ECTRIMS eLearning

The impact of Nintendo Wii fit games on the balance and functionality of multiple sclerosis patients: a randomized controlled study
Author(s): ,
Y Zenginler
Affiliations:
Biruni University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation
,
E Tarakcı
Affiliations:
Istanbul University, Faculty of Health Science, Department of Neurological Physiotherapy and Rehabilitation
,
M Kurtuncu
Affiliations:
Istanbul University, Istanbul Faculty of Medicine, Department of Neurology
A Razak Ozdincler
Affiliations:
Istanbul University, Faculty of Health Science, Division of Physiotherapy and Rehabilitation, Istanbul, Turkey
ECTRIMS Learn. Kürtüncü M. 09/14/16; 145682; EP1587
Assoc. Prof. Murat Kürtüncü
Assoc. Prof. Murat Kürtüncü
Contributions
Abstract

Abstract: EP1587

Type: ePoster

Abstract Category: RIMS - Exercise

Background: Balance problems are seen very common in multiple sclerosis (MS) patients and its treatment is important to prevent falls and increase mobility for functionality. Nowadays, virtual reality therapies are frequently used for to reduce balance problems. Nintendo Wii Fit is the most commonly used method of virtual reality therapy but in the studies published about its efficacy in MS patients, different results were obtained.

Objective: The purpose of this study was to investigate the effects of Nintendo Wii Fit games on the balance and functionality of MS patients comparing with control group.

Methods: Thirty patients with MS (mean age 44.06±10.15 years (range 30-69), median score of Expanded Disability Status Scale 4.11±1.29 (range 2-6), median Body Mass Index 24.71±4.66 kg/m2 (range 16.79-33.73)) were enrolled in this study and randomly divided into Nintendo Wii Fit and control groups. Patients in the Nintendo Wii Fit group participated to a balance exercise program which involved Nintendo Wii Fit games Penguin Slide, Table Tilt, Ski Slalom, Heading and Balance Bubble for 16 supervised sessions that each one takes forty-five minutes. Control group received no intervention. Before and after the intervention period, participants were evaluated by Nintendo Wii Fit + Balance Board, Berg Balance Scale (BBS) and timed up and go (TUG) test.

Results: After intervention statistically significant improvements within the Nintendo Wii Fit group were found for; Wii Fit Age (p=0.001), Nintendo Wii Fit balance games (Penguin Slide (p=0.001), Table Tilt (p=0.001), Ski Slalom (p=0.001), Heading (p=0.001), Balance Bubble (p=0.001)), BBS (p=0.001) and TUG (p=0.003). The control group showed statistically significant improvements for the Nintendo Wii Fit game Table Tilt (p=0.003) and BBS (p=0.028). There were statistically significant differences between groups for; Wii Fit Age (p=0.006), Nintendo Wii Fit balance games (Penguin Slide (p< 0.001), Table Tilt (p< 0.001), Ski Slalom (p< 0.001), Heading (p=0.040), Balance Bubble (p< 0.001)), BBS (p=0.010) and TUG (p=0.011).

Conclusions: The study shows that Nintendo Wii Fit games are effective for improving balance in MS patients comparing with control group. By this effective, enjoyable and motivating method, rehabilitation professionals can be improved the balance and functionality of the MS patients.

Disclosure:

Yonca Zenginler: nothing to disclose

Ela Tarakcı: nothing to disclose

Murat Kurtuncu: nothing to disclose

Arzu Razak Ozdincler: nothing to disclose

Abstract: EP1587

Type: ePoster

Abstract Category: RIMS - Exercise

Background: Balance problems are seen very common in multiple sclerosis (MS) patients and its treatment is important to prevent falls and increase mobility for functionality. Nowadays, virtual reality therapies are frequently used for to reduce balance problems. Nintendo Wii Fit is the most commonly used method of virtual reality therapy but in the studies published about its efficacy in MS patients, different results were obtained.

Objective: The purpose of this study was to investigate the effects of Nintendo Wii Fit games on the balance and functionality of MS patients comparing with control group.

Methods: Thirty patients with MS (mean age 44.06±10.15 years (range 30-69), median score of Expanded Disability Status Scale 4.11±1.29 (range 2-6), median Body Mass Index 24.71±4.66 kg/m2 (range 16.79-33.73)) were enrolled in this study and randomly divided into Nintendo Wii Fit and control groups. Patients in the Nintendo Wii Fit group participated to a balance exercise program which involved Nintendo Wii Fit games Penguin Slide, Table Tilt, Ski Slalom, Heading and Balance Bubble for 16 supervised sessions that each one takes forty-five minutes. Control group received no intervention. Before and after the intervention period, participants were evaluated by Nintendo Wii Fit + Balance Board, Berg Balance Scale (BBS) and timed up and go (TUG) test.

Results: After intervention statistically significant improvements within the Nintendo Wii Fit group were found for; Wii Fit Age (p=0.001), Nintendo Wii Fit balance games (Penguin Slide (p=0.001), Table Tilt (p=0.001), Ski Slalom (p=0.001), Heading (p=0.001), Balance Bubble (p=0.001)), BBS (p=0.001) and TUG (p=0.003). The control group showed statistically significant improvements for the Nintendo Wii Fit game Table Tilt (p=0.003) and BBS (p=0.028). There were statistically significant differences between groups for; Wii Fit Age (p=0.006), Nintendo Wii Fit balance games (Penguin Slide (p< 0.001), Table Tilt (p< 0.001), Ski Slalom (p< 0.001), Heading (p=0.040), Balance Bubble (p< 0.001)), BBS (p=0.010) and TUG (p=0.011).

Conclusions: The study shows that Nintendo Wii Fit games are effective for improving balance in MS patients comparing with control group. By this effective, enjoyable and motivating method, rehabilitation professionals can be improved the balance and functionality of the MS patients.

Disclosure:

Yonca Zenginler: nothing to disclose

Ela Tarakcı: nothing to disclose

Murat Kurtuncu: nothing to disclose

Arzu Razak Ozdincler: nothing to disclose

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