title: Testing the feasibility and safety of the Nintendo Wii gaming console in orthopedic rehabilitation: a pilot randomized controlled study.
abstract: BACKGROUND
  The Nintendo Wii game console is already used as an additional training device for e.g. neurological wards. Still there are limited data available regarding orthopedic rehabilitation. The authors' objective was to examine whether the Nintendo Wii is an appropriate and safe tool in rehabilitation after orthopedic knee surgery.
  
  
  METHODS
  A prospective, randomized, controlled study comparing standard physiotherapy vs. standard physiotherapy plus game console training (Wii group) in patients having anterior cruciate ligament (ACL) repair or knee arthroplasty was conducted. The subjects of the Wii group (n= 17; mean age: 54 ±19 years) performed simple knee exercises daily under the supervision of a physiotherapist in addition to the normal rehabilitation program. The patients of the control group (n= 13; 52 ±18 years) were treated with physiotherapy only. The participants of both groups completed a questionnaire including the International Knee Documentation Committee (IKDC) score, the Modified Cincinnati Rating System and the Tegner Lysholm Knee Score prior to the operation, before discharge from hospital and four weeks after treatment.
  
  
  RESULTS
  There was no significant difference in the score results between the Wii and the control group (p> 0.05).
  
  
  CONCLUSIONS
  We demonstrated that physiotherapy using the Nintendo Wii gaming console after ACL reconstruction and knee arthroplasty does not negatively influence outcome. Because training with the Wii device was highly accepted by patients, we see an opportunity whereby additional training with a gaming console for a longer period of time could lead to even better results, regarding the training motivation and the outcome after orthopedic surgery.
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Munich (LMU), Munich, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Ficklscherer
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Munich (LMU), Munich, Germany.
authors.forename: Jonas
authors.initials: J
authors.lastname: Stapf
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Munich (LMU), Munich, Germany.
authors.forename: Kay Michael
authors.initials: KM
authors.lastname: Meissner
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Munich (LMU), Munich, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Niethammer
authors.affiliation: Department of Orthopaedic Surgery, St. Josef-Hospital, Gudrunstrasse, Ruhr-University Bochum, Bochum, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Lahner
authors.affiliation: Department of Vascular and Endovascular Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.
authors.forename: Markus
authors.initials: M
authors.lastname: Wagenhäuser
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Munich (LMU), Munich, Germany.
authors.forename: Peter E
authors.initials: PE
authors.lastname: Müller
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Munich (LMU), Munich, Germany.
authors.forename: Matthias F
authors.initials: MF
authors.lastname: Pietschmann
keywords: Nintendo Wii; orthopedic surgery; physiotherapy; rehabilitation