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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE
Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
European Journal of Physical and Rehabilitation Medicine 2016 Nov 24
Does Nintendo Wii Balance Board improve standing balance? A randomised controlled trial in children with cerebral palsy
Valeska GATICA-ROJAS 1, Guillermo MÉNDEZ-REBOLLEDO 2, Eduardo GUZMAN-MUÑOZ 3, Alex SOTO-POBLETE 4, Ricardo CARTES-VELÁSQUEZ 5, Edith ELGUETA-CANCINO 6, Eduardo COFRÉ LIZAMA 7 ✉
1 Human Motor Control Laboratory, Faculty of Health Sciences, Universidad de Talca, Talca, Chile; 2 Human Motor Control Laboratory, Department of Human Movement Sciences, Faculty of Health Sciences, Universidad de Talca, Talca, Chile; 3 Escuela de Kinesiología, Facultad de la Salud, Universidad Santo Tomás, Talca, Chile; 4 Institute of Mathematics and Physics, Universidad de Talca, Talca, Chile; 5 School of Dentistry, Universidad de Concepción, Concepción, Chile; 6 Centre of Clinical Research Excellence in Spinal Pain, Injury and Health, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia; 7 Department of Medicine, Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia
BACKGROUND: Evidence on the effect of systemic exercise programs to improve the standing balance with the Nintendo Wii system is very limited and its post- treatment effectiveness is unknown in cerebral palsy (CP) patients.
AIM: Primary aim was to compare the effect of Nintendo Wii balance board (Wii- therapy) and standard physiotherapy (SPT), on the performance of standing balance in children and adolescents with CP. Secondary aim was to determine the post-treatment effectiveness of Wii-therapy and SPT.
DESIGN: Two-arm, matched-pairs, parallel-groups, randomized, controlled clinical trial.
SETTING: Outpatient Rehabilitation Centre in the city of Talca.
POPULATION: Patients with CP type spastic hemiplegia (SHE) and spastic diplegia (SDI), aged 7 to 14 years, and level I or II of GMFCS or GMFCS-ER. Were excluded patients with FSIQ <80, epilepsy, previous surgeries and application of Botulinum Toxin-A in the lower limb, uncorrected vision and hearing disorders.
METHODS: Thirty-two CP patients (10.7±3.2 years old) were randomly assigned to either Wii-therapy (SDI=7; SHE=9) or SPT intervention (SDI=7; SHE=9). In each group, patients received three sessions per week over a period of 6 weeks. Standing balance was assessed at baseline and every 2 weeks. Additionally, two follow-up assessments (4 additional weeks) were performed to determine post- treatment effectiveness. Standing balance was quantified on force platform obtaining the outcomes area of centre-of-pressure (CoP) sway (CoPSway), standard deviation in the medial-lateral (SDML) and the anterior–posterior (SDAP) directions, and velocity in both directions (VML and VAP).
RESULTS: Compared to SPT, Wii-therapy significantly reduced the CoPSway (p=0.02) and SDAP in the eyes-open condition (p=0.01). However, the effects wane after 2–4 weeks. Post hoc analysis revealed that only SHE children benefited from Wii-therapy.
CONCLUSIONS: Wii-therapy was better than SPT in improving standing balance in patients with CP, but improves the balance only in SHE patients. Also, Wii-therapy effectiveness waned 2–4 weeks after the end the intervention.
CLINICAL REHABILITATION IMPACT: A systematic exercise program like Wii- therapy using the Nintendo Wii Balance Board device can be considered to improves the standing balance in patients with CP, specifically in the SHE type. This program is easy to transfer to physiotherapists and rehabilitation centres.