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Wii - December 19, 2007 3:49:41 PM
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CXCPT
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From: Syracuse, NY, living in Elmira, NY
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Our department is thinking about purchasing the Wii for the use of our patients for functional rehabilitation. Has anyone had success with this alternative treatment?
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RE: Wii - December 19, 2007 4:30:07 PM
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Herbie
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quote:
ORIGINAL: CXCPT
Our department is thinking about purchasing the Wii for the use of our patients for functional rehabilitation. Has anyone had success with this alternative treatment?
http://physicaltherapy.rehabedge.com/m.aspx?m=53932
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RE: Wii - January 1, 2008 12:54:22 PM
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jma
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From: NY
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It sounds like a great idea, especially for those with neurological impairments and those looking to go back to playing sports again using the UEs. I would probably invest in a few more hand controls.
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RE: Wii - January 1, 2008 12:59:10 PM
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SJBird55
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I played with one last night just a bit... watched the kids more. They were doing a few of the sports. I have mixed feelings. If I had a goal of assisting a patient improve the timing of their movement pattern, I believe this would provide a nice venue with excellent feedback. If I had a goal of fine tuning a movement pattern and a desire to see for say pitching - the hip, the step and the throw with good form - this is not a good tool. The kids didn't exhibit sporting form whatsoever. This tool doesn't have the "quality" of the movement mixed into it at a level that I think would be therapeutic enough to say that a "skill" is being established.
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RE: Wii - January 2, 2008 1:14:06 PM
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Tom Reeves DPT ATC
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SJ,
I think it is more applicable to balance, core stability, shoulder ROM/endurance, not the skill portion. It just makes the tedious, more fun. Picture a little old man doing stick exercises for shoulder flexion ROM (grumble grumble) vs pretend fishing on the Wii. No contest which he will look forward to more.
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RE: Wii - January 2, 2008 1:24:33 PM
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SJBird55
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From: Michigan
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The kids didn't have to do a ton of motion... from a purely orthopaedic perspective, patients aren't going to really receive any "skill" in the session - entertainment, yes... coordination because of timing, yes...
I saw my kids fish - I didn't see a movement component that was challenging. I watched the kids bowl - again, they could just stand there and move the wand. I watched the kids play baseball - again, no weight shifting was required and no real form had to occur for the bat to swing. My son did do have good form with golf - but that is because he golfs... the other boys didn't have any reasonable form.
It might be a nice tool to use for patients that have chronic pain and fear of moving... it might be a nice tool for balance and proprioception with the new add on coming out dealing with balance.
With what I observed and tried for now, with general orthopaedic patients, it would just be something new for them and might get more referrals, but I'm not sure if it would assist in efficiently or effectively meeting physical therapy goals or whether the service would truly be skilled and billable. That's just my opinion though.
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RE: Wii - January 5, 2008 7:55:16 PM
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jma
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I agree that it would be a stretch to get the skill toned down but as far as gross movement return, it should definitely be a great assist.
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RE: Wii - January 7, 2008 10:39:47 AM
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gerry
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From: Montgomery, AL, USA
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A PT I work with got one for her son this Christmas. She and her husband have played several of the games, and they have gotten winded and muscle soreness. So they must have been moving pretty good. They are not in bad physical shape. Sure, you could play these games with only minimal movement, but you could also do more than the minimal required to make the game work.
When I play guitar hero with my son, he stands very still, but I'm moving all over. In my mind I'm on stage entertaining the crowd, not just trying to get a score. It's pretty fun. Of course he is playing on difficult or expert settings and I am on easy....
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RE: Wii - January 7, 2008 10:19:38 PM
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Tom Reeves DPT ATC
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I agree with Gerry. My daughter bowls without hardly moving one time, then wacks herself in the head with the remote another. The Wii is simply a tool to make the mundane less so. It is fun and could be billed as neuro re-ed, or therapeutic activity provided it is used as a TOOL, not as a game. The game part is simply visual feedback that makes it more interesting. The PTs and OTs that I know, don't even hold the remote, they watch their patient and give them cues to move their arms or legs or trunk they way they want them to.
Boxing for example would be a great core stabilization exercise while sitting on a ball or standing. What SJ said is true though, all of the sports can be done by taking short cuts but so can pulley exercises.
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RE: Wii - January 7, 2008 11:06:30 PM
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TexasOrtho
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Joined: December 22, 2007
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I currently have a patient with a very stiff shoulder who played the bowling game and several others on the Wii for (what sounded like) 48 hours straight after Christmas.
She said her shoulder was extremely sore BUT she's noticed having more ROM and strength since playing it.
I doubt it was the therapy. 
_____________________________
Rod Henderson, PT
Board Certified Orthopedic Specialist (or Super-Freak)
Certified Strength and Conditioning Specialist
www.texasorthopedics.blogspot.com
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RE: Wii - January 8, 2008 7:15:56 AM
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SJBird55
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You all do have to remember that we live in a society of predominantly sedentary individuals. Wii can allow for some level of activity. My main point was that for the Wii to bring any "skill" into the session then the PT should be there providing feedback and verbal cues to ensure that quality movement patterns within the framework of the goals set are occurring.
And, Rod, your patient can believe that strength increased, but reality is that it does take a good 8-12 weeks to build strength for people with true strength deficits. What probably happened is that she overcame her fear of using the shoulder and the Wii was the tool that allowed her to get the darn thing moving.
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RE: Wii - January 8, 2008 10:48:14 AM
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gerry
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From: Montgomery, AL, USA
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Exactly. My point was that the Wii can be a good tool. Treadmills, gait trainers, balls, rolls, are all tools that can help you elicit desired movements, provide resistance, etc. But the patient can be very inactive with any of these tools. It would not be right to think the Wii, or any other tool, can bring "skill" into a PT session. The skill comes from the PT (hopefully) using the tool to help the client. I think the Wii has potential to be a very useful tool.
SJ, your point about us being a sedentary society is a good one. For clients whose activity level is very low, whether due to motivation or physical limitations, using the Wii as a tool can help increase activity levels. Then hopefully the client can move on to other activities as they are able or motivated to do so. For those who are very limited in the activities they can perform, playing a game on the Wii may offer a good alternative to following along with a "wheelchair aerobics" video, or something similar.
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RE: Wii - January 8, 2008 10:56:21 AM
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gerry
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From: Montgomery, AL, USA
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Oh yeah, you do have to be careful. As Tom mentioned, you can get hit with the controllers. In addition to muscle soreness, my friend had a bruise from getting hit by the son during a tennis game?
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RE: Wii - January 8, 2008 1:33:33 PM
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TexasOrtho
Posts: 540
Joined: December 22, 2007
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quote:
ORIGINAL: SJBird55
And, Rod, your patient can believe that strength increased, but reality is that it does take a good 8-12 weeks to build strength for people with true strength deficits. What probably happened is that she overcame her fear of using the shoulder and the Wii was the tool that allowed her to get the darn thing moving.
I was being a little tongue-in-cheek with my post but thanks!
_____________________________
Rod Henderson, PT
Board Certified Orthopedic Specialist (or Super-Freak)
Certified Strength and Conditioning Specialist
www.texasorthopedics.blogspot.com
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RE: Wii - January 10, 2008 5:33:12 PM
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orthotherapist
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I have received a patient due to it - fell while "bowling" and suffered a colles fracture
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RE: Wii - January 11, 2008 12:32:58 AM
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hmgross
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From: Minnesota
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ortho- how many cocktails were involved? I mean honestly, the game can be played hanging your arm over the edge of the recliner!
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Holly Gross PT
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RE: Wii - January 11, 2008 9:33:10 AM
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Alex Brenner PT MPT OCS
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From: Kentucky
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Hey, I just made the pro level in bowling. It gives you a ball with stars all over it.
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RE: Wii - January 11, 2008 10:00:36 AM
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Shill
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From: Madison WI USA
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Here is a brief example how much the media reaches people. I went to get a cup of coffee in the hospital I work in, a woman whom I have never met before spotted on my name tag that I am a PT, and immediately asked me if I am using the Wii with my patients. I am not as of yet, but I am certainly considering it. I think I will strap the controller to various involved parts of the body and move the body around to get the desired cursor movement. It is very easy to cheat with very tiny movements when held in the hand.
Steve
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RE: Wii - January 11, 2008 10:38:59 AM
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orthotherapist
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My sons (5 y.o.) top bowling game is 269 and you would swear he was actually bowling - so yes you can get by with a little movement but all those I have seen play actually look like they are bowling. Those that look like they are bowling actually "bowl" better than those that just move the wii any which way.
Just like any exercise there are ways to "cheat". It is up to the therapist to ensure that proper movement patterns are completed
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RE: Wii - January 11, 2008 4:04:20 PM
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Tom Reeves DPT ATC
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way to go Alex. Just be careful, roll a 130 and you lose your pro status.
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