Comparison of the Effects of Balance Exercises and Video Game-Based (Exergame) Exercises in Hemiplegia Rehabilitation
Hemiplegia rehabilitation is a long and demanding process, but with the right approach and patience, it is possible to regain lost functions and improve quality of life. Balance plays a critical role in helping stroke survivors regain independence. This randomized controlled study aims to compare the effects of balance exercises and video-based exergame training, in addition to conventional physiotherapy, on lower extremity functionality, balance, gait, daily living activities, quality of life, and fear of falling in patients with hemiplegia following stroke. A minimum of 30 eligible participants will be randomly assigned to two groups: Group 1 (Balance Exercise Group): Conventional physiotherapy plus balance exercises. Group 2 (Exergame Group): Conventional physiotherapy plus video-based exergame sessions using the Nintendo Switch Ring Fit Adventure. Both interventions will be conducted twice a week for four weeks under the supervision of a physiotherapist. Assessments will be performed before and after the intervention using standardized scales.
• Aged between 25 and 70 years.
• Have experienced either hemorrhagic or ischemic stroke.
• At least six months have passed since the stroke event.
• Have a Modified Rankin Scale score of 2 or 3.
• Able to stand independently.
• Able to walk at least 10 meters independently or with an assistive device.
• Able to sit and stand up independently.
• Have a Brunnstrom stage of at least 4 in both upper and lower extremities.
• Have a Brunnstrom stage of at least 3 in the hand.
• Have a Mini-Mental State Examination score greater than 24.
• Willing to voluntarily participate in the study.