Use of Nintendo Wii Fit™ in the rehabilitation of outpatients following total knee replacement: a preliminary randomised controlled trial

Fung, Vera; Ho, Aileen K; Shaffer, Jennifer; Chung, Esther O.; Gómez, Manuel

doi:10.1016/j.physio.2012.04.001

Cited by 173 publications

(229 citation statements)

References 20 publications

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“…Of the 29 studies that used a RCT or pre-posttest design, 21 studies included an exercise control intervention (9,13,32,33,38,43,44,47,49,53,55,57,60,64,65,67,69,72,73,80,81). The methodological quality of these 21 studies according to the PEDro classification scale is presented in Table 6.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Furthermore, "concealed allocation" was fulfilled in six studies only (13,33,38,64,65,81), and "intention to treat analysis" in three studies only (32,49,81). None of the 21 studies could achieve a perfect score of 10 as the nature of the intervention (exercise) precludes blinding of the participants and the therapists.…”

Section: Methodological Qualitymentioning

confidence: 99%

“…The primary aim of the reviewed studies was to evaluate the potential effect of gaming/VR exercise on balance, either alone (9,12,(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45)(46), in combination with other physical abilities such as strength or mobility (11,13,(47)(48)(49)(50)(51), or in combination with falls or fear of falling, cognition, quality of life, or user experience (52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62). Seven studies investigated the effect of gaming/VR exercise on gait parameters (63)(64)(65)(66)(67)(68)(69), and six studies examined the effectiveness with regard to different physical functions and associated fall risk (10,(70)(71)(72)…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Two studies reported that length of intervention was determined by either the individual participant's physical therapy treatment (49), or phase of dopaminergic medication (85). Three studies did not report on intervention frequency (49,51,62), and three studies did not report on intervention duration (44,62,79). Finally, one study had optional duration (60), and one study had self-regulated duration and frequency of each exercise session (71).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…For the 35 studies using Nintendo Wii, two studies used only the Wii Sports bowling game (34,55), while the remaining 33 studies used two or more games during the intervention. Furthermore, 11 of the Nintendo Wii studies used games that targeted balance only (11, 35, 37, 42-44, 47, 57, 58, 73, 82), while 16 used a combination of games that targeted different physical functions in addition to balance, such as strength, endurance, and mobility (10,13,32,40,45,49,52,56,60,69,70,74,77,80,81,86). For those studies that did not utilize Nintendo Wii, only three studies (51,79,84) aimed to have an effect on more than one physical function.…”

Section: Participant Characteristicsmentioning

confidence: 99%

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Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Skjæret

Nawaz

Morat

et al. 2016

International Journal of Medical Informatics

291

202

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Background: There has been a rapid increase in research on the use of virtual reality (VR) and gaming technology as a complementary tool in exercise and rehabilitation in the elderly population. Although a few recent studies have evaluated their efficacy, there is currently no in-depth description and discussion of different game technologies, physical functions targeted, and safety issues related to older adults playing exergames. Objectives: This integrative review provides an overview of the technologies and games used, progression, safety measurements and associated adverse events, adherence to exergaming, outcome measures used, and their effect on physical function. Methods: We undertook systematic searches of SCOPUS and PubMed databases. Key search terms included "game", "exercise", and "aged", and were adapted to each database. To be included, studies had to involve older adults aged 65 years or above, have a pre-post training or intervention design, include ICT-implemented games with weight-bearing exercises, and have outcome measures that included physical activity variables and/or clinical tests of physical function. Results: Sixty studies fulfilled the inclusion criteria. The studies had a broad range of aims and intervention designs and mostly focused on community-dwelling healthy older adults. The majority of the studies used commercially available gaming technologies that targeted a number of different physical functions. Most studies reported that they had used some form of safety measure during intervention. None of the studies reported serious adverse events. However, only 21 studies (35%) reported on whether adverse events occurred. Twenty-four studies reported on adherence, but only seven studies (12%) compared adherence to exergaming with other forms of exercise. Clinical measures of balance were the most frequently used outcome measures. PEDro scores indicated that most studies had several methodological problems, with only 4 studies fulfilling 6 or more criteria out of 10. Several studies found positive effects of exergaming on balance and gait, while none reported negative effects. 2 function in older adults, with few reported adverse events. As there is large variability between studies in terms of intervention protocols and outcome measures, as well as several methodological limitations, recommendations for both practice and further research are provided in order to successfully establish exergames as an exercise and rehabilitation tool for older adults.

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Section: Methodological Qualitymentioning

confidence: 99%

Section: Methodological Qualitymentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Participant Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Skjæret

Nawaz

Morat

et al. 2016

International Journal of Medical Informatics

291

202

View full text Add to dashboard Cite

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Robotic Assistive Devices for Motor Disability Rehabilitation

Alamdari¹,

Krovi

2016

Wiley Encyclopedia of Electrical and Electronics Engineering

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Mankind has traditionally developed manipulative and locomotive tools to enhance the ability and performance, increase, strength to and reduce performance variability. In a motor rehabilitation context, such devices enable people with disabilities to perform many activities of daily living, to lead independent lives, and play a more productive role in society. In this article, we present a review of the technology underlying assistive devices for people with manipulative and locomotive disabilities focusing on prosthetic limbs, robotic arms, exoskeletons, braces, and wheelchairs. We highlight the important role that robotics can play in assistive devices. There is another class of assistive devices, called teletheses, that bear a strong resemblance to the multiple degree‐of‐freedom robot arms and to the body‐powered prosthetic limbs. Finally, we discuss the design and manufacturing issues for such devices. The high degree of customization that is required and the one‐of‐a‐kind flavor of these products suggest that a computer‐integrated, automated approach to design and prototyping is necessary for manufacturing.

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Virtual reality for stroke rehabilitation

Laver

George

Thomas

et al. 2015

Cochrane Database of Systematic Reviews

654

251

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Background Virtual reality and interactive video gaming have emerged as recent treatment approaches in stroke rehabilitation. In particular, commercial gaming consoles have been rapidly adopted in clinical settings. This is an update of a Cochrane Review published in 2011. Objectives Primary objective: To determine the efficacy of virtual reality compared with an alternative intervention or no intervention on upper limb function and activity. Secondary objective: To determine the efficacy of virtual reality compared with an alternative intervention or no intervention on: gait and balance activity, global motor function, cognitive function, activity limitation, participation restriction and quality of life, voxels or regions of interest identified via imaging, and adverse events. Additionally, we aimed to comment on the feasibility of virtual reality for use with stroke patients by reporting on patient eligibility criteria and recruitment.

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Use of Nintendo Wii Fit™ in the rehabilitation of outpatients following total knee replacement: a preliminary randomised controlled trial

Cited by 173 publications

References 20 publications

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Exercise and rehabilitation delivered through exergames in older adults: An integrative review of technologies, safety and efficacy

Robotic Assistive Devices for Motor Disability Rehabilitation

Virtual reality for stroke rehabilitation

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