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Open Access

Can virtual reality balance games enhance activities of daily living among stroke survivors?

  • Devinder Kaur Ajit Singh1,
  • Nor Azlin Mohd Nordin1Email author,
  • Noor Azah Aziz2,
  • Siti Norfadilah Abu Zarim3,
  • Lim Beng Kooi1 and
  • Soh Li Ching1
BMC Public Health201414(Suppl 1):P19

Published: 29 January 2014


Stroke survivors with residual physical disabilities are reported to have decreased muscle strength and balance. Balance ability is one of the prerequisite for performing activities of daily living independently. Virtual reality balance games performed in the community based rehabilitation settings may be beneficial for stroke survivors to improve their functional balance resulting in increased independence in activities of daily living. The aim of this study was to evaluate the use of virtual reality balance games in improving activities of daily living among stroke survivors.

Materials and methods

This pre-test and post-test study involved 15 and 13 participants in the experimental and control group, respectively from two stroke community-based rehabilitation centres. Experimental group had 1.5 hour of standard physiotherapy exercises with an added half an hour of virtual reality balance games as an intervention. The control group continued their 2 hours of standard physiotherapy exercises. Interventions were performed for 6 weeks in a twice a week session. Barthel index was used to evaluate activities of daily living for pre and post intervention.


The results showed significant main effect of group on Barthel index score, F(1, 25) =5.53, p=0.04.


These results suggested that virtual reality balance games as an added activity to standard physiotherapy compared to standard physiotherapy alone was beneficial in enhancing activities of daily living among community dwelling stroke survivors.

Authors’ Affiliations

Faculty of Health Sciences, University Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz
Faculty of Medicine, University Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz
Department of Medical Rehabilitation, University Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz


© Singh et al; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.