THE EFFECTS OF NINTENDO WII FIT TRAINING ON GAIT SPEED, BALANCE, FUNCTIONAL MOBILITY AND DEPRESSION IN ONE PERSON WITH PARKINSON'S DISEASE

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.

[1]  A. Biderman,et al.  Depression and falls among community dwelling elderly people: a search for common risk factors , 2002, Journal of epidemiology and community health.

[2]  B. E. Maki,et al.  Measuring balance in the elderly: validation of an instrument. , 1992, Canadian journal of public health = Revue canadienne de sante publique.

[3]  R. Clark,et al.  Clinical Use of Nintendo Wii™ Bowling Simulation to Decrease Fall Risk in an Elderly Resident of a Nursing Home: A Case Report , 2009, Journal of geriatric physical therapy.

[4]  J. Deutsch,et al.  Use of a Low-Cost, Commercially Available Gaming Console (Wii) for Rehabilitation of an Adolescent With Cerebral Palsy , 2008, Physical Therapy.

[5]  Madeleine. E. Hackney,et al.  Effects of dance on balance and gait in severe Parkinson disease: A case study , 2010, Disability and rehabilitation.

[6]  M. Thompson,et al.  Performance of Individuals with Parkinsonʼs Disease on the Timed Up & Go , 1998 .

[7]  E. Dooley National Institute of Neurological Disorders and Stroke , 2006 .

[8]  Madeleine. E. Hackney,et al.  Short duration, intensive tango dancing for Parkinson disease: an uncontrolled pilot study. , 2009, Complementary therapies in medicine.

[9]  B. MacWilliams,et al.  Maximal Speed Gait Initiation of Healthy Elderly Individuals and Persons With Parkinson Disease , 2004 .

[10]  M. Woollacott,et al.  Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. , 2000, Physical therapy.

[11]  F. Horak,et al.  Delaying Mobility Disability in People With Parkinson Disease Using a Sensorimotor Agility Exercise Program , 2009, Physical Therapy.

[12]  S. Fritz,et al.  White paper: "walking speed: the sixth vital sign". , 2009, Journal of geriatric physical therapy.

[13]  L. Mollinger,et al.  Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. , 2002, Physical therapy.

[14]  S. Studenski,et al.  Physical Performance Measures in the Clinical Setting , 2003, Journal of the American Geriatrics Society.

[15]  Heidi Sugarman,et al.  Use of the Nintendo Wii Fit for the Treatment of Balance Problems in an Elderly Patient with Stroke: A Case Report , 2009 .

[16]  Susan E. Hardy,et al.  Improvement in Usual Gait Speed Predicts Better Survival in Older Adults , 2007, Journal of the American Geriatrics Society.

[17]  G. Wulf,et al.  External Focus Instructions Reduce Postural Instability in Individuals With Parkinson Disease , 2009, Physical Therapy.

[18]  P. Moberg,et al.  Falling risk factors in Parkinson's disease. , 2005, NeuroRehabilitation.

[19]  Katy Mitchell,et al.  Gait and step training to reduce falls in Parkinson's disease. , 2005, NeuroRehabilitation.

[20]  P. Gray,et al.  Fall Risk Factors in Parkinson's Disease , 2000, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.