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Home-based balance training using the Wii balance board: a randomized, crossover pilot study in multiple sclerosis.
Neurorehabil Neural Repair. 2013 Jul-Aug; 27(6):516-25.NN

Abstract

OBJECTIVE

To evaluate the effectiveness of a home-based rehabilitation of balance using the Nintendo Wii Balance Board System (WBBS) in patients affected by multiple sclerosis (MS).

METHODS

In this 24-week, randomized, 2-period crossover pilot study, 36 patients having an objective balance disorder were randomly assigned in a 1:1 ratio to 2 counterbalanced arms. Group A started a 12-week period of home-based WBBS training followed by a 12-week period without any intervention; group B received the treatment in reverse order. As endpoints, we considered the mean difference (compared with baseline) in force platform measures (i.e., the displacement of body center of pressure in 30 seconds), 4-step square test (FSST), 25-foot timed walking test (25-FWT), and 29-item MS Impact Scale (MSIS-29), as evaluated after 12 weeks and at the end of the 24-week study period.

RESULTS

The 2 groups did not differ in baseline characteristics. Repeated-measures analyses of variance showed significant time × treatment effects, indicating that WBBS was effective in ameliorating force platform measures (F = 4.608, P = .016), FSST (F = 3.745, P = .034), 25-FWT (F = 3.339, P = .048), and MSIS-29 (F = 4.282, P = .023). Five adverse events attributable to the WBSS training (knee or low back pain) were recorded, but only 1 patient had to retire from the study.

CONCLUSION

A home-based WBBS training might potentially provide an effective, engaging, balance rehabilitation solution for people with MS. However, the risk of WBBS training-related injuries should be carefully balanced with benefits. Further studies, including cost-effectiveness analyses, are warranted to establish whether WBBS may be useful in the home setting.

Authors+Show Affiliations

Department of Neurology and Psychiatry, Sapienza University, Rome, Italy. luca.prosperini@uniroma1.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

23478168

Citation

Prosperini, Luca, et al. "Home-based Balance Training Using the Wii Balance Board: a Randomized, Crossover Pilot Study in Multiple Sclerosis." Neurorehabilitation and Neural Repair, vol. 27, no. 6, 2013, pp. 516-25.
Prosperini L, Fortuna D, Giannì C, et al. Home-based balance training using the Wii balance board: a randomized, crossover pilot study in multiple sclerosis. Neurorehabil Neural Repair. 2013;27(6):516-25.
Prosperini, L., Fortuna, D., Giannì, C., Leonardi, L., Marchetti, M. R., & Pozzilli, C. (2013). Home-based balance training using the Wii balance board: a randomized, crossover pilot study in multiple sclerosis. Neurorehabilitation and Neural Repair, 27(6), 516-25. https://doi.org/10.1177/1545968313478484
Prosperini L, et al. Home-based Balance Training Using the Wii Balance Board: a Randomized, Crossover Pilot Study in Multiple Sclerosis. Neurorehabil Neural Repair. 2013 Jul-Aug;27(6):516-25. PubMed PMID: 23478168.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Home-based balance training using the Wii balance board: a randomized, crossover pilot study in multiple sclerosis. AU - Prosperini,Luca, AU - Fortuna,Deborah, AU - Giannì,Costanza, AU - Leonardi,Laura, AU - Marchetti,Maria Rita, AU - Pozzilli,Carlo, Y1 - 2013/03/11/ PY - 2013/3/13/entrez PY - 2013/3/13/pubmed PY - 2014/1/18/medline KW - Wii Balance Board KW - balance KW - crossover trial KW - multiple sclerosis KW - neurorehabilitation KW - static posturography KW - visual feedback SP - 516 EP - 25 JF - Neurorehabilitation and neural repair JO - Neurorehabil Neural Repair VL - 27 IS - 6 N2 - OBJECTIVE: To evaluate the effectiveness of a home-based rehabilitation of balance using the Nintendo Wii Balance Board System (WBBS) in patients affected by multiple sclerosis (MS). METHODS: In this 24-week, randomized, 2-period crossover pilot study, 36 patients having an objective balance disorder were randomly assigned in a 1:1 ratio to 2 counterbalanced arms. Group A started a 12-week period of home-based WBBS training followed by a 12-week period without any intervention; group B received the treatment in reverse order. As endpoints, we considered the mean difference (compared with baseline) in force platform measures (i.e., the displacement of body center of pressure in 30 seconds), 4-step square test (FSST), 25-foot timed walking test (25-FWT), and 29-item MS Impact Scale (MSIS-29), as evaluated after 12 weeks and at the end of the 24-week study period. RESULTS: The 2 groups did not differ in baseline characteristics. Repeated-measures analyses of variance showed significant time × treatment effects, indicating that WBBS was effective in ameliorating force platform measures (F = 4.608, P = .016), FSST (F = 3.745, P = .034), 25-FWT (F = 3.339, P = .048), and MSIS-29 (F = 4.282, P = .023). Five adverse events attributable to the WBSS training (knee or low back pain) were recorded, but only 1 patient had to retire from the study. CONCLUSION: A home-based WBBS training might potentially provide an effective, engaging, balance rehabilitation solution for people with MS. However, the risk of WBBS training-related injuries should be carefully balanced with benefits. Further studies, including cost-effectiveness analyses, are warranted to establish whether WBBS may be useful in the home setting. SN - 1552-6844 UR - https://www.unboundmedicine.com/medline/citation/23478168/Home_based_balance_training_using_the_Wii_balance_board:_a_randomized_crossover_pilot_study_in_multiple_sclerosis_ L2 - https://journals.sagepub.com/doi/10.1177/1545968313478484?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -