The effects of the Nintendo™ Wii Fit on gait, balance, and quality of life in individuals with incomplete spinal cord injury

Wall, Tracy; Feinn, Richard; Chui, Kevin K.; Cheng, M. Samuel

doi:10.1179/2045772314y.0000000296

Cited by 46 publications

(69 citation statements)

References 32 publications

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“… Notes: SD, standard deviation. 1 Examples of excluded studies for this selection criteria are ( Morone et al, 2014 ; Wall et al, 2015 ). 2 Examples of excluded studies for this selection criteria are ( Bieryla & Dold, 2013 ; Janssen, Tange & Arends, 2013 ; Rendon et al, 2012 ; Bainbridge et al, 2011 ).…”

Section: Methodsmentioning

confidence: 99%

The contribution of NintendoWii Fitseries in the field of health: a systematic review and meta-analysis

Tripette

Murakami

Ryan

et al. 2017

PeerJ

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BackgroundWii Fit was originally designed as a health and fitness interactive training experience for the general public. There are, however, many examples of Wii Fit being utilized in clinical settings. This article aims to identify the contribution of Wii Fit in the field of health promotion and rehabilitation by: (1) identifying the health-related domains for which the Wii Fit series has been tested, (2) clarifying the effect of Wii Fit in those identified health-related domains and (3) quantifying this effect.MethodA systematic literature review was undertaken. The MEDLINE database and Games for Health Journal published content were explored using the search term “Wii-Fit.” Occurrences resulting from manual searches on Google and material suggested by experts in the field were also considered. Included articles were required to have measurements from Wii Fit activities for at least one relevant health indicator. The effect of Wii Fit interventions was assessed using meta-analyses for the following outcomes: activity-specific balance confidence score, Berg balance score (BBC) and time-up-and-go test (TUG).FindingsA total of 115 articles highlighted that the Wii Fit has been tested in numerous healthy and pathological populations. Out of these, only a few intervention studies have focused on the prevention of chronic diseases. A large proportion of the studies focus on balance training (N = 55). This systematic review highlights several potential benefits of Wii Fit interventions and these positive observations are supported by meta-analyses data (N = 25). For example, the BBC and the TUG respond to a similar extend to Wii Fit interventions compared with traditional training.ConclusionWii Fit has the potential to be used as a rehabilitation tool in different clinical situations. However, the current literature includes relatively few randomized controlled trials in each population. Further research is therefore required.

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Section: Methodsmentioning

confidence: 99%

The contribution of NintendoWii Fitseries in the field of health: a systematic review and meta-analysis

Tripette

Murakami

Ryan

et al. 2017

PeerJ

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“…Full body reaching tasks to virtual targets results in greater joint excursions as compared to real-world targets. Without the actual physical end-point, one can thus move beyond the visual target [8,14,19]. This explains the improvement in POMA-B in the EG in our study.…”

Section: Discussionmentioning

confidence: 66%

“…Villiger et al [20] have found significant improvement in the BBS following a VR therapy in patients with incomplete SCI although the improvement was not sustainable. Considering the higher potential for ambulation in incomplete SCI, parameters such as gait speed, functionality, and quality of life have been assessed in a similar study by Wall et al [8].…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies suggest that VR-induced neuroplasticity promotes motor relearning, and this technology has been widely used in neurological rehabilitation [8]. In VR training, as the body's center of gravity moves beyond the base of support, proprioceptive sensations at the joints increase; therefore, participants are trained to adjust the balance perturbations [9].…”

Section: Introductionmentioning

confidence: 99%

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Role of Virtual Reality in Balance Training in Patients with Spinal Cord Injury: A Prospective Comparative Pre-Post Study

et al. 2020

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To evaluate the effects of game-based virtual reality (VR) training program for trunk postural control and balance in patients with spinal cord injury (SCI) and to assess the results according to the motor completeness (severity) of lesions using the American Spinal Injury Association Impairment Scale (AIS). Overview of Literature: Training with VR based gaming has a role to play in improving balance in patients with SCI. Methods: Patients with SCI (traumatic and non-traumatic) for <6 months were included in this hospital-based study. Participants were divided into two groups: experimental group (EG) consisting 21 patients, and control group (CG) consisting 12. Both groups underwent the conventional rehabilitation program. An additional training with semi-immersive VR therapy was conducted 5 days a week for 3 weeks in the EG with the focus on balance rehabilitation using the "Rhetoric." The outcome measures were the Berg Balance Scale (BBS), balance section of the Tinetti Performance-Oriented Mobility Assessment (POMA-B), and Functional Reach Score (FRS). Results: Both groups consisted of young participants (mean age, 28 and 30.5 years, respectively) and predominantly men (>80%). One-third of them had tetraplegia and two-third had paraplegia. Between-group analyses showed no statistically significant differences in the main effects between groups (p-value: BBS, 0.396; POMA-B, 0.238; FRS, 0.294), suggesting that the EG group did not show significant improvement in the trunk and posture at the end of training sessions than the CG group. Similarly, no significant difference was observed according to the severity (completeness) of SCI in the between-group analyses using the AIS (A/B vs. C/D). Conclusions: VR is an adjunctive therapy for balance rehabilitation in patients with SCI.

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“…Assim, considerando os benefícios que a RV tem proporcionado aos indivíduos com LME, este estudo se justifica, pois se acredita que intervenções de reabilitação baseadas em RV tem sido um recurso altamente utilizado para melhorar a função, a deambulação e o equilíbrio de indivíduos com lesões neurológicas, conforme relatado por Wall et al (2015). Além disto, ela tem demonstrado ser uma importante ferramenta para estimular o engajamento e a motivação dos indivíduos durante o processo de reabilitação, podendo gerar um momento de prazer e diversão para eles.…”

Section: Introductionunclassified

Uso da Realidade Virtual como Estratégia de Reabilitação e Lazer para Pessoas com Lesão da Medula Espinal

Gomes

Saturnino

Gonçalves

et al. 2019

Licere

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Intervenções com a Realidade Virtual (RV) tem sido descritas como alternativas para o tratamento de pessoas com lesão da medula espinal (LME). O presente estudo buscou oferecer uma visão geral das intervenções que utilizaram a RV na reabilitação e como estratégia de lazer destes indivíduos. Foi realizada uma revisão sistemática, nas bases de dados PubMed (Medline), Biblioteca Virtual em Saúde (BVS), Scielo e Lilacs nos últimos cinco anos. Um total de 13 artigos foram identificados. A RV foi utilizada para diversos objetivos como: verificar a melhora da função dos membros superiores; associar com estímulos sensoriais durante a marcha; identificar os efeitos da caminhada virtual sobre o grau de dor. Assim, percebe-se que a RV pode ser usada para diversas finalidades, além de fornecer um meio mais envolvente de tratamento para pessoas com LME, adicionando uma dimensão de prazer e um momento para o lazer.

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The effects of the Nintendo™ Wii Fit on gait, balance, and quality of life in individuals with incomplete spinal cord injury

Cited by 46 publications

References 32 publications

The contribution of NintendoWii Fitseries in the field of health: a systematic review and meta-analysis

The contribution of NintendoWii Fitseries in the field of health: a systematic review and meta-analysis

Role of Virtual Reality in Balance Training in Patients with Spinal Cord Injury: A Prospective Comparative Pre-Post Study

Uso da Realidade Virtual como Estratégia de Reabilitação e Lazer para Pessoas com Lesão da Medula Espinal

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