Wii Fit-Based Biofeedback Rehabilitation Among Post-Stroke Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trial.

BACKGROUND: Stroke is one of the most widespread reasons for acquired adult disability. Recent experimental studies have reported the beneficial influence of Wii Fit-based feedback on improving overall balance and gait for stroke survivors. METHODS: We conducted a systematic review of the literature using the following keywords to retrieve the data: feedback, biofeedback, stroke, visual, auditory, tactile, virtual reality, videogame rehabilitation, Nintendo Wii stroke, videogame stroke, exergame stroke, Nintendo Wii rehabilitation, balance, and gait. A review and meta-analysis of RCTs regarding Wii Fit-based rehabilitation accompanied by conventional therapy effects on Berg Balance Scale (BBS), Timed Up and Go (TUG), functional reach test, and gait (speed) in stroke survivors was conducted. OBJECTIVE: To determine the impacts of Wii Fit-based feedback combined with traditional therapy on balance and gait in stroke survivors. RESULTS: 22 studies were included. The meta-analysis results revealed statistically significant improvements in functional ambulation measured using TUG (p < 0.0001), balance measured using BBS (p = 0.0001), and functional reach test (p = 0.01), but not in gait speed (p = 0.32) following Wii Fit-based feedback. Regarding the types of feedback, significant differences were found in BBS scores when mixed visual and auditory feedback was used. CONCLUSION: Wii Fit-based feedback has desired effects on improving balance in stroke patients, making it a suitable adjunct to physical therapy.

On-body calibration and measurements using personal radiofrequency exposimeters in indoor diffuse and specular environments.

For the first time, response of personal exposimeters (PEMs) is studied under diffuse field exposure in indoor environments. To this aim, both numerical simulations, using finite-difference time-domain method, and calibration measurements were performed in the range of 880-5875 MHz covering 10 frequency bands in Belgium. Two PEMs were mounted on the body of a human male subject and calibrated on-body in an anechoic chamber (non-diffuse) and a reverberation chamber (RC) (diffuse fields). This was motivated by the fact that electromagnetic waves in indoor environments have both specular and diffuse components. Both calibrations show that PEMs underestimate actual incident electromagnetic fields. This can be compensated by using an on-body response. Moreover, it is shown that these responses are different in anechoic chamber and RC. Therefore, it is advised to use an on-body calibration in an RC in future indoor PEM measurements where diffuse fields are present. Using the response averaged over two PEMs reduced measurement uncertainty compared to single PEMs. Following the calibration, measurements in a realistic indoor environment were done for wireless fidelity (WiFi-5G) band. Measured power density values are maximally 8.9 mW/m(2) and 165.8 µW/m(2) on average. These satisfy reference levels issued by the International Commission on Non-Ionizing Radiation Protection in 1998. Power density values obtained by applying on-body calibration in RC are higher than values obtained from no body calibration (only PEMs) and on-body calibration in anechoic room, by factors of 7.55 and 2.21, respectively. Bioelectromagnetics. 37:298-309, 2016. © 2016 Wiley Periodicals, Inc.