Effects of Nintendo Wii Fit Plus training on ankle strength with functional ankle instability

Ki-Jong Kim, Hyun-Ju Jun, Myoung Heo, Ki-Jong Kim, Hyun-Ju Jun, Myoung Heo

Abstract

[Purpose] The objective of this study was to examine the effects of a training program using the Nintendo Wii Fit Plus on the ankle muscle strengths of subjects with functional ankle instability. [Subjects and Methods] This study was conducted using subjects in their 20s who had functional ankle instability. They were randomized to a strengthening training group and a balance training group with 10 subjects in each, and they performed an exercise using Nintendo Wii Fit Plus for 20 minutes. In addition, every participant completed preparation and finishing exercises for 5 minutes, respectively. [Results] The muscle strengths after conducting plantar flexion and dorsiflexion significantly increased at the angular velocities of 60° and 120° in the strengthening training group. Furthermore, the muscle strengths after conducting plantar flexion, dorsiflexion, eversion, and inversion significantly increased at the angular velocities of 60° and 120° in the balance training group. [Conclusion] The balance training group using Nintendo Wii Fit Plus showed better results than the strengthening training group. Consequently, it is recommended to add the balance training program of the Nintendo Wii Fit Plus to conventional exercise programs to improve ankle muscle strength in functional ankle instability at a low cost.

Keywords: Functional ankle instability; Nintendo Wii Fit Plus; Strength.

Figures

Fig. 1.
Fig. 1.
Measure of ankle strength. (A) Plantar-dorsi flexion. (B) Inversion-eversion

References

    1. Bridgman SA, Clement D, Downing A, et al. : Population based epidemiology of ankle sprains attending accident and emergency units in the West Midlands of England, and a survey of UK practice for severe ankle sprains. Emerg Med J, 2003, 20: 508–510.
    1. Pires R, Pereira A, Abreu-E-Silva G, et al. : Ottawa ankle rules and subjective surgeon perception to evaluate radiograph necessity following foot and ankle sprain. Ann Med Health Sci Res, 2014, 4: 432–435.
    1. Bendahou M, Khiami F, Saïdi K, et al. : Compression stockings in ankle sprain: a multicenter randomized study. Am J Emerg Med, 2014, 32: 1005–1010.
    1. Freeman MA: Instability of the foot after injuries to the lateral ligament of the ankle. J Bone Joint Surg Br, 1965, 47: 669–677.
    1. Kim KJ, Kim YE, Jun HJ, et al. : Which treatment is more effective for functional ankle instability: strengthening or combined muscle strengthening and proprioceptive exercises? J Phys Ther Sci, 2014, 26: 385–388.
    1. Abdel-aziem AA, Draz AH: Chronic ankle instability alters eccentric eversion/inversion and dorsiflexion/plantarflexion ratio. J Back Musculoskeletal Rehabil, 2014, 27: 47–53.
    1. Fu FL, Su RC, Yu SC: EGameFlow: a scale to measure learners’ enjoyment of e-learning games. Comput Educ, 2009, 52: 101–112.
    1. Graves L, Stratton G, Ridgers ND, et al. : Energy expenditure in adolescents playing new generation computer games. Br J Sports Med, 2008, 42: 592–594.
    1. Dondi C, Moretti M: A methodological proposal for learning games selection and quality assessment. Br J Educ Technol, 2007, 38: 502–512.
    1. Vernadakis N, Gioftsidou A, Antoniou P, et al. : The impact of Nintendo Wii to physical education students’ balance compared to the traditional approaches. Comput Educ, 2012, 59: 196–205.
    1. Papastergiou M: Exploring the potential of computer and video games for health and physical education: a literature review. Comput Educ, 2009, 53: 603–622.
    1. Plow M, Finlayson M: Potential benefits of nintendo wii fit among people with multiple sclerosis: a longitudinal pilot study. Int J MS Care, 2011, 13: 21–30.
    1. Yang YR, Tsai MP, Chuang TY, et al. : Virtual reality-based training improves community ambulation in individuals with stroke: a randomized controlled trial. Gait Posture, 2008, 28: 201–206.
    1. Kizony R, Raz L, Katz N, et al. : Video-capture virtual reality system for patients with paraplegic spinal cord injury. J Rehabil Res Dev, 2005, 42: 595–608.
    1. Suárez H, Suárez A, Lavinsky L: Postural adaptation in elderly patients with instability and risk of falling after balance training using a virtual-reality system. Int Tinnitus J, 2006, 12: 41–44.
    1. Kim KJ: Impact of combined muscle strength and proprioceptive exercises on functional ankle instability. J Int Acad Phys Ther Res, 2013, 4: 600–604.
    1. Michalski A, Glazebrook CM, Martin AJ, et al. : Assessment of the postural control strategies used to play two Wii Fit™ videogames. Gait Posture, 2012, 36: 449–453.
    1. Elion O, Bahat Y, Sela I, et al. : Postural adjustments as an acquired motor skill: Delayed gains and robust retention after a single training session within a virtual environment. Virtual Rehabilitation, 2008: IEEE 2008:50–53.
    1. Van Ooteghem K, Frank JS, Allard F, et al. : Compensatory postural adaptations during continuous, variable amplitude perturbations reveal generalized rather than sequence-specific learning. Exp Brain Res, 2008, 187: 603–611.
    1. Punt IM, Ziltener JL, Laidet M, et al. : Gait and physical impairments in patients with acute ankle sprains who did not receive physical therapy. PM R, 2015, 7: 34–41.
    1. Guillebastre B, Calmels P, Rougier P: Effects of muscular deficiency on postural and gait capacities in patients with Charcot-Marie-Tooth disease. J Rehabil Med, 2013, 45: 314–317.
    1. Ng SS, Hui-Chan CW: Contribution of ankle dorsiflexor strength to walking endurance in people with spastic hemiplegia after stroke. Arch Phys Med Rehabil, 2012, 93: 1046–1051.
    1. Fong DT, Chan YY, Mok KM, et al. : Understanding acute ankle ligamentous sprain injury in sports. BMC Sports Science. Med Rehabil, 2009, 1: 14.
    1. Hertel J: Functional instability following lateral ankle sprain. Sports Med, 2000, 29: 361–371.
    1. Crosbie J, Green T, Refshauge K: Effects of reduced ankle dorsiflexion following lateral ligament sprain on temporal and spatial gait parameters. Gait Posture, 1999, 9: 167–172.
    1. Bakker JP, De Groot IJ, Beelen A, et al. : Predictive factors of cessation of ambulation in patients with Duchenne muscular dystrophy. Am J Phys Med Rehabil, 2002, 81: 906–912.
    1. Son SM, Kang KW, Lee NK, et al. : Influence of isokinetic strength training of unilateral ankle on ipsilateral one-legged standing balance of adults. J Phys Ther Sci, 2013, 25: 1313–1315.
    1. Pessoa TM, Coutinho DS, Pereira VM, et al. : The Nintendo Wii as a tool for neurocognitive rehabilitation, training and health promotion. Comput Human Behav, 2014, 31: 384–392.
    1. Hess JA, Woollacott M: Effect of high-intensity strength-training on functional measures of balance ability in balance-impaired older adults. J Manipulative Physiol Ther, 2005, 28: 582–590.
    1. Konradsen L: Sensori-motor control of the uninjured and injured human ankle. J Electromyogr Kinesiol, 2002, 12: 199–203.
    1. Neumann DA: Kinesiology of the musculoskeletal system: foundations for rehabilitation. 2nd ed. St. Louis: Elsevier Health Sciences, 2010, pp 591–688.

Source: PubMed

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