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Effects of Wii Fit Rehabilitation on Lower Extremity Functional Status in Adults With Severe Burns: A Randomized Controlled Trial

  • Maged A. Basha
    Correspondence
    Corresponding author Maged A. Basha, PhD, Department of Physical Therapy, El-Sahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, 2 Youssef Karam St, Borham, Elsahel 11697, Cairo, Egypt.
    Affiliations
    Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah, Qassim, Saudi Arabia

    Department of Physical Therapy, El-Sahel Teaching Hospital, General Organization for Teaching Hospitals and Institutes, Cairo, Egypt
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  • Nabil M. Abdel-Aal
    Affiliations
    Department of Physical Therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
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  • Fatma Alzahraa H. Kamel
    Affiliations
    Department of Physical Therapy, College of Medical Rehabilitation, Qassim University, Buraidah, Qassim, Saudi Arabia

    Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
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Published:September 24, 2021DOI:https://doi.org/10.1016/j.apmr.2021.08.020

      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)
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