Clinical feasibility of the Nintendo Wii™ for balance training post-stroke: a phase II randomized controlled trial in an inpatient setting

Bower, Kelly J; Clark, Ross; McGinley, Jennifer; Martin, Clarissa; Miller, Kimberly J.

doi:10.1177/0269215514527597

Cited by 83 publications

(69 citation statements)

References 31 publications

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“…Contrary to our findings, an RCT showed that improvements in functional balance were significantly higher in Wii group [22]. Also Wii Fit training proved to be more effective than usual balance therapy in improving functional balance (Berg Balance Schale) and independence in activity of daily living (Barthel index) [19].…”

Section: Discussioncontrasting

confidence: 99%

A Prospective, Randomized Trial to Evaluate the Efficacy of Virtual Reality Treatment Versus Traditional Balance Treatment in Patients with Stroke

Sipos¹,

Hőgye²,

Vekerdy-Nagy³

2016

JSS

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Abstract:Recovery from stroke needs different time and speed in every case depending on the brain capacity of neural plasticity. Based on neurophysiological researches high repetition of practice is required to induce neuroplastic changes and functional recovery of motor deficits. However, data from earlier studies shows that stroke patients generally perform a very limited number of movement repetitions in traditional therapy sessions. Virtual Reality therapy was found to be beneficial in improving trunk, hand, upper and lower extremity functions. However, reviews found no definitive conclusions regarding balance. The present study focuses on evaluating the efficacy of Nintendo Wii™ on balance and gait functions of stroke patients. Twenty one hemiparetic stroke patients were randomly assigned to either control or therapy groups. Effectiveness was evaluated by Fugl-Meyer balance subtest, Functional Ambulation Categories (FAC), Romberg (R), sharpened Romberg (SR), one-legged stance (OLS), six-meter walking test (6MWT) and timed up and go test (TUG). The analysis revealed a significant effect of training with Nintendo Wii™ for FAC z = 0.0267, FMBS z = 0.0046, OLST2 z = 0.0068 and OLS1 z = 0.0067 (affected side). The control group demonstrated improvement in R (z = 0.0474) and SR (z = 0.0411). In both groups improvement was detected in functional mobility and 6MWT (control group z = 0.0069, Wii groupz = 0.0123). No significant differences were found between groups. Findings of the current study support that balance treatment with Nintendo Wii™ is similarly effective method to improve static balance and functional mobility when compared with conventional therapy.

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Section: Discussioncontrasting

confidence: 99%

A Prospective, Randomized Trial to Evaluate the Efficacy of Virtual Reality Treatment Versus Traditional Balance Treatment in Patients with Stroke

Sipos¹,

Hőgye²,

Vekerdy-Nagy³

2016

JSS

View full text Add to dashboard Cite

show abstract

“…The Nintendo Wii is safe and has no side effects. Moreover, it has the benefit of producing higher motivation in clients because they are playing a game and receive immediate feedback from the screen (Bower, Clark, Mcginley, Martin, & Miller, 2014;Keogh, Justin, W., et al, 2014). Keog et al (2014) described the positive effect of the Wii on functional ability and improvements in upper limb strength in elderly subjects after eight weeks of intervention.…”

Section: Introductionmentioning

confidence: 99%

“…Keog et al (2014) described the positive effect of the Wii on functional ability and improvements in upper limb strength in elderly subjects after eight weeks of intervention. Additionally, a study on patients recovering from stroke (Bower, et al, 2014) showed a positive effect on upper limb strength development after only two to four weeks of intervention. Toulotte, Toursel and Olivier (2012) showed that twenty weeks of Nintendo Wii balance training in a healthy elderly population improved results of clinical tests (Tinetti and Unipedal tests) and also improved stability during a Wii fit test, which was measured as the centre of pressure (COP) movement and distribution of pressure between the right and left foot -calculated as the difference between the percentage of position of the COP on each foot.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2017

JPES

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Abstract:Impaired postural stability increases the risk of falls. Therefore, the aim of this study was to analyse the lasting effects of a training intervention using a Nintendo Wii system on impaired postural stability in an elderly population. Thirty-two elderly subjects (24 females and 4 males) from two independent living communities were divided into Wii Fit (n = 15, 9 therapy sessions using Wii Fit balance board) and control (n = 13) groups. All participants performed three different stances on force plates, which are considered the gold standard for measuring balance performance. Each stance was measured three times in the following sequence: a natural bipedal stance with eyes open, a bipedal stance with a narrow base, and a natural bipedal stance with eyes closed. One-way analysis of variance (ANOVA) and LSD Fisher's post hoc tests were used with the level of significance set at 5%. Effect size was determined using ŋ². The results showed a significant difference in the centre of pressure velocity in the anterior-posterior direction between the baseline and post-treatment measurements (post-intervention and follow up) for all measured conditions in Wii Fit Group. The control group did not show any significant differences between measurements. The results of this study suggest that using the Nintendo Wii is an effective physical activity for improving balance in the elderly and that the effects of balance therapy on postural stability persist for several weeks after intervention.

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“…Therapeutic options for weight shift and balance training have recently been expanded with the growth in popularity of virtual gaming systems [1][2][3][4]. One such device that integrates virtual gaming with body movement is the Nintendo Wii, a popular gaming console that allows the player to interact with the game via three-dimensional movements [1,5]. This study examined the feasibility and safety of using the Wii Fit as an adjunct to outpatient physiotherapy following lower limb fractures, and reports sample size considerations for an appropriately powered randomised trial.…”

mentioning

confidence: 99%

Nintendo Wii Fit as an adjunct to physiotherapy following lower limb fractures: preliminary feasibility, safety and sample size considerations

et al. 2016

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Clinical feasibility of the Nintendo Wii™ for balance training post-stroke: a phase II randomized controlled trial in an inpatient setting

Abstract: A Wii-based approach appears feasible and promising for post-stroke balance rehabilitation. A larger randomized controlled trial is recommended to further investigate efficacy.

Cited by 83 publications

References 31 publications

A Prospective, Randomized Trial to Evaluate the Efficacy of Virtual Reality Treatment Versus Traditional Balance Treatment in Patients with Stroke

A Prospective, Randomized Trial to Evaluate the Efficacy of Virtual Reality Treatment Versus Traditional Balance Treatment in Patients with Stroke

Untitled

Nintendo Wii Fit as an adjunct to physiotherapy following lower limb fractures: preliminary feasibility, safety and sample size considerations

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