Nintendo® Wii therapy may help improve balance in kids with cerebral palsy

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Therapy based on the Nintendo® Wii Balance Board may help improve balance in children with cerebral palsy, according to Spanish scientists who brought together the data from 11 previous studies, including a total of 270 children with cerebral palsy. The researchers found moderate-quality evidence that using a Wii plus conventional physical therapy in sessions of 30 minutes across three weeks or more was more effective than physical therapy alone. Evidence of a large effect of Wii therapy on balance, compared with no intervention, was low-quality, they say. And for balance during movement, they found very low-quality evidence for a medium effect for using Wii therapy plus conventional physical therapy vs. conventional physical therapy alone. Although much of evidence reviewed was of a low quality, the researchers say Wii therapy may be a useful tool to improve balance in children with cerebral palsy because it is cheap, can be done at home, and is fun for the kids.

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From: Wiley-Blackwell

Nintendo® Wii May Help Improve Balance in Children with Cerebral Palsy

Therapy based on the Nintendo® Wii Balance Board can help improve balance in children with cerebral palsy, according to an analysis published in Developmental Medicine & Child Neurology.

For the analysis, researchers from the University of Jaén, in Andalusia, Spain examined data from all relevant randomized controlled trial published to date. In 11 trials with 270 children with cerebral palsy, there was very low-quality evidence of a large effect of Nintendo® Wii therapy on functional balance (compared with no intervention) and moderate-quality evidence for a benefit to using Nintendo® Wii therapy plus conventional physical therapy (compared with conventional physical therapy alone) in sessions of approximately 30 minutes and interventions lasting longer than 3 weeks.  

For dynamic balance (involving balance while in motion or when switching positions), investigators found very low-quality evidence for a medium effect for using Nintendo® Wii therapy plus conventional physical therapy vs. conventional physical therapy alone.

“Our results suggest that Nintendo® Wii therapy may be a useful tool that can be included in neurorehabilitation physiotherapy protocols to improve balance in children with cerebral palsy,” said corresponding author Esteban Obrero-Gaitán, PT, PhD. “Virtual reality–based rehabilitation using Nintendo® Wii is considered a multi-sensory and active therapy that encourages the child’s participation, increasing motivation and adherence to therapy due to its playful nature. In addition, it is a low-cost tool that can be used at home for therapeutic purposes, a fact that is of great relevance during the COVID-19 pandemic.”

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Developmental Medicine & Child Neurology
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