Effectiveness of Wii Sports Virtual Game Training on Postural Stability Fall and Quality of Life in Idiopathic Parkinson s Disease

Abstract

Wii fit platform is widely used to give balance training and found to be newlineeffective, here are few limitations in using this in IPD population. It has been newlinefound that the abnormal magnitude and velocity of centre of pressure newlinedisplacement in the anterior- posterior direction is a predictor of falls when newlinemeasured by force platform and Wii balance board among elderly people newline(Kwok et al, 2015). But in a study conducted by Pau et al (2015) have shown newlinethat playing Wii games mainly stimulating frontal plane displacement. In a newlinestudy conducted by Koslucher et al (2012) to find out the sensitiveness of Wii newlineB B reported that the level of challenge in gait and functional task is more newlinewhen compared to the challenge placed while playing Wii game on Balance newlineboard. It has been suggested that greater centre of mass displacement and newlinechange in base of support is essential in stimulating dynamic balance newlineresponse which is the essential for functional activity. It has been also newlinereported by Eley et al (2010), a metatarsal fracture due to an inversion injury newlinewith Wii game that could be associated with limited space in the platform. newline Studies on the effect of balance training using Wii game therapy on newlinefalls in PD is less reported except that are conducted by Zettergren et al newline(2011) and the result is inconclusive. In a study conducted by Herz et al newline(2013) used Wii sports games the tennis, boxing and bowling in PD newlinepopulation. They found that the mobility sub score of PDQ-39 was not newlineimproved with 4 weeks period of the intervention but improved significantly on newlineassessment for retention after 4 weeks. Wii sports games are played without newlineWii balance board thus can allow greater displacement of CoM and help in newlinedeveloping strategies required to avoid falls. Hence this study is conducted to newlinefind out the effectiveness of Wii sports-based training in reducing the falls and newlineimproving quality of life. newline