DanceTherParkinsonV1, Main, Exploration, bibRecord, 000083

Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease

Identifieur interne : 000083 ( Main/Exploration ); précédent : 000082; suivant : 000084

Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease

Auteurs : Priya V. Mhatre ; Iris Vilares ; Stacy M. Stibb ; Mark V. Albert ; Laura Pickering ; Christina M. Marciniak ; Konrad Kording ; Santiago Toledo

Source :

PM & R : the journal of injury, function, and rehabilitation [ 1934-1482 ] ; 2013.

RBID : PMC:4114762

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.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4114762

DOI: 10.1016/j.pmrj.2013.05.019
PubMed: 23770422
PubMed Central: 4114762

Affiliations:

Le document en format XML

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<author><name sortKey="Toledo, Santiago" sort="Toledo, Santiago" uniqKey="Toledo S" first="Santiago" last="Toledo">Santiago Toledo</name>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title>
<p id="P1">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).</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">A prospective interventional cohort study.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">An outpatient group exercise class.</p>
</sec>
<sec id="S4"><title>Participants</title>
<p id="P4">Ten subjects with PD, Hoehn and Yahr stages 2.5 or 3, with a mean age of 67.1 years; 4 men, 6 women.</p>
</sec>
<sec id="S5"><title>Interventions</title>
<p id="P5">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.</p>
</sec>
<sec id="S6"><title>Main Outcome Measurements</title>
<p id="P6">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.</p>
</sec>
<sec id="S7"><title>Results</title>
<p id="P7">Balance as measured by the Berg Balance Scale improved significantly, with an increase of 3.3 points (<italic>P</italic>
 = .016). The Dynamic Gait Index improved as well (mean increase, 2.8; <italic>P</italic>
 = .004), as did postural sway measured with the balance board (decreased variance in stance with eyes open by 31%; <italic>P</italic>
 = .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 (<italic>P</italic>
 = .07 versus <italic>P</italic>
 = .188). There were no significant changes on patient ratings for the Activities-specific Balance Confidence (mean decrease, −1%; <italic>P</italic>
 = .922) or the Geriatric Depression Scale (mean increase, 2.2; <italic>P</italic>
 = .188).</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">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.</p>
</sec>
</div>
</front>
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<affiliations><list></list>
<tree><noCountry><name sortKey="Albert, Mark V" sort="Albert, Mark V" uniqKey="Albert M" first="Mark V." last="Albert">Mark V. Albert</name>
<name sortKey="Kording, Konrad" sort="Kording, Konrad" uniqKey="Kording K" first="Konrad" last="Kording">Konrad Kording</name>
<name sortKey="Marciniak, Christina M" sort="Marciniak, Christina M" uniqKey="Marciniak C" first="Christina M." last="Marciniak">Christina M. Marciniak</name>
<name sortKey="Mhatre, Priya V" sort="Mhatre, Priya V" uniqKey="Mhatre P" first="Priya V." last="Mhatre">Priya V. Mhatre</name>
<name sortKey="Pickering, Laura" sort="Pickering, Laura" uniqKey="Pickering L" first="Laura" last="Pickering">Laura Pickering</name>
<name sortKey="Stibb, Stacy M" sort="Stibb, Stacy M" uniqKey="Stibb S" first="Stacy M." last="Stibb">Stacy M. Stibb</name>
<name sortKey="Toledo, Santiago" sort="Toledo, Santiago" uniqKey="Toledo S" first="Santiago" last="Toledo">Santiago Toledo</name>
<name sortKey="Vilares, Iris" sort="Vilares, Iris" uniqKey="Vilares I" first="Iris" last="Vilares">Iris Vilares</name>
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Danse-thérapie et Parkinson

Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease

Wii Fit Balance Board Playing Improves Balance and Gait in Parkinson Disease

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