Author/Editor		Zupanc, Aleksander; Vidmar, Gaj
Title		Ali vadba na ravnotežni plošči Wii z igrami Wii Fit pri bolnikih s pridobljenimi okvarami perifernih živcev vpliva na ravnotežje in hojo?
Translated title		Does training on the Wii balance board with Wii Fit games have an effect on balance and walking in patients with acquired peripheral herve lesions?
Type		članek
Vol. and No.		Letnik 13, št. 2
Publication year		2014
Volume		str. 16-22
ISSN		1580-9315 - Rehabilitacija
Language		slv
Abstract		Izhodišča: Bolniki s pridobljenimi okvarami perifernih živcev imajo motnje ravnotežja in hoje. Namen raziskave je bil ugotoviti, ali vadba na ravnotežni plošči Wii z igrami Wii Fit kot dodatek fizioterapevtskim postopkom pri bolnikih s pridobljenimi okvarami perifernih živcev izboljša ravnotežje in hojo. Metode: V opazovalni študiji je sodelovalo 11 bolnikov (6 moških in 5 žensk), povprečne starosti 43,5 let (razpon 15-72 let). Vadba na ravnotežni plošči Wii je potekala poleg fizioterapije vsak dan, v povprečju 30 minut na vadbo, od dva do šest tednov. Pred vadbo in po njej so bili izvedeni ocenjevalni postopki z Bergovo lestvico za oceno ravnotežja, s testom funkcijskega dosega, s testom hoje na 10 metrov in šestminutnim testom hoje. Rezultati: Po vadbi na ravnotežni plošči Wii je prišlo do statistično značilnega izboljšanja dosežkov na Bergovi lestvici za oceno ravnotežja v povprečju za 13,8 točk (SD 10,3), na testu funkcijskega dosega v povprečju za 11,0 cm (SD 8,4 cm), hitrosti pri testu hoje na 10 metrov v povprečju za 0,34 m/s (SD 0,18 m/s) in dosežkov na šestminutnem testu hoje v povprečju za 114 metrov (SD 61 m). Vsi bolniki so napredovali na vseh testih. Zaključek: Vadba na ravnotežni plošči Wii z igrami Wii Fit kot dodatek fizioterapevtskim postopkom pri bolnikih s pridobljenimi okvarami perifernih živcev izboljša ravnotežje in hojo ter tako zmanjša tveganje za padce. Za oceno dodatnega doprinosa vadbe s sistemom Wii v primerjavi z običajno fizioterapijo bi bila potrebna randomizirana študija s kontrolno skupino.Background: Patients with acquired peripheral lesions have balance and walking disorders. The aim of our study was to determine if training on the Wii balance board with Wii Fit games improves balance and walking in patients with acquired peripheral nerve lesions. Methods: Our observational study involved 11 patients (6 male, 5 female), aged 43.5 years on average (range 15-72 years). They performed training on the Wii balance board in addition to physiotherapy every day for 30 min per session on average, for two to six weeks. Before and after training the measurements with the Berg Balance Scale, the functional reach test, the 10-meter walk test and the 6-minute walk test were performed. Results: Post intervention measurements showed statistically significant improvements on the Berg Balance Scale for 13.8 points on average (SD 10.3), on the functional reach test for 11.0 cm on average (SD 8.4 cm), on the 10-meter walk test (in terms of speed) for 0.34 m/s on average (SD 0.18 m/s), and on the 6-minute walk test for 114 m on average (SD 61 m). All the patients achieved progress on all the clinical tests. Conclusion: The training on the Wii balance board with Wii Fit games as a supplement to physiotherapy improves balance and walking in patients with acquired peripheral nerve lesion, thus reducing their fall risk. To assess the added benefit of the training using the Wii system as compared to standard physiotherapy, a randomised controlled study would be required.
Descriptors		Rehabilitation
Keywords		physiotherapy balance training virtual reality Nintendo rehabilitacija fizioterapija vadba ravnotežja navidezna resničnost