Clinical Use of Nintendo Wii™ Bowling Simulation to Decrease Fall Risk in an Elderly Resident of a Nursing Home: A Case Report

被引:72
作者
Clark, Robert [1 ]
Kraemer, Theresa [2 ]
机构
[1] HealthBridge Management, Rehabil Operat, Wethersfield, CT USA
[2] Touro Univ Nevadas Sch Phys Therapy, Henderson, NV USA
关键词
falls; balance dysfunction; balance physical therapy treatments; Wii; geriatric physical therapy; BERG-BALANCE-SCALE; OLDER-ADULTS; PSYCHOMETRIC PROPERTIES; CONFIDENCE SCALE; VIRTUAL-REALITY; COMMUNITY; PEOPLE; TESTS; PROBABILITY; RELIABILITY;
D O I
10.1519/00139143-200932040-00006
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Purpose: Of the estimated 1.7 million residents of nursing homes in the United States, approximately half fall annually; and 11% of these sustain injury. This is twice the rate for persons dwelling in the community. By addressing fall risk, physical therapists have an opportunity to reduce falls which are the leading cause of injury deaths, as well as the most common cause of nonfatal injuries for older adults in the United States. This case report examines the effect of a novel interactive video game intervention to address balance dysfunction in an elderly resident of a nursing home who was at risk for falls. Case Description: The patient is an 89-year-old resident diagnosed with an unspecified balance disorder and a history of multiple falls. Self reports of gait abnormalities, scores on several clinical measures, and her fall history classified her as having substantial risk for future falls. Intervention: A nontraditional approach to balance training, employing the Nintendo Wii bowling simulation, was used as intervention for this patient's balance disorder. Outcomes: After 6 one-hour treatment sessions, the patient's Berg Balance Score improved from 48 to 53. On the Dynamic Gait Index, the patient improved her score from 19 to 21. The patient's Timed Up and Go Test improved from 14.9 to 10.5 seconds, all suggesting a reduced risk of falling. The patient's ABC Score improved from 88 to 90%. Conclusion: Physical therapy intervention, using the Nintendo Wii bowling simulation, may have decreased fall risk for this individual.
引用
收藏
页码:174 / 180
页数:7
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