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Balance and mobility training at home using Wii Fit in children with cerebral palsy: a feasibility study
  1. Hsiu-Ching Chiu1,
  2. Louise Ada2,
  3. Shin-Da Lee3,4
  1. 1 Department of Physical Therapy, I-Shou University, Kaohsiung, Taiwan
  2. 2 Discipline of Physiotherapy, The University of Sydney, Sydney, Australia
  3. 3 Department of Occupational Therapy, Asia University, Taichung, Taiwan
  4. 4 Department of Physical Therapy, China Medical University, Taichung, Taiwan
  1. Correspondence to Professor Shin-Da Lee; shinda{at}mail.cmu.edu.tw

Abstract

Objectives To investigate whether balance and mobility training at home using Wii Fit is feasible and can provide clinical benefits.

Design Single-group, pre–post intervention study.

Setting Participants’ home.

Participants 20 children with cerebral palsy (6–12 years).

Intervention Participants undertook 8 weeks of home-based Wii Fit training in addition to usual care.

Main measures Feasibility was determined by adherence, performance, acceptability and safety. Clinical outcomes were strength, balance, mobility and participation measured at baseline (preintervention) and 8 weeks (postintervention).

Results The training was feasible with 99% of training completed; performance on all games improved; parents understood the training (4/5), it did not interfere in life (3.8/5), was challenging (3.9/5) and would recommend it (3.9/5); and there were no injurious falls. Strength increased in dorsiflexors (Mean Difference (MD) 2.2 N m, 95% CI 1.1 to 3.2, p<0.001), plantarflexors (MD 2.2 N m, 95% CI 1.3 to 3.1, p<0.001) and quadriceps (MD 7.8 N m, 95% CI 5.2 to 10.5, p<0.001). Preferred walking speed increased (MD 0.25 m/s, 95% CI 0.09 to 0.41, p<0.01), fast speed increased (MD 0.24 m/s, 95% CI 0.13 to 0.35, p<0.001) and distance over 6 min increased (MD 28 m, 95% CI 10 to 45, p<0.01). Independence in participation increased (MD 1.4 out of 40, 95% CI 0.0 to 2.8, p=0.04).

Conclusions Balance and mobility training at home using Wii Fit was feasible and safe and has the potential to improve strength and mobility, suggesting that a randomised trial is warranted.

Trial registration number ACTRN12616001362482.

  • cerebral palsy
  • balance
  • walking
  • physical therapy
  • Wii

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Footnotes

  • Contributors HCC, chief investigator for study and lead author, obtained ethics approval, assembled team, recruited participants, collected and analysed data, and wrote the first draft of the manuscript. LA advised on study design, was involved in data processing, data analysis and interpretation of findings, and contributed to revision of the manuscript. S-DL advised on study design, was involved in data collection, and interpretation of findings and contributed to revision of the manuscript.

  • Funding This research was, in part, supported by the Ministry of Science and Technology, under grant number MOST 104-2314-B-214-006 and by Taiwan Ministry of Health and Welfare Clinical Trial Center, under grant number MOHW106-TDU-B-212-113004.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Ethics approval National Cheng Kung University Governance Framework for Human Research Ethics.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement There is unpublished data in relation to the progression of all games for all participants, which can be obtained by contacting the chief investigator.

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