Highlights
- •The Wii Fit program had better improvements in the lower extremity functional status and mobility in adults with severe burns.
- •The Wii Fit improves exercise capacity, muscle strength, and balance in adults with severe burns.
- •The Wii Fit is a useful adjunctive therapy in rehabilitation of adults with severe burns.
Abstract
Objectives
To investigate the effects of the Wii Fit rehabilitation program in addition to a
standard physical therapy program (SPTP) on lower extremity functional status and
functional mobility in adults with severe burns after hospital discharge.
Design
A single-blinded, parallel groups, randomized controlled trial.
Settings
Outpatient rehabilitation center.
Participants
Thirty-four patients (N=34), aged 31.3±7.3 years old, with lower extremity deep partial-thickness
and full-thickness burn and total body surface area of more than 40% were allocated
randomly into 2 equal groups.
Interventions
The Wii Fit group received the Wii Fit program for 30 minutes in addition to SPTP
for 60 minutes, whereas the SPTP group received SPTP only. The intervention was 3
sessions a week for 12 weeks.
Main Outcome Measures
The primary outcome measurements were the functional status and functional mobility,
which were assessed by the high mobility assessment tool, Lower Limb Functional Index,
and timed Up and Go test. The secondary outcomes included exercise capacity, muscle
strength, and balance measured by the 6-minute walk test, isokinetic muscle strength
assessment, and stability index. All the outcome measures were collected at the baseline
and after 12 weeks of intervention.
Results
After 12 weeks of intervention, there were statistically significant differences between
groups in all outcome measures in favor of the Wii Fit group (P<.001). Also, statistically significant differences were found in all the measured
outcomes after 12 weeks of intervention in each group (P<.05).
Conclusions
Patients with lower extremity burns who received the Wii Fit program in addition to
the SPTP had better improvements in lower limb functional status, functional mobility,
exercise capacity, muscle strength, and balance than patients who received SPTP alone.
The Wii Fit program was a useful adjunctive therapy in rehabilitating adults with
lower extremity burn injury.
Keywords
List of abbreviations:
HiMAT (High-level Mobility Assessment Tool), ICC (intraclass correlation coefficient), LEBI (lower extremity burn injury), LLFI (Lower Limb Functional Index), MANOVA (multivariate analysis of variance), SI (stability index), 6MWT (6-minute walk test), SPTP (standard physical therapy program), TBSA (total body surface area), TUG (timed Up and Go), VR (virtual reality)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: September 24, 2021
Accepted:
August 25,
2021
Received in revised form:
July 27,
2021
Received:
April 19,
2021
Footnotes
Clinical Trial Registration No.: NCT04677764.
Disclosures: none
Identification
Copyright
© 2021 The American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
