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

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

The Journal of Spinal Cord Medicine, 2015 · DOI: 10.1179/2045772314Y.0000000296 · Published: January 1, 2015

Spinal Cord InjuryAssistive TechnologyRehabilitation

Simple Explanation

This study investigated the effects of using the Nintendo™ Wii Fit, a virtual reality training system, on gait, balance, and quality of life in people with incomplete spinal cord injury (iSCI). The aim was to explore whether this off-the-shelf VR system could offer benefits for rehabilitation. The study involved participants playing games on the Wii Fit that focused on weight shifting, stability, balance, and coordination. These games were designed to mimic components of gait and challenge postural control. The researchers found that after seven weeks of training with the Wii Fit, participants showed improvements in gait speed and functional reach. These improvements were maintained even four weeks after the training ended, suggesting a lasting effect.

Study Duration
7 weeks
Participants
5 males with iSCI
Evidence Level
Not specified

Key Findings

  • 1
    Participants demonstrated statistically significant improvements in gait speed after the intervention, and these improvements were maintained at a four-week follow-up.
  • 2
    Forward and lateral functional reach also improved significantly post-intervention, indicating enhanced balance and postural stability.
  • 3
    Subjective survey responses indicated improvements in mobility, walking, and activities of daily living, suggesting an enhanced quality of life, although this was not captured by the SF-36 measure.

Research Summary

This study explored the use of the Nintendo™Wii Fit as a virtual reality-based intervention to improve gait, balance, and quality of life in individuals with incomplete spinal cord injury (iSCI). The results showed statistically significant improvements in gait speed and functional reach after a seven-week intervention period, with these improvements sustained at the four-week follow-up. The study suggests that the Nintendo™Wii Fit can be a motivating and engaging tool for rehabilitation, potentially enhancing postural control and gait in individuals with iSCI, though further research with larger and more diverse samples is needed.

Practical Implications

Rehabilitation Tool

Physical therapists may consider incorporating Nintendo™Wii Fit activities into rehabilitation programs for individuals with iSCI to improve gait speed and functional reach.

Home Exercise

The Nintendo™Wii Fit can be used as a home-based exercise program to promote weight shifting, stability, balance, and coordination, which are important for ambulation.

Further Research

Future studies should explore different VR games and combinations with standardized rehabilitation or home exercise programs to further enhance functional tasks and quality of life.

Study Limitations

  • 1
    Small sample size limits the generalizability of the results.
  • 2
    Participants were primarily male volunteers over 50 with a higher level of functional mobility.
  • 3
    Outcome measures may not have fully captured the complex nature of balance and changes in health status.

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