The Effects of the Wii Fit Balance Games on Static and Dynamic Balance of 9-11 Year Old Boys with Developmental Coordination Disorder Sarah Krasniuk, Jenna MacLeod, Stuart Matthews, Jamila Twahir, Jane Taylor - PowerPoint PPT Presentation

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The Effects of the Wii Fit Balance Games on Static and Dynamic Balance of 9-11 Year Old Boys with Developmental Coordination Disorder Sarah Krasniuk, Jenna MacLeod, Stuart Matthews, Jamila Twahir, Jane Taylor

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Title: The Effects of the Wii Fit Balance Games on Static and Dynamic Balance of 9-11 Year Old Boys with Developmental Coordination Disorder Sarah Krasniuk, Jenna MacLeod, Stuart Matthews, Jamila Twahir, Jane Taylor


1
The Effects of the Wii Fit Balance Games on
Static and Dynamic Balance of 9-11 Year Old Boys
with Developmental Coordination Disorder
Sarah Krasniuk, Jenna MacLeod, Stuart
Matthews, Jamila Twahir, Jane Taylor
2
Introduction
3
Wii Fit Intervention
  • Purpose of the Wii Fit is to improve balance,
    strength, flexibility, fitness, and general
    well-being (Nitz, Kuys, Isles, Fu, 2009)

  • Improves balance in persons compromised by stroke
    (Brown, Sugarman, Burstin, 2009 Deutsch,
    Robbins, Morrison, Bowlby, 2009)

4
An Approach to Improving Balance using a Virtual
Reality Intervention
  • 9 sessions, 2 sessions/week

5
Purpose Statement
  • To investigate the effect of 9 sessions of Wii
    Fit Balance training on static and dynamic
    balance of three boys with DCD aged 9-11 years.

6
Method
7
Wii Fit Balance Training
8
Data Analysis
Pre- and post-intervention
Intervention measures measures
AMTI force plate protocol MABC Single subject design
Sway area AP sway ML sway path length possible anterior sway (PAS) possible posterior sway (PPS) - Total balance score (TBS) Scoring 2 or 3 stars (depending on game) for 3/5 trials 2 sessions in a row continue playing the same games
9
ResultsSingle Subject
  • Participant 3 performing Soccer Header and
    Penguin Slide


10
Force plate Participant 3
Post-intervention balance space task
Pre-intervention balance space task
11
PAS PPS for dynamic balance
  • Post-intervention increases in sway were measured
    with percent gains in balance space task
  • Anterior sway 8.43
  • Posterior sway 262

12
Discussion
  • Wii Fit Balance Training
  • Increased level, trend, and implied reaction and
    movement time

  • Force Plate
  • Increased sway in static balance tasks ?
    increased tolerance of sway

  • Largest gain ? participant 1 (262) in posterior
    sway

13
MABC
Participant Pre-intervention TBS Post-intervention TBS
1 lt5 gt15
2 gt15 gt15
3 5 lt5
  • Participant 3 made highest level of improvement
    with the Wii Fit, but obtained a worse TBS score
    post-intervention
  • Suggests that the Wii Fit is more of a
    motivational tool than the static and dynamic
    balance tests of the MABC

14
Conclusion
  • Motivator to practice balance games to
  • React more quickly,
  • Develop balance and problem-solving strategies
  • Participants 2 and 3 were so engaged they
    purchased a Wii Fit

  • Potential for balance training
  • More research needed

15
References
  • Allen, D., Taylor, M. J. (2001). The effects of
    tai chi on balance and mobility in older women
    who are at various risk levels for falls. Poster
    presented at the International Symposium on
    Adapted Physical Activity, Vienna, Austria.
  • American Psychiatric Assocation. (2000).
    Diagnostic and statistical manual of mental
    disorders. (4th ed, pp. 57-59). Washington, DC
    American Psychiatric Association.
  • Brown, R., Sugarman, H., Burstin, A. (2009).
    Use of the Nintendo wii fit for the treatment of
    balance problems in an elderly patient with
    stroke A Case report. International Journal of
    Rehabilitation Research, 32.
  • Deconinck, F. J., De Clercq, D., Van Coster, R.,
    Ooostra, A., Dewitte, G., Savelsbergh, G. J.,
    Cambier, D., Lenoir, M. (2008). Sensory
    contributions to balance in boys with and without
    developmental coordination disorder. Adapted
    Physical Activity Quarterly, 2008, 25, 17-35.
    Retrieved from, http//hk.humankinetics.com/APAQ/j
    ournalAbout.cfm
  • Geuze, R. H. (2003). Static balance and
    developmental coordination disorder. Human
    Movement Science, 22 (2003), 527-548.
    doi10.1016/j.humov.2003.09.008
  • Hillier, S. (2007). Intervention for children
    with developmental coordination disorder A
    systematic review. The Internet Journal of Allied
    Health Sciences and Practice, 5, 1-11. Retrieved
    from, http//ijahsp.nova.edu/articles/vol5num3/hil
    lier.pdf
  • Nitz, J. C., Kuys, S., Isles, R., Fu, S.
    (2009). Is the wii fit a new-generation tool for
    improving balance, health, and well-being? A
    pilot study. Climacteric 2009 Early Online, 1-6.
    doi 10.3109/13697130903395193
  • Shih, C. H., Shih, C. T., Chiang, M. S. (2010).
    A new standing posture detector to enable people
    with multiple disabilities to control
    environmental stimulation by changing their
    standing posture through a commercial Wii Balance
    Board. Research in Developmental Disabilities,
    31, 281-286. doi 10.1016/j.ridd/2009.09.013
  • Wilson, P. H. (2005). Practitioner review
    Approaches to assessment and treatment of
    children with DCD an evaluative review. Journal
    of Child Psychology and Psychiatry, 46, 806-823.
    doi 10.1111/j.1469-7610.2005.01409.x
  • Winter, D. A. (1995) Human balance and posture
    control during standing and walking. Gait
  • Posture 1995, 3, 193-214. doi10.1016/0966-6362(
    96)82849-9

16
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