Effects of a Nintendo Wii exercise program on spasticity and static standing balance in spastic cerebral palsy

ABSTRACT

Objective: This study sought to evaluate the effects of a Nintendo Wii Balance Board (NWBB) intervention on ankle spasticity and static standing balance in young people with spastic cerebral palsy (SCP). Methods: Ten children and adolescents (aged 72–204 months) with SCP participated in an exercise program with NWBB. The intervention lasted 6 weeks, 3 sessions per week, 25 minutes for each session. Ankle spasticity was assessed using the Modified Modified Ashworth Scale (MMAS), and static standing balance was quantified using posturographic measures (center-of-pressure [CoP] measures). Pre- and post-intervention measures were compared. Results: Significant decreases of spasticity in the ankle plantar flexor muscles (p < 0.01). There was also a significant reduction in the CoP sway area (p = 0.04), CoP mediolateral velocity (p =0.03), and CoP anterior–posterior velocity (p = 0.03). Conclusion: A 6-session NWBB program reduces the spasticity at the ankle plantar flexors and improves the static standing balance in young people with SCP.

KEYWORDS:

• Ankle function
• cerebral palsy
• Modified Modified Ashworth Scale
• Nintendo Wii
• spasticity
• standing balance

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.