title: Wii Fit is effective in women with bone loss condition associated with balance disorders: a randomized controlled trial.
abstract: The use of exergame for balance competencies was recently explored in women affected by balance ability reduction with non-conclusive results. The aim of the study was to evaluate the efficacy of a supervised exergame performed with the Wii Fit®compared to conventional exercises on balance function, quality of life, fear of fall and well-being in women with bone loss. Thirty-eight female participants aged over 65 years, with a bone loss condition, were enrolled and random allocated in the Wii group or control group. Subject enrolled in Wii group performed a balance training with a Wii Fit supervised by a physiotherapist (1 h, 2 days per week, during 8 weeks) while in control subjects performed the same amount of conventional balance exercises. Subject enrolled in experimental group showed significantly higher scores in terms of Berg Balance Scale (p = 0.027). In SF-36 scores, a significant difference was reported for physical activity score after treatment (p = 0.031). Fear of falling and the psychological scales were not significantly different between the two groups. In women with bone loss condition, a supervised Wii Fit training has shown better efficacy in improving balance performance with respect to conventional balance exercises.
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy. g.morone@hsantalucia.it.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Morone
authors.affiliation: Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
authors.forename: Teresa
authors.initials: T
authors.lastname: Paolucci
authors.affiliation: Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
authors.forename: Sara
authors.initials: S
authors.lastname: Luziatelli
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Iosa
authors.affiliation: Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
authors.forename: Cristina
authors.initials: C
authors.lastname: Piermattei
authors.affiliation: Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Zangrando
authors.affiliation: Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Santa Lucia Foundation, Via Ardeatina 306, 00179, Rome, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Paolucci
authors.affiliation: Physical Medicine and Rehabilitation Unit, Sant'Andrea Hospital, Sapienza University of Rome, Via di Grottarossa, 1035/1039, 00189, Rome, Italy.
authors.forename: Maria Chiara
authors.initials: MC
authors.lastname: Vulpiani
authors.affiliation: Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185, Rome, Italy.
authors.forename: Vincenzo Maria
authors.initials: VM
authors.lastname: Saraceni
authors.affiliation: Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro De Bosis, 15, 00135, Rome, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Baldari
authors.affiliation: Department of Movement, Human and Health Sciences, University of Rome Foro Italico, Piazza Lauro De Bosis, 15, 00135, Rome, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Guidetti
mesh_terms: D000058:Accidental Falls; D000368:Aged; D001851:Bone Diseases, Metabolic / Q000628:therapy*; D005081:Exercise Therapy / Q000379:methods*; D005239:Fear; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D004856:Postural Balance / Q000502:physiology*; D011788:Quality of Life; D016037:Single-Blind Method; D018910:Video Games
keywords: Balance; Fear of falls; Osteopenia; Quality of life; Wii Fit