Effect of Postural Stability System Comparison to Nintendo Wii Fit Balance Training on Fall Risk and Postural Stability in Elderly

NCT ID: NCT06978517

Last Updated: 2025-05-18

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-20
• Study Completion Date: 2025-05-10

Brief Summary

Human balance is a complex multidimensional concept related to postural control, and it refers essentially to the ability to maintain a posture (e.g., sitting or standing), move between postures, and not fall when reacting to an external disturbance. One-third to one-half of the population over age 65 reports some difficulty with balance or ambulation .Because of the high incidence of balance and mobility disorders in older adults, interventions are necessary that optimize the performance of balance- and mobility-related activities older adults .

The aim of the current study will benefit clinicians and physiotherapists as it provide an insight to the benefits of balance training. The practical application of balance training will provide neurological advantages tothe geriatric population to allow lesser fall risk and postural instability.

The study will be a non-blinded randomized control trial, consisting of two groups. Study will be conducted over 1 year. Subjects will be selected via a non-probability purposive sampling technique using a coin toss method, followed by randomization into two groups (A and B). Ethical approval will be obtained from the ERC FUMC. One group will receive Nintendo Wii Fit balance training while the second group will receive postural stability system training over 8 weeks. Baseline tests will be performed before and after the intervention for balance, postural stability, and sensory integration. Data will be entered and analyzed on SPSS version 22.

Conditions

Fall Risk; Postural Stability; Balance; Elderly

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Biodex balance system

It includes the following techniques for training: weight shift training, limits of stability, and weight training techniques It includes 15 participants and includes warm-up and cool-down period

Group Type: EXPERIMENTAL

Biodex balance system

Intervention Type: PROCEDURE

Participants assigned to the Biodex balance training group underwent balance rehabilitation using the Biodex Balance System SD, a computerized platform designed to assess and train postural stability. Each participant engaged in training sessions three times per week, with each session lasting approximately 30 minutes, over a total period of six weeks. The intervention began with exercises conducted on a higher stability level (e.g., Level 8), gradually progressing to lower stability levels (e.g., Level 2) to increase the challenge as participants' balance improved. The training included both static and dynamic tasks aimed at enhancing weight shifting, center-of-gravity control, and response to instability. Real-time visual biofeedback was provided via the system's screen, enabling participants to monitor their performance and maintain motivation. All sessions were conducted under the supervision of a qualified physiotherapist to ensure proper technique and safety.

Nintendo Wii fit

Nintendo Wii Fit Balance Training, which includesthe following games:

• table tilt
• ski slalom
• Penguin slide
• Tightrope walk
• Soccer heading
• Balance bubble It includes 15 participants and playing each game for 10 minutes

Group Type: ACTIVE_COMPARATOR

nintendo Wii fit balance training

Intervention Type: PROCEDURE

Participants in the Nintendo Wii Fit training group engaged in balance exercises using the Nintendo Wii console and Wii Fit balance board. This interactive system includes a variety of balance-focused activities and games that simulate real-life balance challenges in a virtual environment. The training was conducted three times per week, with each session lasting approximately 30 minutes, over a six-week period. Exercises included selected Wii Fit balance games (such as Ski Slalom, Table Tilt, and Tightrope Walk) and yoga-based poses (such as Tree Pose and Warrior), which encouraged participants to engage their core and lower limb muscles while maintaining postural alignment. The difficulty level was gradually increased by introducing more complex tasks and longer balance durations as participants progressed. The system provided immediate visual and auditory feedback, allowing users to track their scores and improvements in real time. All sessions were performed under supervision.

Interventions

Biodex balance system

Participants assigned to the Biodex balance training group underwent balance rehabilitation using the Biodex Balance System SD, a computerized platform designed to assess and train postural stability. Each participant engaged in training sessions three times per week, with each session lasting approximately 30 minutes, over a total period of six weeks. The intervention began with exercises conducted on a higher stability level (e.g., Level 8), gradually progressing to lower stability levels (e.g., Level 2) to increase the challenge as participants' balance improved. The training included both static and dynamic tasks aimed at enhancing weight shifting, center-of-gravity control, and response to instability. Real-time visual biofeedback was provided via the system's screen, enabling participants to monitor their performance and maintain motivation. All sessions were conducted under the supervision of a qualified physiotherapist to ensure proper technique and safety.

Intervention Type: PROCEDURE

nintendo Wii fit balance training

Participants in the Nintendo Wii Fit training group engaged in balance exercises using the Nintendo Wii console and Wii Fit balance board. This interactive system includes a variety of balance-focused activities and games that simulate real-life balance challenges in a virtual environment. The training was conducted three times per week, with each session lasting approximately 30 minutes, over a six-week period. Exercises included selected Wii Fit balance games (such as Ski Slalom, Table Tilt, and Tightrope Walk) and yoga-based poses (such as Tree Pose and Warrior), which encouraged participants to engage their core and lower limb muscles while maintaining postural alignment. The difficulty level was gradually increased by introducing more complex tasks and longer balance durations as participants progressed. The system provided immediate visual and auditory feedback, allowing users to track their scores and improvements in real time. All sessions were performed under supervision.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Age 55years and above
• Males and females both
• Berg balance scale score 21-40
• TUG in less than 20 sec

Exclusion Criteria

• Use of a wheelchair or walker.
• Any diagnosed neurological condition.
• Any severe musculoskeletal condition.

• Minimum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physical Therapy

Islamabad, , Pakistan

Countries

Pakistan

Other Identifiers

FUI/CTR/2024/73

Identifier Type: -

Identifier Source: org_study_id