Wii-fit for improving gait and balance in an assisted living facility: a pilot study
- PMID: 22745909
- PMCID: PMC3382377
- DOI: 10.1155/2012/597573
Wii-fit for improving gait and balance in an assisted living facility: a pilot study
Abstract
Objectives. To determine the effects on balance and gait of a Wii-Fit program compared to a walking program in subjects with mild Alzheimer's dementia (AD). Methods. A prospective randomized (1 : 1) pilot study with two intervention arms was conducted in an assisted living facility with twenty-two mild AD subjects. In both groups the intervention occurred under supervision for 30 minutes daily, five times a week for eight weeks. Repeated measures ANOVA and paired t-tests were used to analyze changes. Results. Both groups showed improvement in Berg Balance Scale (BBS), Tinetti Test (TT) and Timed Up and Go (TUG) over 8 weeks. However, there was no statistically significant difference between the groups over time. Intragroup analysis in the Wii-Fit group showed significant improvement on BBS (P = 0.003), and TT (P = 0.013). The walking group showed a trend towards improvement on BBS (P = 0.06) and TUG (P = 0.07) and significant improvement in TT (P = 0.06). Conclusion. This pilot study demonstrates the safety and efficacy of Wii-Fit in an assisted living facility in subjects with mild AD. Use of Wii-Fit resulted in significant improvements in balance and gait comparable to those in the robust monitored walking program. These results need to be confirmed in a larger, methodologically sound study.
Figures
References
-
- Weller I, Schatzker J. Hip fractures and Alzheimer’s disease in elderly institutionalized Canadians. Annals of Epidemiology. 2004;14(5):319–324. - PubMed
-
- Wittwer JE, Andrews PT, Webster KE, Menz HB. Timing variability during gait initiation is increased in people with Alzheimer’s disease compared to controls. Dementia and Geriatric Cognitive Disorders. 2008;26(3):277–283. - PubMed
-
- Allan LM, Ballard CG, Burn DJ, Kenny RA. Prevalence and severity of gait disorders in Alzheimer’s and non-Alzheimer’s dementias. Journal of the American Geriatrics Society. 2005;53(10):1681–1687. - PubMed
-
- Webster KE, Merory JR, Wittwer JE. Gait variability in community dwelling adults with Alzheimer disease. Alzheimer Disease and Associated Disorders. 2006;20(1):37–40. - PubMed
-
- Howe TE, Rochester L, Jackson A, Banks PM, Blair VA. Exercise for improving balance in older people. Cochrane Database of Systematic Reviews. 2007;17(4):p. CD004963. - PubMed
LinkOut - more resources
Full Text Sources
Medical
