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Wii Fit balance board playing improves balance and gait in Parkinson disease.
PM R. 2013 Sep; 5(9):769-77.PM R

Abstract

OBJECTIVE

To assess the effect of exercise training by using the Nintendo Wii Fit video game and balance board system on balance and gait in adults with Parkinson disease (PD).

DESIGN

A prospective interventional cohort study.

SETTING

An outpatient group exercise class.

PARTICIPANTS

Ten subjects with PD, Hoehn and Yahr stages 2.5 or 3, with a mean age of 67.1 years; 4 men, 6 women.

INTERVENTIONS

The subjects participated in supervised group exercise sessions 3 times per week for 8 weeks by practicing 3 different Wii balance board games (marble tracking, skiing, and bubble rafting) adjusted for their individualized function level. The subjects trained for 10 minutes per game, a total of 30 minutes training per session.

MAIN OUTCOME MEASUREMENTS

Pre-and postexercise training, a physical therapist evaluated subjects' function by using the Berg Balance Scale, Dynamic Gait Index, and Sharpened Romberg with eyes open and closed. Postural sway was assessed at rest and with tracking tasks by using the Wii balance board. The subjects rated their confidence in balance by using the Activities-specific Balance Confidence scale and depression on the Geriatric Depression Scale.

RESULTS

Balance as measured by the Berg Balance Scale improved significantly, with an increase of 3.3 points (P = .016). The Dynamic Gait Index improved as well (mean increase, 2.8; P = .004), as did postural sway measured with the balance board (decreased variance in stance with eyes open by 31%; P = .049). Although the Sharpened Romberg with eyes closed increased by 6.85 points and with eyes opened by 3.3 points, improvements neared significance only for eyes closed (P = .07 versus P = .188). There were no significant changes on patient ratings for the Activities-specific Balance Confidence (mean decrease, -1%; P = .922) or the Geriatric Depression Scale (mean increase, 2.2; P = .188).

CONCLUSIONS

An 8-week exercise training class by using the Wii Fit balance board improved selective measures of balance and gait in adults with PD. However, no significant changes were seen in mood or confidence regarding balance.

Authors+Show Affiliations

Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL(∗).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23770422

Citation

Mhatre, Priya V., et al. "Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease." PM & R : the Journal of Injury, Function, and Rehabilitation, vol. 5, no. 9, 2013, pp. 769-77.
Mhatre PV, Vilares I, Stibb SM, et al. Wii Fit balance board playing improves balance and gait in Parkinson disease. PM R. 2013;5(9):769-77.
Mhatre, P. V., Vilares, I., Stibb, S. M., Albert, M. V., Pickering, L., Marciniak, C. M., Kording, K., & Toledo, S. (2013). Wii Fit balance board playing improves balance and gait in Parkinson disease. PM & R : the Journal of Injury, Function, and Rehabilitation, 5(9), 769-77. https://doi.org/10.1016/j.pmrj.2013.05.019
Mhatre PV, et al. Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease. PM R. 2013;5(9):769-77. PubMed PMID: 23770422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wii Fit balance board playing improves balance and gait in Parkinson disease. AU - Mhatre,Priya V, AU - Vilares,Iris, AU - Stibb,Stacy M, AU - Albert,Mark V, AU - Pickering,Laura, AU - Marciniak,Christina M, AU - Kording,Konrad, AU - Toledo,Santiago, Y1 - 2013/06/11/ PY - 2012/06/08/received PY - 2013/05/06/revised PY - 2013/05/09/accepted PY - 2013/6/18/entrez PY - 2013/6/19/pubmed PY - 2014/5/16/medline SP - 769 EP - 77 JF - PM & R : the journal of injury, function, and rehabilitation JO - PM R VL - 5 IS - 9 N2 - OBJECTIVE: To assess the effect of exercise training by using the Nintendo Wii Fit video game and balance board system on balance and gait in adults with Parkinson disease (PD). DESIGN: A prospective interventional cohort study. SETTING: An outpatient group exercise class. PARTICIPANTS: Ten subjects with PD, Hoehn and Yahr stages 2.5 or 3, with a mean age of 67.1 years; 4 men, 6 women. INTERVENTIONS: The subjects participated in supervised group exercise sessions 3 times per week for 8 weeks by practicing 3 different Wii balance board games (marble tracking, skiing, and bubble rafting) adjusted for their individualized function level. The subjects trained for 10 minutes per game, a total of 30 minutes training per session. MAIN OUTCOME MEASUREMENTS: Pre-and postexercise training, a physical therapist evaluated subjects' function by using the Berg Balance Scale, Dynamic Gait Index, and Sharpened Romberg with eyes open and closed. Postural sway was assessed at rest and with tracking tasks by using the Wii balance board. The subjects rated their confidence in balance by using the Activities-specific Balance Confidence scale and depression on the Geriatric Depression Scale. RESULTS: Balance as measured by the Berg Balance Scale improved significantly, with an increase of 3.3 points (P = .016). The Dynamic Gait Index improved as well (mean increase, 2.8; P = .004), as did postural sway measured with the balance board (decreased variance in stance with eyes open by 31%; P = .049). Although the Sharpened Romberg with eyes closed increased by 6.85 points and with eyes opened by 3.3 points, improvements neared significance only for eyes closed (P = .07 versus P = .188). There were no significant changes on patient ratings for the Activities-specific Balance Confidence (mean decrease, -1%; P = .922) or the Geriatric Depression Scale (mean increase, 2.2; P = .188). CONCLUSIONS: An 8-week exercise training class by using the Wii Fit balance board improved selective measures of balance and gait in adults with PD. However, no significant changes were seen in mood or confidence regarding balance. SN - 1934-1563 UR - https://www.unboundmedicine.com/medline/citation/23770422/Wii_Fit_balance_board_playing_improves_balance_and_gait_in_Parkinson_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1934-1482(13)00310-9 DB - PRIME DP - Unbound Medicine ER -