Forbes J Med. 2022; 3(2): 116-123 | DOI: 10.4274/forbes.galenos.2022.16878

The Effects of Nintendo Wii^® Balance Training on Cases with Chronic Knee Problems: A Randomised Controlled Trial

Cihan Caner AKSOY¹, Ummuhan BAÞ ASLAN², Ferruh TAÞPINAR³, Sermet ÝNAL^4
1Kütahya Health Sciences University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kütahya, Turkey
²Pamukkale University, Faculty of Physiotherapy and Rehabilitation, Denizli, Turkey
³Ýzmir Democracy University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Ýzmir, Turkey
⁴Ýzmir Bakýrçay University, Faculty of Medicine, Department of Orthopedics and Traumatology, Ýzmir, Turkey

Objective: This study aimed to examine the effects of Nintendo Wii® (NW) Balance Training on the balance and muscle strength of patients with chronic orthopedic knee problems.
Methods: The design of the study is a randomized controlled trial. A total of 40 volunteers with chronic orthopedic knee problems were randomly divided into NW and control groups with odd-even rule (ratio 1: 1). Participants were assessed at the first session, at the end of the study (6 weeks). Balance was evaluated using the Kinesthetic Ability Trainer® (KAT) and Single Leg Stance Test (SLST), while muscle strength of hip flexor, extensor and abductor, knee flexor and extensor, and dorsiflexor were tested using a Hand-Held Dynamometer.
Results: A total of 33 volunteers analysed. In the study group (n=15), statistically significant differences were observed in the KAT parameters (p<0.05, dppc2: 0.13-1.09), SLST results (p<0.01, dppc2: 0.78-0.99), and strength (p<0.01, dppc2: 0.41-1.35) after training compared to the baseline values and no significant change was observed (p>0.05) in the control group (n=18).
Conclusion: The results indicated that balance training using NW was effective for the balance and muscle strength of patients with chronic orthopedic knee problems.

Keywords: Virtual reality, knee injuries, postural balance, muscle strength

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Nintendo Wii^® Denge Eðitiminin Kronik Diz Problemli Olgularda Etkinliði: Randomize Kontrollü Çalýþma

Cihan Caner AKSOY¹, Ummuhan BAÞ ASLAN², Ferruh TAÞPINAR³, Sermet ÝNAL^4
1Kütahya Saðlýk Bilimleri Üniversitesi, Saðlýk Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Kütahya
²Fizik Tedavi ve Rehabilitasyon Yüksek Okulu, Pamukkale Üniversitesi, Denizli
³Ýzmir Demokrasi Üniversitesi, Saðlýk Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ýzmir
⁴Bakýrçay Üniversitesi, Týp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalý, Ýzmir

Amaç: Bu çalýþmanýn amacý Nintendo Wii® (NW) denge eðitiminin kronik ortopedik diz problemi olan hastalarda denge ve kuvvete olan etkisinin incelenmesidir.
Yöntem: Çalýþmanýn dizayný bir randomize kontrollü çalýþmadýr. Toplamda kronik ortopedik diz problemi olan 40 gönüllü rastgele NW ve kontrol gruplarýna tek-çift kuralý ile ayrýlmýþtýr (1: 1 oranýnda). Katýlýmcýlar ilk seansta ve çalýþma sonunda (6 hafta) deðerlendirilmiþtir. Denge Kinesthetic Ability Trainer® (KAT) ve Tek Ayak Üzerinde Durma Testi (TAÜDT) kullanýlarak deðerlendirilirken, kalça fleksör, ekstansör, abdüktör, diz fleksör, ekstansör ve dorsifleksörler Hand-Held Dinamometre kullanýlarak deðerlendirilmiþtir.
Bulgular: Toplamda 33 gönüllünün analiz edildi. Çalýþma grubunda (n=15) baþlangýç verileri ile eðitim sonrasý veriler karþýlaþtýrýldýðýnda KAT parametrelerinde (p<0,05, dppc2: 0,13-1,09), TAÜDT sonuçlarýnda (p<0,01, dppc2: 0,78-0,99) ve kuvvette (p<0,01, dppc2: 0,41-1,35) anlamlý farklýlýk gözlenirken kontrol grubunda (n=18) anlamlý deðiþiklik gözlenmedi (p>0,05).
Sonuç: Sonuçlar kronik ortopedik diz problemlerine sahip hastalarýn denge ve kas güçlerine NW kullanýlarak verilen denge eðitiminin etkili olduðunu göstermektedir.

Anahtar Kelimeler: Sanal gerçeklik, diz yaralanmalarý, postüral denge, kas kuvveti

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