scholarly journals Wii-Fit for Improving Gait and Balance in an Assisted Living Facility: A Pilot Study

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Kalpana P. Padala ◽  
Prasad R. Padala ◽  
Timothy R. Malloy ◽  
Jenenne A. Geske ◽  
Patricia M. Dubbert ◽  
...  

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 pairedt-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=0.006).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.

2018 ◽  
Vol 132 (3) ◽  
pp. 202-206 ◽  
Author(s):  
J S Phillips ◽  
J Fitzgerald ◽  
D Phillis ◽  
A Underwood ◽  
I Nunney ◽  
...  

AbstractObjective:To determine the effectiveness of vestibular rehabilitation using the Wii Fit balance platform, in adults with dizziness.Methods:A single-site prospective clinical trial was conducted in a university hospital in the UK. Forty patients with dizziness, who would normally be candidates for vestibular rehabilitation, were identified and considered as potential participants. Participants were randomised into either the treatment group (the Wii Fit group) or the control group (standard customised vestibular rehabilitation protocol). Participants were assessed over a 16-week period using several balance and quality of life questionnaires.Results:Both exercise regimes resulted in a reduction of dizziness and an improvement in quality of life scores over time, but no statistically significant difference between the two interventions was identified.Conclusion:This pilot study demonstrated that use of the Wii Fit balance platform resulted in a statistically significant improvement in balance function and quality of life. Furthermore, outcomes were comparable to a similar group of individuals following a standard customised vestibular rehabilitation protocol. The study provides useful information to inform the design and execution of a larger clinical trial.


Cephalalgia ◽  
2003 ◽  
Vol 23 (9) ◽  
pp. 907-913 ◽  
Author(s):  
BM Ances ◽  
JA Detre

This pilot study investigated the effect of menstrual cycle phase (late luteal and mid-follicular) on cerebral perfusion changes during photic stimulation in both controls ( n = 5) and true menstrual migraine patients ( n = 5). No significant differences in resting baseline perfusion were observed between the two groups during either phase of the menstrual cycle. During the late luteal phase, changes in perfusion within the occipital lobe due to photic stimulation were similar for both groups. However, during the mid-follicular phase, occipital perfusion during visual stimulation decreased for controls but significantly increased for true menstrual migraine patients ( P < 0.05). A two way repeated measures ANOVA also demonstrated a significant difference between menstrual migraine patients and controls for photic activation ( P < 0.05).


2017 ◽  
Vol 1 (2) ◽  
Author(s):  
Sarah Larsen ◽  
Rebecca Luedeker ◽  
Carlos Morgan ◽  
Christina Taylor ◽  
Heather Braden ◽  
...  

2017 ◽  
Vol 15 (4) ◽  
pp. 23
Author(s):  
Deborah Logan, MS, LRT/CTRS ◽  
Marieke Van Puymbroeck, PhD, CTRS, FDRT

Dementia is a disease that can affect individuals as they age, and for many individuals with dementia, there is a chance of additional comorbidities, such as depression. When these two health conditions occur simultaneously, it is more difficult to treat the depressive symptoms. To evaluate changes of depressive symptoms in residents of an assisted living facility who have the diagnosis of dementia, 10 days of 30-minute exercise sessions were conducted. Nonparametric statistics indicated a significant decrease in depressive symptoms for the seven participants in this exploratory pilot study. The results from this study indicate that a decrease in depressive symptoms is possible and can be facilitated by a recreational therapist via a structured exercise group. Further research ideas and implications for practice are described.


2017 ◽  
Vol 22 (4) ◽  
pp. 29-33 ◽  
Author(s):  
Brittany N. Kiefer ◽  
Kyle E. Lemarr ◽  
Christopher C. Enriquez ◽  
Kristin A. Tivener ◽  
Todd Daniel

Even though adaption of the Voodoo Floss Band is gaining momentum, evidence-based literature on its effectiveness remains sparse. The purpose of this quantitative observational design study was to investigate the effects of the Voodoo Floss Band on soft-tissue flexibility and perception of movement. A repeated-measures ANOVA with between-subjects factor demonstrated both groups significantly improved GH flexion range of motion from pretest to post-test but there was not a statistically significant difference between the groups. Perceptions of flexibility increased more for the Voodoo Floss Band group, demonstrating a psychological increase in GH flexion, but not a physical increase.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Marcia L. Brackbill ◽  
Ateequr Rahman ◽  
Jeffrey S. Sandy ◽  
M. Denton Stam ◽  
Arthur F. Harralson

Aim. We aimed to determine if sitagliptin added to standard postoperative standardized sliding-scale insulin regimens improved blood glucose.Methods. A prospective, randomized, double-blind, placebo-controlled pilot study was conducted in diabetic cardiac surgery patients. Patients received sitagliptin or placebo after surgery for 4 days. The primary endpoint was to estimate the effect of adjunctive sitagliptin versus placebo on overall mean blood glucose in the 4-day period after surgery.Results. Sixty-two patients participated. Repeated measures tests indicated no significant difference between the groups in the overall mean blood glucose level with a mean of147.2±4.8 mg/dL and153.0±4.6 mg/dL for the test and the control group, respectively (P=0.388).Conclusions. Sitagliptin added to normal postoperative glucose management practices did not improve overall mean blood glucose control in diabetic patients in the postoperative setting.


1995 ◽  
Vol 81 (3) ◽  
pp. 891-898 ◽  
Author(s):  
Linda K. Palmer

Few controlled studies describe the psychological effects of a walking program on nonclinical, premenopausal women. This experiment measured the effects of an 8–wk. walking program on female volunteers ( N = 27) age 29 to 50 years ( M = 37.4) randomly assigned to a supervised walking group vs a nonwalking group. A repeated-measures, multivariate design was used to analyze blood pressure, resting heart rate, timed mile walk, and scores on self-esteem, depression, and attributional style. The walking group showed significant improvement in the timed mile walk, diastolic blood pressure, and rated self-esteem.


2018 ◽  
Vol 17 (1) ◽  
pp. 52-57
Author(s):  
Nur Emilia A ◽  
Lili Husniati Yaacob ◽  
AK Azidah

Background: Many studies have shown that pedometer is an effective motivational tool to promote walking however there is lack of evidence which combines pedometer and group support in motivating patient to increase their physical activityObjective: To determine the effectiveness of pedometer and group support versus pedometer only on physical activity level and cardiovascular risk factors among sedentary adults in north-east MalayMethods: This was a prospective randomized comparative trial. Eighty participants were randomly assigned to pedometer-based walking program plus group support ( N=40) or pedometer-based walking program only (N=40) for 12 weeks. Both groups received physical activity counselling. The intervention group had monthly group meeting for support, motivation and also walking activities. Measurements for step-counts, 7-day physical activity recall, body mass, BMI, waist and hip circumference, blood pressure, total cholesterol, HDL cholesterol and fasting blood sugar were taken at baseline and at week 12. Analyses were performed using repeated measures ANOVA and analysis of co-variance (ANCOVA).Results and Discussion: Sixty two participants completed the study. The mean age in the intervention group were 48 (4.43) years old and 47 (5.08) years old in the control group. There were significant improvements in the intervention group in terms of step-counts (p < 0.001), weight (P<0.05) and BMI (p>0.05) compared to control group. However there was no significant difference in term of other health outcome.Conclusion A pedometer-based walking program, incorporating a physical activity consultation and group support, is effective in promoting walking and improving health outcome in community based individuals. Studies of longer duration need to be done to see the sustainability of the above intervention.Bangladesh Journal of Medical Science Vol.17(1) 2018 p.52-57


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