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- Title:
- The effects of Nintendo Wii Fit training on gait speed, balance, functional mobility and depression in one person with Parkinson’s disease
- Author:
- Kathleen Zettergren,
- Abstract:
- A 69 year old male with idiopathic Parkinson’s disease participated in a 60-minute, bi-weekly training program using the Nintendo Wii fit gaming system. Pre-test/post-test assessments included: 1) The Timed up and go (TUG), 2) The Berg Balance scale (BBS), 3) Self selected gait speed, 4) Fall history, and 5) Geriatric Depression Scale (GDS). After 8 weeks, the subject’s BBS score increased from 31 to 42 (35% improvement), the TUG decreased from 36.5 seconds to 24.1 seconds (34% improvement), gait speed increased from .26 m/s to .37 m/s (42% improvement) and GDS scores remained unchanged. The Nintendo Wii Fit may be a viable alternative to independent exercise programs for people diagnosed with idiopathic PD.
- Keywords:
- Nintendo Wii Fit, Parkinson’s disease
- References:
- Biderman, A., Cwikel, J., Fried, A., Galinsky, D., 2009. “Depression and falls among community dwelling elderly people: a search for common risk factors,” Journal of Epidemiology and Community Health, Vol.56, No.8, pp.631-36Berg, KO, Wood-Dauphinee, SL, Williams, JT et al., 1992. “Measuring balance in the elderly: validation of an instrument,” Can J Public Health, Vol.83, pp.S7-11Brown, R., Sugarman, H., and Burstin, A., 2009. “Use of the Nintendo Wii Fit for the treatment of balance problems in an elderly patient with stroke: A case report,” Proceedings of the 10th Congress of the European Federation for Research in Rehabilitation, Riga, Latvia, 09-12 September 2009, International Journal of Rehabilitation Research, Vol.32S, pp.109-10Clark, R., Kraemer, T., 2009. “Clinical use of Nintendo Wii bowling simulation to decrease fall risk in an elderly resident of a nursing home: A case report,” Journal of Geriatric Physical Therapy, Vol.32, No.4, pp.174-80Coyne, C., 2008. “Video “games” in the clinic: PTs report early results,” PT Magazine, Vol.16, No.5, pp.22-29Deutsch, J., Borbely, M., Filler, J., Huhn, K., Guarrera-Bowlby, P., 2008. “Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy,” Physical Therapy, Vol.88, No.10, pp.1196-207Dibble, LE, Nicholson, DE, Shultz, B. et al., 2004. “Maximal speed gait initiation of healthy elderly individuals and persons with Parkinson disease,” J Neuro Phys Ther., Vol.28, pp.2-11Fritz, S., Lusardi, M., 2009. “White paper: Walking speed: the sixth vital sign,” J Geriatr Phys Ther., Vol.32, pp.2-4Gray, P., Hildebrand, K., 2000. “Fall risk factors in Parkinson’s disease,” Journal of Neuroscience Nursing, Vol.20, No.32, pp.222-28Hackney, ME, Earhart, GM, 2010. “Effects of dance on balance and gait in severe Parkinson’s disease: A case study,” Disabil Rehabil., Vol.32, No.8, pp.679-84Hackney, ME, Earhart, GM, 2009. “Short duration intensive tango dancing for Parkinson’s Disease: An uncontrolled pilot study,” Complement ther Med., Vol.17, No.4, pp.203-37Hardy, SE, Perera, S, Roumani, YF et al., 2007. “Improvement in usual gait speed predicts better survival in older adults,” J Am Geriatr Soc., Vol.55, pp.1727-734King, L., Horak, F., 2009. “Delaying mobility disability in people with Parkinson disease using a sensorimotor agility exercise program,” Physical Therapy, Vol.89, No.4, pp.384-93Peach, J., Koob, J., and Kraus, M., 2001. “Psychometric evaluation of the Geriatric Depression Scale (GDS): supporting its use in health care settings,” Clinical Gerontologist, Vol.23, pp.57-68Parkinson’s Disease Backgrounder, 2011. National Institute of Neurological Disorders and Stroke: NIH Website http://www.ninds.nih.gov/disorders/parkinsons_disease/parkinsons_disease_backgrounder.htm Accessed June 2, 2011Protas, EJ, Mitchell, K., Williams, A. et al., 2005. “Gait and step training to reduce falls in Parkinson’s disease,” NeuroRehabiliation, Vol.3, pp.183-90Robinson, K., Dennison, A., Stern, M. et al., 2005. “Falling risk factors in Parkinson's disease,” NeuroRehabilitation, Vol.20, No.3, pp.169-82Shumway-Cook A., Brauer, S., Woollacott, M., 2000. “Predicting the probability for fall in community-dwelling older adults using the timed up and go test,” Physical Therapy, Vol.80, pp.896-903Steffen, TM, Hacker, TA, Mollinger, L., 2002. “Age- and gender-related test performance in community-dwelling elderly people: Six-minute walk test, berg balance scale, timed up and go test, and gait speeds,” Physical Therapy, Vol.82, pp.128-36Studenski, S, Perera, S, Wallace, D. et al., 2003. “Physical performance measures in the clinical setting,” J Am Geriatr Soc., Vol.51, pp.314-22Thompson, M., Medley, A., 1998. “Performance of individuals with Parkinson’s disease on the Timed Up and Go,” Neurology Report., Vol.22, pp.16-21Wulf, G., Landers, M., Lewthwaite, R. and Tollner, T., 2009. “External focus instructions reduce postural instability in individuals with Parkinson disease.” Physical Therapy. Vol. 89, pp. 162-172Nintendo Website, (2011) “What is Wii Fit Plus?” Nintendo Website, http://wiifit.com/what-is-wii-fit-plus/. Accessed June 2, 2011

ATI is peer-reviewed international research journal. ATI covers continuum of subjects related to applied sciences. Papers for consideration could source from domains of physics, chemistry, biology, technology and engineering, electronics, science and education, and other applied technology and innovation domains.
e-ISSN (online): 1804-4999
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OPEN ACCESS ONLINE JOURNAL
ATI is peer-reviewed international research journal. ATI covers continuum of subjects related to applied sciences. Papers for consideration could source from domains of physics, chemistry, biology, technology and engineering, electronics, science and education, and other non-economic and natural sciences domains.
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- For monographs
- MILTA, 2010. Lithuanian Innovation Strategy for the Year 2010-2020. Agency for Science.
- Eurostat, 2051. European Commission, Eurostat.
- CREST, 2007. OMC Policy Mix Review Report, Country Report. Lithuania. June 2007. EU, Coordinating the Research Framework Programme and the Structural Funds to support Research and Development.
- Revuelta F.I., Esnaola G. (Eds.), 2013. Videojuegos en redes sociales. Perspectivas del edutaiment y la pedagogía lúdica en el aula. Barcelona: Laertes.
- For contributions to collective works
- Dillenbourg P., Järvelä S., Fischer, F., 2009. "The evolution of research on computer-supported collaborative learning: From design to orchestration", In: Balacheff N., Ludvigsen S., de Jong T. et al. (Eds.), Technology-Enhanced Learning. Principles and products, pp.3-19.
- For journals
- Büyüközkan G., Çifçi G., Güleryüz S., 2011. "Strategic analysis of healthcare service quality using fuzzy AHP methodology", Journal of Expert Systems with Applications, Vol.38(8), pp.9407-9424
- Chatti M.A., Agustiawan M.R., Jarke M., Specht M., 2010. "Toward a personal learning environment framework", International Journal of Virtual and Personal Learning Environments, Vol.1(4), pp.66-85
- Chen M.K. and Wang S., 2010. "The critical factors of success for information service industry in developing international market: Using analytic hierarchy process (AHP) approach", Journal of Expert Systems with Applications, Vol.37, No.1, pp.694-704
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