
Saywell N, Taylor N, Rodgers E, et al. Les interventions fondées sur le jeu améliorent la fonction physique des personnes atteintes de lésions cérébrales acquises à l'âge adulte: une revue systématique et méta-analyse d'essais contrôlés randomisés. Clin Rehabil. 2016 Feb 11. [Epub ahead of print]
Review question
In people who acquire brain injuries during adulthood, does video game–based treatment improve functioning more than usual treatment?
Background
Injuries to the brain can happen with physical trauma, such as a car accident or fall, or with a medical emergency, such as a stroke. Symptoms of brain injury can include changes in vision, hearing, or other senses; difficulty thinking, remembering, sleeping, or talking; problems with balance or mood; paralysis; and seizures.
Rehabilitation that includes physical therapy and speech therapy often helps with long-term recovery from brain injuries. Repetitive activities may help with recovery, but they are time-consuming and often boring.
How the review was done
The researchers did a systematic review based on studies available up to November 2015.
They found 30 randomized controlled trials with 822 people.
The key features of the studies were:
- people were 21 to 85 years of age;
- most studies included people who had strokes, many of whom had weakness on one side of their bodies;
- people had had their injuries 11 days to 9 years before the study;
- video game–based exercises included electronic gaming systems such as Nintendo Wii, IREX VR, Sony Playstation Eyetoy, Xbox Kinect, TheraDrive Therapy Games, T-WREX, Rutgers Ankle Rehabilitation System, robotic platforms, and customized systems;
- people participated in video game–based exercises for 30 minutes to 1 hour, 3 to 5 times each week, for 1 day to 9 weeks; and
- play-based exercises were compared with usual treatment or no treatment.
What the researchers found
Of the 30 studies, 13 were of high quality and 17 were of moderate quality.
Compared with usual treatment or no treatment, play-based treatments improved
- arm functioning;
- walking ability and speed;
- balance;
- independence; and
- functioning.
Conclusion
In people who acquire brain injuries during adulthood, video game–based treatment improves functioning more than usual treatment.
Video game–based treatments vs usual treatment or no treatment for brain injuries acquired during adulthood
| Outcomes | Number of trials | Effect of treatment* |
| Arm functioning | 9 | Small improvement |
| Walking ability and speed | 10 | Small improvement |
| Balance | 8 | Medium improvement |
| Independence | 10 | Medium improvement |
| General physical functioning | 7 | Small improvement |
Related Topics
Glossaire
Studies where people are assigned to one of the treatments purely by chance.
A comprehensive evaluation of the available research evidence on a particular topic.
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