Measurements of weight bearing asymmetry using the nintendo Wii Fit balance board are not reliable for older adults and individuals with stroke

Derek M. Liuzzo, Denise M. Peters, Addie Middleton, Wes Lanier, Rebecca Chain, Brittany Barksdale, Stacy L. Fritz

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Clinicians and researchers have used bathroom scales, balance performance monitors with feedback, postural scale analysis, and force platforms to evaluate weight bearing asymmetry (WBA). Now video game consoles offer a novel alternative for assessing this construct. By using specialized software, the Nintendo Wii Fit balance board can provide reliable measurements of WBA in healthy, young adults. However, reliability of measurements obtained using only the factory settings to assess WBA in older adults and individuals with stroke has not been established. Purpose: To determine whether measurements of WBA obtained using the Nintendo Wii Fit balance board and default settings are reliable in older adults and individuals with stroke. Methods: Weight bearing asymmetry was assessed using the Nintendo Wii Fit balance board in 2 groups of participants - individuals older than 65 years (n = 41) and individuals with stroke (n = 41). Participants were given a standardized set of instructions and were not provided auditory or visual feedback. Two trials were performed. Intraclass correlation coefficients (ICC), standard error of measure (SEM), and minimal detectable change (MDC) scores were determined for each group. Results: The ICC for the older adults sample was 0.59 (0.35-0.76) with SEM95 = 6.2% and MDC95 = 8.8%. The ICC for the sample including individuals with stroke was 0.60 (0.47-0.70) with SEM95 = 9.6% and MDC95 = 13.6%. Discussion: Although measurements of WBA obtained using the Nintendo Wii Fit balance board, and its default factory settings, demonstrate moderate reliability in older adults and individuals with stroke, the relatively high associated SEM and MDC values substantially reduce the clinical utility of the Nintendo Wii Fit balance board as an assessment tool for WBA. Conclusions: Weight bearing asymmetry cannot be measured reliably in older adults and individuals with stroke using the Nintendo Wii Fit balance board without the use of specialized software.

Original languageEnglish (US)
Pages (from-to)37-41
Number of pages5
JournalJournal of Geriatric Physical Therapy
Volume40
Issue number1
DOIs
StatePublished - 2017
Externally publishedYes

Fingerprint

Weight-Bearing
Stroke
Software
Toilet Facilities
Video Games
Sensory Feedback
Young Adult
Research Personnel

Keywords

  • assessments
  • balance
  • geriatric
  • stroke

ASJC Scopus subject areas

  • Rehabilitation
  • Geriatrics and Gerontology

Cite this

Measurements of weight bearing asymmetry using the nintendo Wii Fit balance board are not reliable for older adults and individuals with stroke. / Liuzzo, Derek M.; Peters, Denise M.; Middleton, Addie; Lanier, Wes; Chain, Rebecca; Barksdale, Brittany; Fritz, Stacy L.

In: Journal of Geriatric Physical Therapy, Vol. 40, No. 1, 2017, p. 37-41.

Research output: Contribution to journalArticle

Liuzzo, Derek M. ; Peters, Denise M. ; Middleton, Addie ; Lanier, Wes ; Chain, Rebecca ; Barksdale, Brittany ; Fritz, Stacy L. / Measurements of weight bearing asymmetry using the nintendo Wii Fit balance board are not reliable for older adults and individuals with stroke. In: Journal of Geriatric Physical Therapy. 2017 ; Vol. 40, No. 1. pp. 37-41.
@article{03ee12315347429cb908a65a9b2147ff,
title = "Measurements of weight bearing asymmetry using the nintendo Wii Fit balance board are not reliable for older adults and individuals with stroke",
abstract = "Background: Clinicians and researchers have used bathroom scales, balance performance monitors with feedback, postural scale analysis, and force platforms to evaluate weight bearing asymmetry (WBA). Now video game consoles offer a novel alternative for assessing this construct. By using specialized software, the Nintendo Wii Fit balance board can provide reliable measurements of WBA in healthy, young adults. However, reliability of measurements obtained using only the factory settings to assess WBA in older adults and individuals with stroke has not been established. Purpose: To determine whether measurements of WBA obtained using the Nintendo Wii Fit balance board and default settings are reliable in older adults and individuals with stroke. Methods: Weight bearing asymmetry was assessed using the Nintendo Wii Fit balance board in 2 groups of participants - individuals older than 65 years (n = 41) and individuals with stroke (n = 41). Participants were given a standardized set of instructions and were not provided auditory or visual feedback. Two trials were performed. Intraclass correlation coefficients (ICC), standard error of measure (SEM), and minimal detectable change (MDC) scores were determined for each group. Results: The ICC for the older adults sample was 0.59 (0.35-0.76) with SEM95 = 6.2{\%} and MDC95 = 8.8{\%}. The ICC for the sample including individuals with stroke was 0.60 (0.47-0.70) with SEM95 = 9.6{\%} and MDC95 = 13.6{\%}. Discussion: Although measurements of WBA obtained using the Nintendo Wii Fit balance board, and its default factory settings, demonstrate moderate reliability in older adults and individuals with stroke, the relatively high associated SEM and MDC values substantially reduce the clinical utility of the Nintendo Wii Fit balance board as an assessment tool for WBA. Conclusions: Weight bearing asymmetry cannot be measured reliably in older adults and individuals with stroke using the Nintendo Wii Fit balance board without the use of specialized software.",
keywords = "assessments, balance, geriatric, stroke",
author = "Liuzzo, {Derek M.} and Peters, {Denise M.} and Addie Middleton and Wes Lanier and Rebecca Chain and Brittany Barksdale and Fritz, {Stacy L.}",
year = "2017",
doi = "10.1519/JPT.0000000000000065",
language = "English (US)",
volume = "40",
pages = "37--41",
journal = "Journal of Geriatric Physical Therapy",
issn = "1539-8412",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Measurements of weight bearing asymmetry using the nintendo Wii Fit balance board are not reliable for older adults and individuals with stroke

AU - Liuzzo, Derek M.

AU - Peters, Denise M.

AU - Middleton, Addie

AU - Lanier, Wes

AU - Chain, Rebecca

AU - Barksdale, Brittany

AU - Fritz, Stacy L.

PY - 2017

Y1 - 2017

N2 - Background: Clinicians and researchers have used bathroom scales, balance performance monitors with feedback, postural scale analysis, and force platforms to evaluate weight bearing asymmetry (WBA). Now video game consoles offer a novel alternative for assessing this construct. By using specialized software, the Nintendo Wii Fit balance board can provide reliable measurements of WBA in healthy, young adults. However, reliability of measurements obtained using only the factory settings to assess WBA in older adults and individuals with stroke has not been established. Purpose: To determine whether measurements of WBA obtained using the Nintendo Wii Fit balance board and default settings are reliable in older adults and individuals with stroke. Methods: Weight bearing asymmetry was assessed using the Nintendo Wii Fit balance board in 2 groups of participants - individuals older than 65 years (n = 41) and individuals with stroke (n = 41). Participants were given a standardized set of instructions and were not provided auditory or visual feedback. Two trials were performed. Intraclass correlation coefficients (ICC), standard error of measure (SEM), and minimal detectable change (MDC) scores were determined for each group. Results: The ICC for the older adults sample was 0.59 (0.35-0.76) with SEM95 = 6.2% and MDC95 = 8.8%. The ICC for the sample including individuals with stroke was 0.60 (0.47-0.70) with SEM95 = 9.6% and MDC95 = 13.6%. Discussion: Although measurements of WBA obtained using the Nintendo Wii Fit balance board, and its default factory settings, demonstrate moderate reliability in older adults and individuals with stroke, the relatively high associated SEM and MDC values substantially reduce the clinical utility of the Nintendo Wii Fit balance board as an assessment tool for WBA. Conclusions: Weight bearing asymmetry cannot be measured reliably in older adults and individuals with stroke using the Nintendo Wii Fit balance board without the use of specialized software.

AB - Background: Clinicians and researchers have used bathroom scales, balance performance monitors with feedback, postural scale analysis, and force platforms to evaluate weight bearing asymmetry (WBA). Now video game consoles offer a novel alternative for assessing this construct. By using specialized software, the Nintendo Wii Fit balance board can provide reliable measurements of WBA in healthy, young adults. However, reliability of measurements obtained using only the factory settings to assess WBA in older adults and individuals with stroke has not been established. Purpose: To determine whether measurements of WBA obtained using the Nintendo Wii Fit balance board and default settings are reliable in older adults and individuals with stroke. Methods: Weight bearing asymmetry was assessed using the Nintendo Wii Fit balance board in 2 groups of participants - individuals older than 65 years (n = 41) and individuals with stroke (n = 41). Participants were given a standardized set of instructions and were not provided auditory or visual feedback. Two trials were performed. Intraclass correlation coefficients (ICC), standard error of measure (SEM), and minimal detectable change (MDC) scores were determined for each group. Results: The ICC for the older adults sample was 0.59 (0.35-0.76) with SEM95 = 6.2% and MDC95 = 8.8%. The ICC for the sample including individuals with stroke was 0.60 (0.47-0.70) with SEM95 = 9.6% and MDC95 = 13.6%. Discussion: Although measurements of WBA obtained using the Nintendo Wii Fit balance board, and its default factory settings, demonstrate moderate reliability in older adults and individuals with stroke, the relatively high associated SEM and MDC values substantially reduce the clinical utility of the Nintendo Wii Fit balance board as an assessment tool for WBA. Conclusions: Weight bearing asymmetry cannot be measured reliably in older adults and individuals with stroke using the Nintendo Wii Fit balance board without the use of specialized software.

KW - assessments

KW - balance

KW - geriatric

KW - stroke

UR - http://www.scopus.com/inward/record.url?scp=85012079828&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85012079828&partnerID=8YFLogxK

U2 - 10.1519/JPT.0000000000000065

DO - 10.1519/JPT.0000000000000065

M3 - Article

VL - 40

SP - 37

EP - 41

JO - Journal of Geriatric Physical Therapy

JF - Journal of Geriatric Physical Therapy

SN - 1539-8412

IS - 1

ER -