Feasibility and Efficacy of the Nintendo Wii Gaming System to Improve Balance Performance Post-Stroke: Protocol of a Phase II Randomized Controlled Trial in an Inpatient Rehabilitation Setting

Kelly Bower; Ross Clark; J L McGinley; Clarissa L Martin; K J Miller

doi:10.1089/g4h.2012.0069

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Feasibility and Efficacy of the Nintendo Wii Gaming System to Improve Balance Performance Post-Stroke: Protocol of a Phase II Randomized Controlled Trial in an Inpatient Rehabilitation Setting

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Feasibility and Efficacy of the Nintendo Wii Gaming System to Improve Balance Performance Post-Stroke: Protocol of a Phase II Randomized Controlled Trial in an Inpatient Rehabilitation Setting

Kelly Bower, Ross Clark, J L McGinley, Clarissa L Martin and K J Miller

Games for Health, Vol.2(2), pp.103-108

2013

DOI: https://doi.org/10.1089/g4h.2012.0069

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Abstract

Objective: Balance deficits following stroke are common and debilitating. Commercially available gaming systems, such as the Nintendo® (Kyoto, Japan) Wiiâ„¢, have been widely adopted clinically; however, there is limited evidence supporting their feasibility and efficacy for improving balance performance following stroke. The aim of this trial is to investigate the clinical feasibility and efficacy of using the Nintendo Wii gaming system as an adjunct to standard care to improve balance performance following stroke in an inpatient rehabilitation setting. Subjects and Methods: Thirty participants undergoing inpatient stroke rehabilitation will be recruited into this Phase II, single-blind, randomized controlled trial. Participants will be allocated into a Balance or Upper Limb Group, and both groups will perform activities using the Nintendo Wii in addition to their standard care. Participants will attend three 45-minute sessions per week, for a minimum of 2 and a maximum of 4 weeks. Results: The main focus of the study is to investigate the feasibility of the intervention protocol. This will be evaluated through recruitment, retention, adherence, acceptability, and safety. The Step Test and Functional Reach Test will be the primary efficacy outcomes. Secondary outcomes will include force platform, mobility, and upper limb measures. Assessments will occur at baseline, 2 weeks, and 4 weeks after study entry. Discussion: To the authors' knowledge, this will be the largest randomized clinical trial to investigate the feasibility and efficacy of the Nintendo Wii gaming system for improving balance performance in a stroke population. The results will inform the design of a Phase III multicenter trial. © Copyright 2013, Mary Ann Liebert, Inc. 2013.

Details

Title: Feasibility and Efficacy of the Nintendo Wii Gaming System to Improve Balance Performance Post-Stroke: Protocol of a Phase II Randomized Controlled Trial in an Inpatient Rehabilitation Setting
Authors: Kelly Bower (Author) - University of Melbourne
Ross Clark (Author) - University of Melbourne
J L McGinley (Author) - University of Melbourne
Clarissa L Martin (Author) - Monash University
K J Miller (Author) - University of Melbourne
Publication details: Games for Health, Vol.2(2), pp.103-108
Publisher: Mary Ann Liebert, Inc. Publishers
Date published: 2013
DOI: 10.1089/g4h.2012.0069
ISSN: 2161-783X
Organisation Unit: University of the Sunshine Coast, Queensland; School of Health and Sport Sciences - Legacy; School of Health and Behavioural Sciences - Legacy; School of Health - Public Health
Language: English
Record Identifier: 99450560202621
Output Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Web Of Science research areas: Health Policy & Services; Public, Environmental & Occupational Health; Rehabilitation