ABSTRACT

Objective : The purpose of this study was to investigate the effect of virtual reality environmental training as a health management method for balance proficiency, physical self-efficacy, and degree of life satisfaction of clients with chronic lower back pain. Methods : A single-subject experimental design was used to identify changes through sessions focusing on balance proficiency. In addition, a pre- and post-test experimental design was used with a focus on balance proficiency, physical self-efficacy, degree of life satisfaction, and level of pain. Eight subjects performed the virtual reality environmental training. The subjects performed three activities of Nintendo Wii Sports programs chosen by themselves during a period of forty-five minutes, three times a week. During the baseline and treatment phase, the evaluator measured the patients' balance proficiency and pain for every session. And measured the physical self-efficacy and degree of life satisfaction before the baseline and after the treatment. Results : The balance proficiency of clients with chronic back pain was maintained and improved during the treatment sessions with the exception of the right leg stances of two subjects. The physical self-efficacy and degree of life satisfaction were improved but the pain continued. Conclusions : This research suggested the capability of the Nintendo Wii Sports game as a new health management method to maintain and improve balance proficiency, physical self-efficacy, and degree of life satisfaction.