Zettergren et al, 20113232 Zettergren K, Franca J, Antunes M, Lavallee C. The effects of Nintendo Wii Fit training on gait speed, balance, functional mobility and depression in one person with Parkinson's disease. ATI. 2011;5(2):38-44. (Case Study) |
n = 1 |
TUG |
After 8 weeks, the subject’s BBS score and the gait speed have increased, the TUG decreased and and GDS scores remained unchanged. The Nintendo Wii Fit may be a viable alternative to independent exercise programs for people diagnosed with idiopathic PD. |
69 years |
BERG |
|
Self selected gait speed |
|
Fall history |
|
GDS |
Esculier et al, 20122525 Esculier JF, Vaudrin J, Bériault P, Gagnon K, Tremblay LE. Home-based balance training programme using Wii Fit with balance board for Parkinsons's disease: a pilot study. J Rehabil Med. 2012;44(2):144-50. (Clinical Trial) |
n = 20 |
STST |
The PD group significantly improved their results in TUG (p < 0.04), STST (p < 0,01), unipodal stance (p < 0.05), 10-m walk test (p < 0.001), CBM (p < 0.001), POMA (p < 0.05) and force platform after the training programme. The healthy subjects group significantly improved in TUG (p < 0.001), STST (p < 0.01), unipodal stance and CBM (p < 0.02). This study suggests that a home-based balance programme using Wii Fit could improve static and dynamic balance, mobility and functional abilities of people with PD. |
|
TUG |
n = 9 Health people |
POMA |
64 years |
10-m walk test |
|
CBM |
n = 11 People with PD |
ABC |
62 years |
Unipodal stance duration Force platform |
18.4 - UPDRS |
|
Pompeu et al, 20122020 Pompeu JE, Mendes FA, Silva KG, Lobo AM, Oliveira Tde P, Zomignani AP, et al. Effect of Nintendo Wii(tm)-based motor and cognitive training on activities of daily living in patients with Parkinson's disease: a randomised clinical trial. Physiotherapy. 2012;98(3):196-204. (Randomised clinical trial) |
n = 32 |
UPDRS-II |
Both groups showed a significant improvement (p < 0.05) on the UPDRS-II, BBS, Unipedal Stance Test and Montreal Cognitive Assessment after training that was maintained at follow-up. Wii Fit could be used as a new tool in association with physical therapy in order to improve motivation, and consequently adherence. |
67 years |
BERG |
Hoehn and Yahr stages 1 and 2 |
Unipedal Stance Test |
|
Montreal Cognitive Assessment |
Loureiro et al, 20123333 Loureiro APC, Ribas CG, Zotz TGG, Chen R, Ribas F. Feasibility of virtual therapy in rehabilitation of Parkinson's disease patients: pilot study. Fisioter. Mov. 2012;25(3):659-66. (Quasi-experimental design) |
n = 6 |
Borg’s Scale |
Statistically significant differences were found in the following tests: Borg’s Scale and BERG. The TUG and Notthingham’s Scale was not statistically significant when comparing the initial and final values. It is believed that exercises with virtual reality therapy can be a useful tool to improve the balance in PD patients. |
65 years |
BERG |
Hoehn and Yahr stages 2 and 3 |
Notthingham’s Scale |
|
TUG |
|
Functional Reach |
Mhatre et al, 20133434 Mhatre PV, Vilares I, Stibb SM, Albert MV, Pickering L, Marciniak CM, et al. Wii Fit balance board playing improves balance and gait in Parkinson disease. PM R. 2013;5(9):769-77. (Quasi-experimental design) |
n = 10 |
BERG |
The BBS (p < 0.016) and DGI (p < 0.004) improved significantly, as did postural sway measured with the balance board. The Sharpened Romberg improvements significance only for eyes open (p < 0.049). There were no significant changes on patient ratings for the Activities-specific Balance Confidence. An exercise training class by using the Wii Fit balance board improved selective measures of balance and gait (p < 0.035) in adults with PD. However, no significant changes were seen in mood or confidence regarding balance. |
67 years |
DGI |
Hoehn and Yahr stages 2,5 and 3 |
Sharpened Romberg with eyes open and closed |
|
Postural sway using the Wii balance board |
|
ABC |
|
GDS |
Herz et al, 20132323 Herz NB, Mehta SH, Sethi KD, Jackson P, Hall P, Morgan JC. Nintendo Wii rehabilitation ( »,» ®,® §,§ ­, ¹,¹ ²,² ³,³ ß,ß Þ,Þ þ,þ ×,× Ú,Ú ú,ú Û,Û û,û Ù,Ù ù,ù ¨,¨ Ü,Ü ü,ü Ý,Ý ý,ý ¥,¥ ÿ,ÿ ¶,¶ Wii-hab »,» ®,® §,§ ­, ¹,¹ ²,² ³,³ ß,ß Þ,Þ þ,þ ×,× Ú,Ú ú,ú Û,Û û,û Ù,Ù ù,ù ¨,¨ Ü,Ü ü,ü Ý,Ý ý,ý ¥,¥ ÿ,ÿ ¶,¶ ) provides benefits in Parkinson's disease. Parkinsonism Relat Disord. 2013;19(11):1039-42. (Quasi-experimental design) |
n = 20 |
9-hole peg test |
There was a significant improvement in the right-sided 9-hole peg test score and TUG score between pre- and post-intervention. This study demonstrates that the Nintendo Wii gaming system can be an effective treatment modality for patients with PD. However further studies are needed to determine if there are long-term benefits of this therapy in PD. |
67 years |
POMA |
Hoehn & Yahr Stage 2 |
Purdue Pegboard Test |
|
Timed tapping test |
|
TUG |
|
Hamilton Depression Scale Nottingham |
|
Extended Activities of Daily Living Test |
|
PDQ-39 |
|
NEADL |
|
UPDRS |
Zalecki et al, 20132626 Zalecki T, Gorecka-Mazur A, Pietraszko W, Surowka AD, Novak P, Moskala M, et al. Visual feedback training using WII Fit improves balance in Parkinson's disease. Folia Med Cracov. 2013;53(1):65-78. (Quasi-experimental design) |
n = 24 |
BERG |
There was a significantly improvement in BERG (p < 0.0001), POMA (p < 0.001), TUG (p < 0.05), Sit-to-stand test (p < 0,05), 10-Meter Walk test (p < 0.05) and Activities-specific Balance Confidence scale (p < 0.003) at the end of the programme. |
69 years |
POMA |
|
TUG |
|
Sit-to-stand test |
|
10-Meter Walk test |
|
ABC |
da Silva et al, 20133030 Silva FD, Polese JC, Alvarenga LFC, Schuster RC. Efeitos da Wiireabilitação Na Mobilidade de Tronco de Indivíduos com Doença de Parkinson: Um Estudo Piloto. Rev Neurocienc. 2013;21(3):364-8. (Quasi-experimental design) |
n = 6 |
Goniometry |
It was observed that treatment using Wii Sports (Nintendo Wii®) games was able to increase, range of movement (p < 0.03), trunk mobility (p < 0,003), balance (p < 0.02) and quality of life of individuals with PD (p < 0.03). |
|
Trunk Mobility Scale |
|
BERG |
|
PDQ-39 |
Liao et al, 20153636 Liao YY, Yang YR, Cheng SJ, Wu YR, Fuh JL, Wang RY. Virtual Reality-Based Training to Improve Obstacle-Crossing Performance and Dynamic Balance in Patients With Parkinson's Disease. Neurorehabil Neural Repair. 2015;29(7):658-67. (Randomized controlled trial) |
n = 36 |
Obstacle crossing performance Dynamic balance |
The Wii Fit group showed greater improvement in obstacle crossing velocity, crossing stride length, dynamic balance, SOT, TUG, FES-I, and PDQ39 than the control group. Wii Fit training also resulted in greater improvement in movement velocity of limits-of-stability test than Traditional Exercise training. |
Hoehn and Yahr score ranging 1 to 3 |
SOT |
Wii Fit exercise (n = 12) |
PDQ-39 |
Traditional exercise (n = 12) |
FES-I |
No structured exercise program (n = 12) |
TUG |
Pompeu et al, 20143535 Pompeu JE, Andrade G, Mendonça MS, Pompeu SMAA, Lange B. Safety, Feasibility and Effectiveness of Balance and Gait Training Using Nintendo Wii Fit PlusTM on Unstable Surface in Patients with Parkinson's Disease: A Pilot Study. J Alzheimers Dis Parkinsonism. 2014;4(1):1-4. (Case series) |
n = 4 |
BESTest |
There was an improvement of 9.19% in the BESTest score. This improvement may be related to the motor and cognitive demands of the games. |
67 years |
|
Hoehn and Yahr stages 2 and 3 |
|
Lee, Lee and Song, 20152929 Lee NY, Lee DK, Song HS. Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson's disease patients. J Phys Ther Sci. 2015;27(1):145-7. (Randomized controlled trial) |
n = 20 |
BBS |
There was significantly difference between before and after treatment in the experimental group (46.0 ± 1.3 to 48.1 ± 3.0; p < 0.05) and significantly differed between the experimental and control group in the balance (p < 0.05), activities of daily living, and depressive disorder status. Virtual reality dance exercise has a positive effect on balance, activities of daily living, and depressive disorder status of PD patients. |
68 years |
Modified Barthel Index |
Experimental group (n = 10) |
Beck Depression Inventory |
Control group (n = 10) |
|
Negrini et al, 20163131 Negrini S, Bissolotti L, Ferraris TA, Noro F, Bishop MD, Villafañe JH. Nintendo Wii Fit for Balance Rehabilitation in Patients with Parkinson's Disease: a compartive study. J Bodyw Mov Ther. 2017;21(1):117-23.
|
n = 27 |
BBS |
The results revealed significant differences for the low dose group and for the high dose group (all, p < 0.02) for BBS and FRT, but not significant difference was identified in POMA (all, p < 0.2) for the high dose group. There was no significant difference between the groups (p > 0.05). |
66 years |
POMA |
|
FRT |