Vestibular rehabilitation using the Nintendo® Wii Balance Board - a user-friendly alternative for central nervous compensation.

Conclusion: The Nintendo® Wii Balance Board is a cost-effective and user-friendly alternative to other popular frequently used systems that aid vestibular compensation, particularly in elderly patients. In addition, further treatment in the home environment is possible. Objective: This cohort study...

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Published in:Acta Oto-Laryngologica Vol. 133; no. 3; pp. 239 - 246
Main Authors: Sparrer, Ingo, Duong Dinh, Thien An, Ilgner, Justus, Westhofen, Martin
Format: pictorial research tables/charts Journal Article
Published: Taylor & Francis Ltd Mar2013
Online Access:View this record in EBSCOhost
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      dt: Mar2013
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      pub: Taylor & Francis Ltd
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        atl: Vestibular rehabilitation using the Nintendo® Wii Balance Board - a user-friendly alternative for central nervous compensation.
      aug:
        au:
          Sparrer, Ingo
          Duong Dinh, Thien An
          Ilgner, Justus
          Westhofen, Martin
        affil: Department of Otorhinolaryngology & Plastic Surgery, RWTH Aachen University, Aachen, Germany
      sug:
        subj:
          Video Games
          Balance Training, Physical Methods
          Vestibulocochlear Nerve Diseases Rehabilitation
          Human
          Prospective Studies
          Random Assignment
          Scales
          Pretest-Posttest Design
          Descriptive Statistics
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Data Analysis Software
          Wilcoxon Rank Sum Test
          Male
          Female
          Confidence Intervals
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Conclusion: The Nintendo® Wii Balance Board is a cost-effective and user-friendly alternative to other popular frequently used systems that aid vestibular compensation, particularly in elderly patients. In addition, further treatment in the home environment is possible. Objective: This cohort study was designed to investigate the impact of the Nintendo® Wii Balance Board as a visual compensation device after acute vestibular neuritis. Methods: Subjects were randomly assigned to one of two treatment groups. Group A ( n = 37) performed customized exercises with the Nintendo® Wii Balance Board. Group B ( n = 34) performed only two elected exercises as a control group for comparison of the results. Both groups underwent additive therapy with steroids (intravenous) in decreasing doses (250 mg decreasing to 25 mg over 10 days). The Sensory Organization Test (SOT), Dizziness Handicap Inventory (DHI), Vertigo Symptom Scale (VSS), and Tinneti questionnaire were evaluated immediately before treatment (baseline), at the end of treatment, i.e. at day 5, and after 10 weeks. Results: The early use of a visual feedback system in the context of the balance training supports the central nervous vestibular compensation after peripheral labyrinthine disorders. Patients in group B (without training) required a longer in-patient stay (average 2.4 days, SD 0.4) compared with patients following early Wii rehabilitation. The absence of nystagmus under Frenzel's goggles in group A was observed 2.1 days (SD 0.5) earlier than in group B. Group A showed significantly better results in the SOT, DHI, VSS, and Tinneti questionnaire at all time points measured ( p < 0.05).
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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