The Effect of Wii Fit Rehabilitation in Patients With Chronic Ankle Instability a Randomized Control Study

NCT05957965 | Unknown

• 1 other identifier: clinical trial
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to investigate the effect of Wii Fit rehabilitation on risk of fall, balance, and functional limitation, in patients with chronic ankle instability ,The main question it aims to answer is: Are there any effect of Wii Fit rehabilitation training on balance, functional limitation, and risk of falls in patients with chronic ankle instability? Participants will be asked to sign a written informed consent form before the study according to guidelines of ethical committee The first group control group: 30 patients will receive conventional physical therapy training only which consist of strengthening, proprioceptive exercises. The second group experimental group: 30 patients Wii Fit group will receive Wii Fit rehabilitation training and the same conventional exercise training.

Conditions

Instability, Joint

Keywords

Wii fit rehabilitation; chronic ankle instability; biodex balance system

Outcome Measures

Primary Outcomes (1)

• Balance

  will be assessed by Biodex balance system (overall, Anterior posterior and mediolateral balance indices with opened eyes and closed eyes).

  "up to 8 weeks"

Secondary Outcomes (1)

• Functional limitation

  "up to 8 weeks"

Other Outcomes (1)

• Risk of fall

  "up to 8 weeks"

Study Arms (2)

Conventional exercise training group

ACTIVE COMPARATOR

30 patients will receive conventional physical therapy training only which consist of strengthening, proprioceptive exercises.

Other: Strengthening, proprioceptive exercises.

Wii Fit rehabilitation training group

EXPERIMENTAL

30 patients Wii Fit group will receive Wii Fit rehabilitation training and the same conventional exercise training (strengthening, proprioceptive exercises)

Device: Wii fit; Other: Strengthening, proprioceptive exercises.

Interventions

Wii fit DEVICE

Nintendo Wii console (Nintendo Co., Ltd, Kyoto, Japan) is the main power unit of Nintendo Wii Fit. Its software includes an interactive video games that is played with a handheld, wireless remote that senses motion and requires the participant to mimic the action of their on - screen character. These games are played using a special Wii balance board in order to perform activities like yoga, balance and aerobics. The Wii remote is the primary controller for Nintendo's Wii console. The motion sensing capability is the main feature of it. It allows the user to interact with and manipulate items on screen via pointing.

Also known as: Nintendo Wii Fit system

Wii Fit rehabilitation training group

Strengthening, proprioceptive exercises. OTHER

-Strengthening exercise: Ankle Dorsiflexion and Plantar Flexion \& inversion and eversion Strengthening with Exercise Bands -Proprioceptive exercise using wobble board

Also known as: conventional physical therapy training

Conventional exercise training group; Wii Fit rehabilitation training group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Sixty patients, their age ranges between 18 to 60 years old.
• Patients of both gender (men and women)
• A history of at least one ankle sprain, with the initial sprain occurring more than 1-year before the study
• A feeling of ''giving way'' at least 2 episodes in the last 6 months before the study
• Experiencing a recurring sprain, which is defined as two or more sprains on the same ankle
• No history of ankle injury within the three months prior to participation, and no cognitive deficit
• Capability to perform the intervention or daily activities without an increase in pain
• Currently they are not participating in any other rehabilitation exercise programs
• No history of ankle surgery

You may not qualify if:

• Subjects had balance deficits due to vestibular disorders, such as vertebro-basilar insufficiency and/or visual disorders
• Tumors in the area to be treated for the study
• pregnancy
• Any injury or surgery done in ankle joint, deformity at lower extremity
• Musculoskeletal condition like fracture, osteoporosis
• Neurological condition like parkinsonism disease, ataxia, stroke, muscular dystrophy, myasthenia gravis
• Cardiopulmonary conditions

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy Cairo University

Cairo, Egypt

RECRUITING

Related Publications (15)

• Punt IM, Armand S, Ziltener JL, Allet L. Effect of Wii Fit exercise therapy on gait parameters in ankle sprain patients: A randomized controlled trial. Gait Posture. 2017 Oct;58:52-58. doi: 10.1016/j.gaitpost.2017.06.284. Epub 2017 Jun 29.

  PMID: 28735202 BACKGROUND

• Kim KJ, Heo M. Effects of virtual reality programs on balance in functional ankle instability. J Phys Ther Sci. 2015 Oct;27(10):3097-101. doi: 10.1589/jpts.27.3097. Epub 2015 Oct 30.

  PMID: 26644652 BACKGROUND

• Kim KJ, Jun HJ, Heo M. Effects of Nintendo Wii Fit Plus training on ankle strength with functional ankle instability. J Phys Ther Sci. 2015 Nov;27(11):3381-5. doi: 10.1589/jpts.27.3381. Epub 2015 Nov 30.

  PMID: 26696703 BACKGROUND

• Halaweh H, Svantesson U, Rosberg S, Willen C. Cross-Cultural Adaptation, Validity and Reliability of the Arabic Version of the Falls Efficacy Scale-International (FES-I). Med Princ Pract. 2016;25(1):1-7. doi: 10.1159/000441128. Epub 2015 Oct 20.

  PMID: 26698595 BACKGROUND

• Franco JR, Jacobs K, Inzerillo C, Kluzik J. The effect of the Nintendo Wii Fit and exercise in improving balance and quality of life in community dwelling elders. Technol Health Care. 2012;20(2):95-115. doi: 10.3233/THC-2011-0661.

  PMID: 22508022 BACKGROUND

• Afridi A, Malik AN, Ali S, Amjad I. Effect of balance training in older adults using Wii fit plus. J Pak Med Assoc. 2018 Mar;68(3):480-483.

  PMID: 29540893 BACKGROUND

• Afridi A, Rathore FA, Nazir SNB. Wii Fit for Balance Training in Elderly: A Systematic Review. J Coll Physicians Surg Pak. 2021 May;31(5):559-566. doi: 10.29271/jcpsp.2021.05.559.

  PMID: 34027869 BACKGROUND

• Alghadir AH, Iqbal ZA, Iqbal A, Ahmed H, Ramteke SU. Effect of Chronic Ankle Sprain on Pain, Range of Motion, Proprioception, and Balance among Athletes. Int J Environ Res Public Health. 2020 Jul 23;17(15):5318. doi: 10.3390/ijerph17155318.

  PMID: 32718066 BACKGROUND

• Clark RA, Mentiplay BF, Pua YH, Bower KJ. Reliability and validity of the Wii Balance Board for assessment of standing balance: A systematic review. Gait Posture. 2018 Mar;61:40-54. doi: 10.1016/j.gaitpost.2017.12.022. Epub 2017 Dec 30.

  PMID: 29304510 BACKGROUND

• Elsotohy NM, Salim YE, Nassif NS, Hanafy AF. Cross-education effect of balance training program in patients with chronic ankle instability: A randomized controlled trial. Injury. 2021 Mar;52(3):625-632. doi: 10.1016/j.injury.2020.09.065. Epub 2020 Oct 1.

  PMID: 33041018 BACKGROUND

• Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge KM, Verhagen EA, Vicenzino BT, Wikstrom EA, Delahunt E. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med. 2016 Dec;50(24):1496-1505. doi: 10.1136/bjsports-2016-096189. Epub 2016 Jun 3.

  PMID: 27259753 BACKGROUND

• Pourkazemi F, Hiller CE, Raymond J, Black D, Nightingale EJ, Refshauge KM. Predictors of recurrent sprains after an index lateral ankle sprain: a longitudinal study. Physiotherapy. 2018 Dec;104(4):430-437. doi: 10.1016/j.physio.2017.10.004. Epub 2017 Nov 2.

  PMID: 29325691 BACKGROUND

• Seyedi M, Nobari H, Abbasi H, Khezri D, Oliveira R, Perez-Gomez J, Badicu G, Afonso J. Effect of Four Weeks of Home-Based Balance Training on the Performance in Individuals with Functional Ankle Instability: A Remote Online Study. Healthcare (Basel). 2021 Oct 23;9(11):1428. doi: 10.3390/healthcare9111428.

  PMID: 34828475 BACKGROUND

• Shashidharan, Srisha & Selvan, Vijay. Effects of Virtual Reality Based Training (VRBT) and Proprioceptive Training for Improving Dynamic Balance in Chronic Ankle Instability (CAI) Patients -A Comparative Study (2022).

  BACKGROUND

• Abdel-Aal NM, El-Kablawy MA, Kadah MA, Abbas AAEH, Basha MA, Kamel FH. Effect of Wii Fit Rehabilitation on Balance, Functional Ability, and Risk of Falling in Patients With Chronic Ankle Instability: A Randomized Controlled Trial. Am J Phys Med Rehabil. 2026 Feb 1;105(2):110-118. doi: 10.1097/PHM.0000000000002828. Epub 2025 Aug 13.

  PMID: 40857124 DERIVED

MeSH Terms

Conditions

Joint Instability

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases

Study Officials

• maher Ahmed el kablawy, Professor

  Cairo University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

aya abd el hady abbas abd el hady, Bsc

CONTACT

0201095332663; aya.abdelhady@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator aya abd el hady abbas

Study Record Dates

• First Submitted: July 8, 2023
• First Posted: July 24, 2023
• Study Start: August 1, 2023
• Primary Completion: November 1, 2024
• Study Completion: November 1, 2024
• Last Updated: January 23, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)