Cargando…

Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors

BACKGROUND: Several studies have reported that using the Wii™ Balance Board can provide added value regarding balance (re-)training in neurological diseases. However, for the large group of mobile older stroke survivors, there is no evidence regarding the feasibility of an unsupervised Wii™ Balance...

Descripción completa

Detalles Bibliográficos
Autores principales: Golla, André, Müller, Tobias, Wohlfarth, Kai, Jahn, Patrick, Mattukat, Kerstin, Mau, Wilfried
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109315/
https://www.ncbi.nlm.nih.gov/pubmed/30155268
http://dx.doi.org/10.1186/s40814-018-0334-0
_version_ 1783350305390329856
author Golla, André
Müller, Tobias
Wohlfarth, Kai
Jahn, Patrick
Mattukat, Kerstin
Mau, Wilfried
author_facet Golla, André
Müller, Tobias
Wohlfarth, Kai
Jahn, Patrick
Mattukat, Kerstin
Mau, Wilfried
author_sort Golla, André
collection PubMed
description BACKGROUND: Several studies have reported that using the Wii™ Balance Board can provide added value regarding balance (re-)training in neurological diseases. However, for the large group of mobile older stroke survivors, there is no evidence regarding the feasibility of an unsupervised Wii™ Balance Board training in the home setting. The aim of this study was to investigate the feasibility of a home-based Wii™ balance training for these patients and to identify methodological challenges for randomised controlled trials in the future. METHODS: We conducted a pilot randomised controlled trial with two intervention arms in participants’ homes. Mobile stroke survivors (aged 60 years or above; 12 weeks after discharge from hospital) received a 6-week (once per week) supervised balance training at the study centre, followed by a 6-week (three times per week) unsupervised balance training at home. We used the Nintendo Wii™ Balance Board for one intervention arm and conventional balance exercises for the other intervention arm. Feasibility was assessed by recruiting rates, appropriateness of assessments regarding sensitivity to changes and acceptance of the intervention by the participants. RESULTS: In two German hospital stroke units, 349 stroke survivors were screened over a period of 6 months, 91 were eligible and 52 were interested. Twelve weeks after discharge, 14 participants agreed and 11 completed the intervention (7 men and 4 women, mean age 74 years). The Berg Balance Scale and Dynamic Gait Index showed ceiling effects already at baseline measure. The participants in both intervention arms evaluated the unsupervised training positively and feasible for self-application. No falls or injuries occurred over the intervention period, while the required scope of the exercises could largely be achieved. CONCLUSIONS: In this pilot study, the recruitment of participants and the chosen assessments were not satisfactory due to selection bias and corresponding ceiling effects. However, the two home-based balance interventions proved feasible for mobile older stroke survivors with low functional limitations. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02251470. Registered 29 September 2014
format Online
Article
Text
id pubmed-6109315
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-61093152018-08-28 Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors Golla, André Müller, Tobias Wohlfarth, Kai Jahn, Patrick Mattukat, Kerstin Mau, Wilfried Pilot Feasibility Stud Research BACKGROUND: Several studies have reported that using the Wii™ Balance Board can provide added value regarding balance (re-)training in neurological diseases. However, for the large group of mobile older stroke survivors, there is no evidence regarding the feasibility of an unsupervised Wii™ Balance Board training in the home setting. The aim of this study was to investigate the feasibility of a home-based Wii™ balance training for these patients and to identify methodological challenges for randomised controlled trials in the future. METHODS: We conducted a pilot randomised controlled trial with two intervention arms in participants’ homes. Mobile stroke survivors (aged 60 years or above; 12 weeks after discharge from hospital) received a 6-week (once per week) supervised balance training at the study centre, followed by a 6-week (three times per week) unsupervised balance training at home. We used the Nintendo Wii™ Balance Board for one intervention arm and conventional balance exercises for the other intervention arm. Feasibility was assessed by recruiting rates, appropriateness of assessments regarding sensitivity to changes and acceptance of the intervention by the participants. RESULTS: In two German hospital stroke units, 349 stroke survivors were screened over a period of 6 months, 91 were eligible and 52 were interested. Twelve weeks after discharge, 14 participants agreed and 11 completed the intervention (7 men and 4 women, mean age 74 years). The Berg Balance Scale and Dynamic Gait Index showed ceiling effects already at baseline measure. The participants in both intervention arms evaluated the unsupervised training positively and feasible for self-application. No falls or injuries occurred over the intervention period, while the required scope of the exercises could largely be achieved. CONCLUSIONS: In this pilot study, the recruitment of participants and the chosen assessments were not satisfactory due to selection bias and corresponding ceiling effects. However, the two home-based balance interventions proved feasible for mobile older stroke survivors with low functional limitations. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02251470. Registered 29 September 2014 BioMed Central 2018-08-25 /pmc/articles/PMC6109315/ /pubmed/30155268 http://dx.doi.org/10.1186/s40814-018-0334-0 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Golla, André
Müller, Tobias
Wohlfarth, Kai
Jahn, Patrick
Mattukat, Kerstin
Mau, Wilfried
Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors
title Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors
title_full Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors
title_fullStr Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors
title_full_unstemmed Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors
title_short Home-based balance training using Wii Fit™: a pilot randomised controlled trial with mobile older stroke survivors
title_sort home-based balance training using wii fit™: a pilot randomised controlled trial with mobile older stroke survivors
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109315/
https://www.ncbi.nlm.nih.gov/pubmed/30155268
http://dx.doi.org/10.1186/s40814-018-0334-0
work_keys_str_mv AT gollaandre homebasedbalancetrainingusingwiifitapilotrandomisedcontrolledtrialwithmobileolderstrokesurvivors
AT mullertobias homebasedbalancetrainingusingwiifitapilotrandomisedcontrolledtrialwithmobileolderstrokesurvivors
AT wohlfarthkai homebasedbalancetrainingusingwiifitapilotrandomisedcontrolledtrialwithmobileolderstrokesurvivors
AT jahnpatrick homebasedbalancetrainingusingwiifitapilotrandomisedcontrolledtrialwithmobileolderstrokesurvivors
AT mattukatkerstin homebasedbalancetrainingusingwiifitapilotrandomisedcontrolledtrialwithmobileolderstrokesurvivors
AT mauwilfried homebasedbalancetrainingusingwiifitapilotrandomisedcontrolledtrialwithmobileolderstrokesurvivors