Skip to main content

Advertisement

SpringerLink
Log in

Wii Fit is effective in women with bone loss condition associated with balance disorders: a randomized controlled trial

  • Original Article
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

The use of exergame for balance competencies was recently explored in women affected by balance ability reduction with non-conclusive results. The aim of the study was to evaluate the efficacy of a supervised exergame performed with the Wii Fit® compared to conventional exercises on balance function, quality of life, fear of fall and well-being in women with bone loss. Thirty-eight female participants aged over 65 years, with a bone loss condition, were enrolled and random allocated in the Wii group or control group. Subject enrolled in Wii group performed a balance training with a Wii Fit supervised by a physiotherapist (1 h, 2 days per week, during 8 weeks) while in control subjects performed the same amount of conventional balance exercises. Subject enrolled in experimental group showed significantly higher scores in terms of Berg Balance Scale (p = 0.027). In SF-36 scores, a significant difference was reported for physical activity score after treatment (p = 0.031). Fear of falling and the psychological scales were not significantly different between the two groups. In women with bone loss condition, a supervised Wii Fit training has shown better efficacy in improving balance performance with respect to conventional balance exercises.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Hung WW, Egol KA, Zuckerman JD et al (2012) Hip fracture management: tailoring care for the older patient. JAMA 307:2185–2194

    Article  CAS  PubMed  Google Scholar 

  2. Korpelainen R, Keinänen-Kiukaanniemi S, Nieminen P et al (2010) Long-term outcomes of exercise: follow-up of a randomized trial in older women with osteopenia. Arch Intern Med 170:1548–1556

    Article  PubMed  Google Scholar 

  3. Lord SR, Sherrington C, Menz H et al (2007) Falls in older people: risk factors and strategies for prevention. Cambridge University Press, Cambridge

    Book  Google Scholar 

  4. Park JH, Cho H, Shin JH et al (2014) Relationship among fear of falling, physical performance, and physical characteristics of the rural elderly. Am J Phys Med Rehabil 93:379–386

    Article  PubMed  Google Scholar 

  5. Tiedemann A, Sherrington C, Orr T et al (2013) Identifying older people at high risk of future falls: development and validation of a screening tool for use in emergency departments. Emerg Med J 30:918–922

    Article  PubMed  Google Scholar 

  6. Ma HT, Griffith JF, Xu L et al (2014) The functional muscle-bone unit in subjects of varying BMD. Osteoporos Int 25:999–1004

    Article  CAS  PubMed  Google Scholar 

  7. World Health Organisation. Retrieved from http://www.who.int/classifications/icf/en/ (04 19 December 2014)

  8. Ryff CD (1995) Psychological well-being in adult life. Psychol Sci 4:99–104

    Google Scholar 

  9. Penedo FJ, Dahn JR (2005) Exercise and well-being: a review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry 18:189–193

    Article  PubMed  Google Scholar 

  10. Cone BL, Levy SS, Goble DJ (2015) Wii Fit exer-game training improves sensory weighting and dynamic balance in healthy young adults. Gait Posture 41:711–715

    Article  PubMed  Google Scholar 

  11. Jorgensen MG, Laessoe U, Hendriksen C et al (2016) Efficacy of Nintendo Wii training on mechanical leg muscle function and postural balance in community-dwelling older adults: a randomized controlled trial. J Gerontol A Biol Sci Med Sci 68:845–852

    Article  Google Scholar 

  12. Montero-Alía P, Muñoz-Ortiz L, Jiménez-González M et al (2016) Study protocol of a randomized clinical trial evaluating the effectiveness of a primary care intervention using the Nintendo™ Wii console to improve balance and decrease falls in the elderly. BMC Geriatr 12:8

    Article  Google Scholar 

  13. Iosa M, Morone G, Fusco A et al (2012) Seven capital devices for the future of stroke rehabilitation. Stroke Res Treat 2012:187965

    CAS  PubMed  PubMed Central  Google Scholar 

  14. Green CS, Bavelier D (2012) Learning, attentional control, and action video games. Curr Biol 22:R197–R206

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Bieryla KA, Dold NM (2013) Feasibility of Wii Fit training to improve clinical measures of balance in older adults. Clin Interv Aging 8:775–781

    Article  PubMed  PubMed Central  Google Scholar 

  16. Rendon AA, Lohman EB, Thorpe D et al (2012) The effect of virtual reality gaming on dynamic balance in older adults. Age Ageing 41:549–552

    Article  PubMed  Google Scholar 

  17. Morone G, Tramontano M, Iosa M et al (2014) The efficacy of balance training with video game-based therapy in subacute stroke patients: a randomized controlled trial. Biomed Res Int 2014:580861

    PubMed  PubMed Central  Google Scholar 

  18. Guidi I, Giovannelli T, Paci M (2013) Effects of Wii exercises on balance in people with multiple sclerosis. Mult Scler 19:965

    Article  PubMed  Google Scholar 

  19. Barry G, Galna B, Rochester L (2014) The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence. J Neuroeng Rehabil 11:33

    Article  PubMed  PubMed Central  Google Scholar 

  20. Hakestad KA, Torstveit MK, Nordsletten L et al (2015) Effect of exercises with weight vests and a patient education programme for women with osteopenia and a healed wrist fracture: a randomized, controlled trial of the OsteoACTIVE programme. BMC Musculoskelet Disord 16:352

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Miko I, Szerb I, Szerb A, et al. (2016) Effectiveness of balance training programme in reducing the frequency of falling in established osteoporotic women: a randomized controlled trial. Clin Rehabil. pii: 0269215516628616 [Epub ahead of print]

  22. Berg KO, Wood-Dauphinèe SL, Williams JI et al (1992) Measuring balance in the elderly: validation of an instrument. Can J Public Health 83:S7–S11

    PubMed  Google Scholar 

  23. Kanis JA (1994) Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporos Int 4:368–381

    Article  CAS  PubMed  Google Scholar 

  24. Boutron I, Moher D, Altman DG et al (2008) Extending the CONSORT statement to randomized trials of nonpharmacologic treatment; explanation and elaboration. Ann Intern Med 148:295–309

    Article  PubMed  Google Scholar 

  25. Lange B, Flynn S, Proffitt R et al (2010) Development of an interactive game-based rehabilitation tool for dynamic balance training. Top Stroke Rehabil 17:345–352

    Article  PubMed  Google Scholar 

  26. Bonaiuti D, Arioli G, Diana G et al (2005) SIMFER rehabilitation treatment guidelines in postmenopausal and senile osteoporosis. Eura Medicophys 41:315–337

    CAS  PubMed  Google Scholar 

  27. Paolucci T, Morone G, Iosa M et al (2014) Efficacy of group-adapted physical exercises in reducing back pain in women with postmenopausal osteoporosis. Aging Clin Exp Res 26:395–402

    Article  PubMed  Google Scholar 

  28. Kai MC, Anderson M, Lau EM (2003) Exercise interventions: defusing the world’s osteoporosis time bomb. Bull World Health Organ 81:827–830

    PubMed  Google Scholar 

  29. Elmo C, Ruggiero T, Mariani R et al (2010) Validazione della FES-I e della FES-I breve in anziani viventi in comunità, Validation of FES-I and short FES-I in community-dwelling elderly, Istituto di Gerontologia e Geriatria. G Gerontol 58:259–263

    Google Scholar 

  30. Morone G, Paolucci T, Alcuri M et al (2011) Quality of life improved by multidisciplinary back school program in patients with chronic non-specific low back pain: a single blind randomized controlled trial. Eur J Phys Rehabil Med 47:533–541

    CAS  PubMed  Google Scholar 

  31. Aplon G, Mosconi P (1998) The Italian SF-36 Health Survey: translation, validation and morning. J Clin Epidemiol 51:1025–1036

    Article  Google Scholar 

  32. Ruggiero C, Mariani T, Gugliotta R et al (2009) Validation 1 of the Italian version of the falls efficacy scale international (FES-I) and the short FES-I in community-dwelling older persons. Arch Gerontol Geriatr 49:211–219

    Article  PubMed  Google Scholar 

  33. Piyavhatkul N, Aroonpongpaisal S, Patjanasoontorn N et al (2011) Validity and reliability of the Rosenberg Self-Esteem Scale-Thai version as compared to the Self-Esteem Visual Analog Scale. J Med Assoc Thai 94:857–862

    PubMed  Google Scholar 

  34. Rosenberg M (1989) Society and the adolescent self-image. Revised edition. Wesleyan University Press, Middletown, CT

    Google Scholar 

  35. Ruini C, Ottolini F, Ryff C et al (2003) La validazione italiana delle Psychological Well-being Scales (PWB). Italian validation of Psychological Well-being Scales (PWB). Rivista di psichiatria 38:117–130

    Google Scholar 

  36. Cho GH, Hwangbo G, Shin HS (2014) The effects of virtual reality-based balance training on balance of the elderly. J Phys Ther Sci 26:615–617

    Article  PubMed  PubMed Central  Google Scholar 

  37. Jung Dae-In, Ko Dae-Sik, Jeong Mi-Ae (2015) Kinematic effect of Nintendo WiiTM sports program exercise on obstacle gait in elderly women with falling risk. J Phys Ther Sci 27:1397–1400

    Article  PubMed  PubMed Central  Google Scholar 

  38. Nitz JC, Kuys S, Isles R et al (2010) Is the Wii Fit a new-generation tool for improving balance, health and well-being? A pilot study. Climacteric 13:487–491

    Article  CAS  PubMed  Google Scholar 

  39. Toulotte C, Toursel C, Olivier N (2012) Wii fit® training vs. adapted physical activities: which one is the most appropriate to improve the balance of independent senior subjects? A randomized controlled study. Clin Rehabil 26:827–835

    Article  PubMed  Google Scholar 

  40. Sanchez-Vives MV, Slater M (2005) From presence to consciousness through virtual reality. Nat Rev Neurosci 6:332–339

    Article  CAS  PubMed  Google Scholar 

  41. Deutsch JE, Brettler A, Smith C et al (2011) Nintendo Wii sports and Wii fit game analysis, validation, and application to stroke rehabilitation. Top Stroke Rehabil 18:701–719

    Article  PubMed  Google Scholar 

  42. Vicker Douglas K (2003) Physical exercises and psychological help. Mayo Clinic, Rochester

    Google Scholar 

  43. Küçük F, Livanelioglu A (2015) Impact of the clinical Pilates exercises and verbal education on exercise beliefs and psychosocial factors in healthy women. J Phys Ther Sci 27:3437–3443

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy

    Giovanni Morone, Marco Iosa & Stefano Paolucci

  2. Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy

    Teresa Paolucci, Sara Luziatelli, Cristina Piermattei, Federico Zangrando & Vincenzo Maria Saraceni

  3. Physical Medicine and Rehabilitation Unit, Sant’Andrea Hospital, Sapienza University of Rome, Via di Grottarossa, 1035/1039, 00189, Rome, Italy

    Maria Chiara Vulpiani

  4. Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro De Bosis, 15, 00135, Rome, Italy

    Carlo Baldari & Laura Guidetti

Authors
  1. Giovanni Morone
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Teresa Paolucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Sara Luziatelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marco Iosa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Cristina Piermattei
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Federico Zangrando
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Stefano Paolucci
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Maria Chiara Vulpiani
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Vincenzo Maria Saraceni
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Carlo Baldari
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Laura Guidetti
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Giovanni Morone.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Morone, G., Paolucci, T., Luziatelli, S. et al. Wii Fit is effective in women with bone loss condition associated with balance disorders: a randomized controlled trial. Aging Clin Exp Res 28, 1187–1193 (2016). https://doi.org/10.1007/s40520-016-0578-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-016-0578-6

Keywords

Search

Navigation