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Volume 9
Issue 5
Online publication date 2011-11-05
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, Jessica Franca, Michael Antunes, Christopher Lavallee
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.

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.631-36 

Berg, 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.S7-11

Brown, 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.109-10 

Clark, 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.174-80

Coyne, C., 2008. “Video “games” in the clinic: PTs report early results,” PT Magazine, Vol.16, No.5, pp.22-29
Deutsch, 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.1196-207

Dibble, 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.2-11 

Fritz, S., Lusardi, M., 2009. “White paper: Walking speed: the sixth vital sign,” J Geriatr Phys Ther., Vol.32, pp.2-4

Gray, P., Hildebrand, K., 2000. “Fall risk factors in Parkinson’s disease,” Journal of Neuroscience Nursing, Vol.20, No.32, pp.222-28

Hackney, 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.679-84

Hackney, 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.203-37

Hardy, 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.1727-734

King, 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.384-93
Peach, 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.57-68

Parkinson’s Disease Backgrounder, 2011. National Institute of Neurological Disorders and Stroke: NIH Website Accessed June 2, 2011

Protas, EJ, Mitchell, K., Williams, A. et al., 2005. “Gait and step training to reduce falls in Parkinson’s disease,” NeuroRehabiliation, Vol.3, pp.183-90
Robinson, K., Dennison, A., Stern, M. et al., 2005. “Falling risk factors in Parkinson's disease,” NeuroRehabilitation, Vol.20, No.3, pp.169-82

Shumway-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.896-903

Steffen, 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.128-36

Studenski, S, Perera, S, Wallace, D. et al., 2003. “Physical performance measures in the clinical setting,” J Am Geriatr Soc., Vol.51, pp.314-22

Thompson, M., Medley, A., 1998. “Performance of individuals with Parkinson’s disease on the Timed Up and Go,” Neurology Report., Vol.22, pp.16-21

Wulf,  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. 162-172

Nintendo Website, (2011) “What is Wii Fit Plus?”  Nintendo Website, Accessed June 2, 2011

Keywords Nintendo Wii Fit, Parkinson’s disease
Pages 18-24
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