Wii gaming system for the rehabilitation in nursing home residents suffering from motor and mild to moderate cognitive impairment [Utilizzo della console Wii della Nintendo® per il trattamento riabilitativo cognitivo-motorio di soggetti anziani affetti da deficit motorio o da demenza di grado lieve-moderato]
Vigano G.,Istituzioni Don Carlo Botta |
Squassoni N.,Istituzioni Don Carlo Botta |
Pancaldi L.,Istituzioni Don Carlo Botta |
Evangelisti E.,Istituzioni Don Carlo Botta |
Balzarolo C.,Istituzioni Don Carlo Botta
Giornale di Gerontologia | Year: 2012
Obiectives. To evaluate the feasibility of rehabilitation treatment using Wii gaming system by Nintendo® in nursing home residents affected by motor and mild to moderate cognitive impairment. Methods. Pilot study in three groups of subjects (15 patients with previous stroke with motor disability, 15 patients with previous physical impairment due to arm or leg fractures, 15 patients with mild to moderate cognitive impairment with or without motor disability). They underwent a 4 weeks treatment rehabilitation cycle, 3 times a week for 15 minutes, using the Wii gaming system. Before and after rehabilitation cycle Barthel Index, Physical Performance Test (PPT) and Mini Mental State Examination Test were performed. Three control groups (n = 15 each) were also enrolled. Finally, a subgroup of 25 patients treated using Wii gaming system was administered Geriatric Depression Scale before and after the rehabilitation cycle. Results. The rehabilitation exercises using Wii gaming system (Wii Sports game) were feasible and very appreciated by all the subjects involved into this pilot study. After the rehabilitation cycle, a mild improvement in PPT was observed but it was not statistically significant. In contrast, the value of Geriatric Depression Scale was significantly improved by using Wii gaming system (p < 0.0032). Conclusions. The results of this study are consistent with the finding that the use of video games by Nintendo® Wii is effective at improving physical performance in nursing home residents. An antidepressive effect was also observed.