Applied COP-Based MMSE Method and Modular Interactive Tiles on Postural Stability Enhance in Patients with Chronic Stroke: A Pilot Study

The ability to maintain postural stability is essential in our daily lives. Relatedly, hemiparetic stroke patients have a very high risk of falls. This study aimed to improve the traditional rehabilitation treatment for stroke patients with hemiparesis by providing a virtual reality (VR) feedback system with modular interactive tiles (MITs) to enhance their postural stability and thus prevent falls. The data collected included pre-test and post-test Berg Balance Scale (BBS) values, and complexity index (CI) values for center of pressure (COP) data based on multiscale entropy (MSE) and multivariate multiscale entropy (MMSE) at the 12-week exercise program. Higher BBS and CI values indicate better postural stability, and the results showed that the exercise program yielded significant improvements in postural stability. The mean pre-test BBS value of 51.67 ± 3.12 increased to 53.83 ± 2.17 (p < 0.05), and the mean CI of MMSE value increased by 14.8% (p < 0.01). We confirmed that this training program including MITs is beneficial to the rehabilitation of stroke patients. More specifically, the MITs training program positively affected the CI of MMSE values, and the affected result similar to the BBS values of the patients, indicating their improved balance and ability to avoid falls.