Is use of the Nintendo Wii Fit in physiotherapy as effective as conventional physiotherapy training for hospitalised older adults?

Crotty, Maria; Laver, Kate; Quinn, Stephen; Ratcliffe, Julie; George, Stacey; Whitehead, Craig; Davies, Owen

doi:10.1109/icvr.2011.5971819

Cited by 13 publications

(21 citation statements)

References 3 publications

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“…In contrast, only six studies used blinded assessors (33,38,64,73,80,81). 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).…”

Section: Methodological Qualitymentioning

confidence: 99%

“…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%

“…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)(73)(74). The remaining 12 studies investigated the feasibility of using gaming/VR exercise to increase physical activity in healthy older adults (75)(76)(77)(78)(79), in hospitalized older adults (80,81), or in a patient population (82)(83)(84)(85)(86).…”

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%

“…Four studies had a time interval until post-test follow-up of less than 6 weeks (41,56,63,80). Only two studies involved longer follow-up, one at six months post intervention (84) and one at nine months post-initial assessments (38).…”

Section: Outcome Measuresmentioning

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

283

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: Participant Characteristicsmentioning

confidence: 99%

Section: Outcome Measuresmentioning

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

283

202

View full text Add to dashboard Cite

show abstract

The Use of the Nintendo Wii in Motor Rehabilitation for Virtual Reality Interventions: A Literature Review

Tsekleves

Warland

Kilbride

et al. 2014

Intelligent Systems Reference Library

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Several review articles have been published on the use of Virtual Reality (VR) in motor rehabilitation. The majority of these focus on the effectiveness of VR on improving motor function using relatively expensive commercial tools and technologies including robotics, cybergloves, cybergrasps, joysticks, force sensors and motion capture systems. However, we present the case in this chapter that game sensors and VR technologies which can be customized and reconfigured,such as the Nintendo Wii, provide an alternative and affordable VR intervention for rehabilitation. While the performance of many of the Wii based interventions in motor rehabilitation are currently the focus of investigation by researchers, an extensive and holistic discussion on this subject does not yet exist. As such, the purpose of this chapter is to provide readers with an understanding of the advantages and limitations of the Nintendo Wii game sensor device (and its associated accessories) for motor rehabilitation and in addition, to outlinethe potential for incorporating these into clinical interventions for the benefit of patients and therapists.

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A low-cost force sensor-based posturographic plate for home care telerehabilitation exergaming

et al. 2014

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Is use of the Nintendo Wii Fit in physiotherapy as effective as conventional physiotherapy training for hospitalised older adults?

Cited by 13 publications

References 3 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

The Use of the Nintendo Wii in Motor Rehabilitation for Virtual Reality Interventions: A Literature Review

A low-cost force sensor-based posturographic plate for home care telerehabilitation exergaming

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