Effects of a wobble board-based therapeutic exergaming system for balance training on dynamic postural stability and intrinsic motivation levels.
METHODS
Randomized controlled trial.


OBJECTIVE
To compare the effects of wobble board exercises with and without feedback provided through integrating the wobble board movement into a computer game system, by comparing changes in postural stability and motivation.


BACKGROUND
Therapeutic exergaming systems may offer a solution to poor adherence to postural control exercise regimes by improving motivation levels during exercise performance.


METHODS
Twenty-two healthy adults, randomly assigned to an exergaming group (n = 11) and a control group (n = 11), completed 12 exercise sessions. Dynamic postural stability was quantified at baseline and follow-up using the star excursion balance test and the dynamic postural stability index during a jump-landing task. Intrinsic motivation was measured at baseline using the Self-Motivation Inventory and at follow-up using the Intrinsic Motivation Inventory.


RESULTS
Star excursion balance test scores showed a statistically significant (P<.008) improvement in the posteromedial and posterolateral direction for both groups. No within-group change for the dynamic postural stability index or between-group difference for star excursion balance test or dynamic postural stability index scores were observed. The "interest and enjoyment" category of the Intrinsic Motivation Inventory showed significantly higher scores (P<.001) in the exergaming group at follow-up, which was 1 of the 5 Intrinsic Motivation Inventory categories evaluated.


CONCLUSIONS
The findings suggest that exercising with the therapeutic exergaming system showed similar improvements in dynamic postural stability and showed a greater level of interest and enjoyment when compared to a group doing similar balance training without the game system.


METHODS
Therapy, level 2b.
Fitzgerald
Diarmaid
D
School of Physiotherapy and Performance Science, Health Sciences Centre, Dublin, Ireland. diarmaidfitzgerald@campus.ie
Trakarnratanakul
Nanthana
N
Smyth
Barry
B
Caulfield
Brian
B
D000328:Adult; D016512:Ankle Injuries / Q000517:prevention & control; D001265:Athletic Injuries / Q000517:prevention & control; D005081:Exercise Therapy / Q000295:instrumentation / Q000379:methods* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008328:Man-Machine Systems; D009042:Motivation; D004856:Postural Balance; D055815:Young Adult