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

NCT ID: NCT05957965

Last Updated: 2024-01-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2024-11-30

Brief Summary

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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.

Detailed Description

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Wii Fit is an effective virtual reality approach for balance training. This intervention requires less time per session compared to traditional physical therapy treatment. Moreover, it is user-friendly, engaging, cost-effective and can be delivered at home without the need for supervision by a trained rehabilitation professional. Given the growing popularity of the technological approach as Wii Fit intervention, it would be important for the rehabilitation field to replicate these findings as high quality randomized clinical trials with large sample size and equal distribution of males and females.Further researches are needed to assess the long term effect of Wii training in patients with functional ankle instability. A variety of exercise programs were used as an intervention for chronic ankle instability, and conservative treatment interventions including balance, proprioceptive, and muscle strengthening exercises are effective for patients with chronic ankle instability

Conditions

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Instability, Joint

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Conventional exercise training group

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

Group Type ACTIVE_COMPARATOR

Strengthening, proprioceptive exercises.

Intervention Type OTHER

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

-Proprioceptive exercise using wobble board

Wii Fit rehabilitation training group

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

Group Type EXPERIMENTAL

Wii fit

Intervention Type 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.

Strengthening, proprioceptive exercises.

Intervention Type OTHER

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

-Proprioceptive exercise using wobble board

Interventions

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Wii fit

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.

Intervention Type DEVICE

Strengthening, proprioceptive exercises.

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

-Proprioceptive exercise using wobble board

Intervention Type OTHER

Other Intervention Names

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Nintendo Wii Fit system conventional physical therapy training

Eligibility Criteria

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Inclusion Criteria

* 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

Exclusion Criteria

* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Aya abd el hady abbas

principle investigator aya abd el hady abbas

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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maher Ahmed el kablawy, Professor

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

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Faculty of Physical Therapy Cairo University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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aya abd el hady abbas abd el hady, Bsc

Role: CONTACT

0201095332663

Facility Contacts

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aya abd el hady abbas abd el hady, BSC

Role: primary

0201095332663

References

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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.

Reference Type BACKGROUND
PMID: 28735202 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26644652 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26696703 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26698595 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 22508022 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 29540893 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 34027869 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 32718066 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 29304510 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 33041018 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 27259753 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 29325691 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 34828475 (View on PubMed)

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).

Reference Type BACKGROUND

Other Identifiers

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clinical trial

Identifier Type: -

Identifier Source: org_study_id

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