Effectiveness and Limitations of Unsupervised Home-Based Balance Rehabilitation with Nintendo Wii in People with Multiple SclerosisReport as inadecuate

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BioMed Research International - Volume 2015 2015, Article ID 916478, 8 pages -

Research Article

Department of Mechanical, Chemical and Materials Engineering, University of Cagliari, 09123 Cagliari, Italy

Multiple Sclerosis Centre, Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, 09126 Cagliari, Italy

Received 25 February 2015; Revised 15 May 2015; Accepted 9 June 2015

Academic Editor: Jacob J. Sosnoff

Copyright © 2015 Massimiliano Pau et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Balance training represents a critical part of the rehabilitation process of individuals living with multiple sclerosis MS since impaired postural control is a distinctive symptom of the disease. In recent years, the use of the Nintendo Wii system has become widespread among rehabilitation specialists for this purpose, but few studies have verified the effectiveness of such an approach using quantitative measures of balance. In this study, we analyzed the postural sway features of a cohort of twenty-seven individuals with MS before and after 5 weeks of unsupervised home-based balance training with the Wii system. Center of pressure COP time-series were recorded using a pressure platform and processed to calculate sway area, COP path length, displacements, and velocities in mediolateral ML and anteroposterior AP directions. Although the results show a significant reduction in sway area, COP displacements, and velocity, such improvements are essentially restricted to the ML direction, as the Wii platform appears to properly stimulate the postural control system in the frontal plane but not in the sagittal one. Available Wii games, although somewhat beneficial, appear not fully suitable for rehabilitation in MS owing to scarce flexibility and adaptability to MS needs and thus specific software should be developed.

Author: Massimiliano Pau, Giancarlo Coghe, Federica Corona, Bruno Leban, Maria Giovanna Marrosu, and Eleonora Cocco

Source: https://www.hindawi.com/


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