Ignite Creation Date:
2024-05-05 @ 11:38 PM
Last Modification Date:
2024-10-26 @ 10:36 AM
Study NCT ID:
NCT01371253
Status:
COMPLETED
Last Update Posted:
2012-01-19
First Post:
2011-06-09
Brief Title:
10 Weeks of NIntendo wIi Fit balanCe Training Improved Postural balANce and Muscle Strength in Elderly Individuals
Sponsor:
Aalborg University Hospital
Organization:
Aalborg University Hospital
Study Overview
Official Title:
10 Weeks of NIntendo wIi Fit balanCe Training Improved Postural balANce and Muscle Strength in Elderly Individuals Double Blinded Randomised Controlled Trial
Status:
COMPLETED
Status Verified Date:
2012-01
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
WIICAN
Brief Summary:
On a yearly basis roughly 40000 individuals aged 65 contact the emergency departments in Denmark as a result of an accidental fall and in about 30 of these cases hospitalization is required The cost of these admissions vary according to the type of injury with hip fractures being the most expensive accident 113 ChrischillesE 1994 The total average cost of a severe hip fracture in the Danish healthcare system resulting in nursing home placement has been estimated to approximately 365000 Danish Kroner Dkk per year 288 ChristensenPM 2005 In addition about 20 of the elderly individuals who sustain a hip fracture will die within 6 months 200 BrotC 2006 For the society the outcome of falling in the elderly population is therefore not only associated with severe human but also economical consequences Hence it is essential to refine develop and think out of the box when future intervention programs are designed and employed in the elderly community
One such out of the box intervention could be balance training with a Nintendo Wii Fit board Nintendo Wii Nintendo Co Ltd Minami-ku Kyoto Japan The Nintendo Wii Fit board is a new generation of computer game which uses 3D tracking of the participants motion and gestures This means that the user interacts in and controls elements of the 3D gaming world with their own body 307 LaViolaJJJr 2008 In the case of the Wii Fit board it detects the body sway and center of pressure COP of the participant and displays it onto a TV screen in different balance sceneries A virtual character on the TV then reacts according to the users movement and gesture ex skiing down a ski slope passing thru gates This enables the user to perform tasks that they may not be able to execute safely or at all in real-world situations Interestingly in this context a study by Sihvonen et al from 2004 showed a compliance of 975 using the same technique as the Wii Fit only in 2D and with a poor graphical display Further the Sihvonen-study showed that 2D biofeedback intervention of only 4 weeks proved successful in terms of improved postural balance physical activity and life quality 297 SihvonenS 2004 Finally traditional methods when promoting physical activity in the elderly population has been limited by lack of motivation or poor compliance REFS which possibly has prevented the elderly from reaching a maximum rehabilitation potentialREFS Furthermore in the follow-up period after these traditional intervention studies it has been documented how difficult it is for the elderly to sustain the same training volume on themselves REFS
Virtual reality systems like the Nintendo Wii Fit have been developed specifically for rehabilitation of the upper- 301 KuttuvaM 2006300 DvorkinAY 2006 and lower-extremities and gait training 298 DeutschJE 2007 Further virtual reality platforms have been use for rehabilitation and training of reaching movements 302 PironL 2001 motor coordination 303 BroerenJ 2002 hand strength and range of motion speed of hand movement304 JackD 2001305 MeriansAS 2002 But so far most of these systems have not become commercially available possible due to a very high cost 294 DeutschJE 2008 Moreover in some cases the virtual rehabilitation environment has to be constructed from scratch making the hole process and implication very complicated 306 WeissPL 2004 Thus designing an intervention program that utilizes the low-cost ready-to-use Wii Fit platform could be a possible research direction to explore At the moment few studies have been conducted using the Nintendo Wii console Among the few some have investigated the energy expenditure in kids 11-17 years of age playing Wii Sports bowling tennis and boxing compared to sedentary xbox games and actual bowling tennis and boxing 295 GravesLE 2008 296 GravesL 2008 while others have explored the Nintendo Wii console for rehabilitation of an adolescent with cerebral palsy 294 DeutschJE 2008
To the authors knowledge no studies have investigated the effect of 10 weeks of Nintendo Wii Fit balance training in seniors 65 years The main purpose of the study is to investigate the hypothesis That 10 weeks of Nintendo Wii Fit balance training in a group of seniors 65 years of age have a significant effect on postural balance and muscle strength
One such out of the box intervention could be balance training with a Nintendo Wii Fit board Nintendo Wii Nintendo Co Ltd Minami-ku Kyoto Japan The Nintendo Wii Fit board is a new generation of computer game which uses 3D tracking of the participants motion and gestures This means that the user interacts in and controls elements of the 3D gaming world with their own body 307 LaViolaJJJr 2008 In the case of the Wii Fit board it detects the body sway and center of pressure COP of the participant and displays it onto a TV screen in different balance sceneries A virtual character on the TV then reacts according to the users movement and gesture ex skiing down a ski slope passing thru gates This enables the user to perform tasks that they may not be able to execute safely or at all in real-world situations Interestingly in this context a study by Sihvonen et al from 2004 showed a compliance of 975 using the same technique as the Wii Fit only in 2D and with a poor graphical display Further the Sihvonen-study showed that 2D biofeedback intervention of only 4 weeks proved successful in terms of improved postural balance physical activity and life quality 297 SihvonenS 2004 Finally traditional methods when promoting physical activity in the elderly population has been limited by lack of motivation or poor compliance REFS which possibly has prevented the elderly from reaching a maximum rehabilitation potentialREFS Furthermore in the follow-up period after these traditional intervention studies it has been documented how difficult it is for the elderly to sustain the same training volume on themselves REFS
Virtual reality systems like the Nintendo Wii Fit have been developed specifically for rehabilitation of the upper- 301 KuttuvaM 2006300 DvorkinAY 2006 and lower-extremities and gait training 298 DeutschJE 2007 Further virtual reality platforms have been use for rehabilitation and training of reaching movements 302 PironL 2001 motor coordination 303 BroerenJ 2002 hand strength and range of motion speed of hand movement304 JackD 2001305 MeriansAS 2002 But so far most of these systems have not become commercially available possible due to a very high cost 294 DeutschJE 2008 Moreover in some cases the virtual rehabilitation environment has to be constructed from scratch making the hole process and implication very complicated 306 WeissPL 2004 Thus designing an intervention program that utilizes the low-cost ready-to-use Wii Fit platform could be a possible research direction to explore At the moment few studies have been conducted using the Nintendo Wii console Among the few some have investigated the energy expenditure in kids 11-17 years of age playing Wii Sports bowling tennis and boxing compared to sedentary xbox games and actual bowling tennis and boxing 295 GravesLE 2008 296 GravesL 2008 while others have explored the Nintendo Wii console for rehabilitation of an adolescent with cerebral palsy 294 DeutschJE 2008
To the authors knowledge no studies have investigated the effect of 10 weeks of Nintendo Wii Fit balance training in seniors 65 years The main purpose of the study is to investigate the hypothesis That 10 weeks of Nintendo Wii Fit balance training in a group of seniors 65 years of age have a significant effect on postural balance and muscle strength
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None