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Nintendo Wii

What you need to know

Released in late 2006 by Nintendo (Kyoto, Japan), the Wii is a video game console that uses Bluetooth technology to physically involve players in video games. Special wireless controllers, called Wii Remotes, use a mixture of accelerators and infrared signals in combination with a sensor bar attached to the television to locate its relative position and direction of movement. The Wii Remote would transmit this data via Bluetooth to the console, allowing players to immerse themselves in a variety of sports and action games in which they had explicit control over the movements of their characters arms.

Nintendo later refined this technology with the Wii Remote Plus, making it able to capture complex movements more accurately than ever before.

Release shortly after the Wii was its peripheral balance board to be used with the Wii Fit line of games. Though part of the Nintendo Wii brand, this will be discussed in the Balance Systems page.

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Intended Patient Population

Due to its revolutionary technology and relative accessibility, the Wii was identified by therapists as having the potential to be effective in the rehabilitation of gait, balance, and upper limb deficits resulting from neurological conditions. Evidence currently exists for the use of the Nintendo Wii in the following populations:

Evidence

Stroke

Please note that evidence for the use of the Nintendo Wii for balance rehabilitation in stroke patients will be on the balance systems page as they utilise the Wii Fit balance board

Does the use of Nintendo Wii SportsTM improve arm function? Trial of WiiTM in Stroke: a randomized controlled trial and economics analysis

Adie et al., 2017

RCT PEDro: 8/10 

Technology: Nintendo Wii + bowling, tennis, golf and baseball games found on Wii Sports.

Deficits Targeted: Upper limb function

Efficacy of a Virtual Reality Commercial Gaming Device in Upper Limb Recovery after Stroke: A Randomized, Controlled Study.

Kong et al., 2016

RCT PEDro 5/10

Technology: Nintendo Wii + boxing, bowling, tennis, golf, baseball, table tennis, basketball, cycling, Frisbee disk, sword play, and airplane flight control found on the Wii Sports and Wii Sports Resort games.

Deficits Targeted: Upper limb function

The effects of game-based virtual reality movement therapy plus mental practice on upper extremity function in chronic stroke patients with hemiparesis: a randomized controlled trial

Park & Park., 2016

RCT PEDro: 6/10

Technology: Nintendo Wii + bowling, table tennis, and canoeing games of Wii Sports and Wii Sports Resort

Deficits Targeted; Upper limb function 

Virtual rehabilitation via Nintendo Wii® and conventional physical therapy effectively treat post-stroke hemiparetic patients.

da Silva Ribeiro et al., 2015

RCT PEDro: 7/10

Technology: Nintendo Wii + tennis, hulahoop, soccer, and boxing games 

Deficits Targeted: Upper limb function and balance

 

Clinical Feasibility of Interactive Commercial Nintendo Gaming for Chronic Stroke Rehabilitation

Kim, Kang, Park & Jung, 2012

RCT PEDro: 4/10

Technology: Nintendo Wii + boxing and tennis games

Deficits Targeted: Postural control, motor function and functional independence

Multiple Sclerosis

All of the evidence concerning use of the Nintendo Wii for MS was focused on the rehabilitation of balance using Wii Fit. As such, it will be discussed on the balance systems page.

Parkinson's Disease

Most of the evidence concerning use of the Nintendo Wii for PD was focused on the rehabilitation of balance using Wii Fit. As such, it will be discussed on the balance systems page.

Effect of virtual reality dance exercise on the balance, activities of daily living, and depressive disorder status of Parkinson's disease patients

Lee, Lee, & Song., 2015

RCT PEDro: 

Technology: Nintendo Wii + KPOP dance festival

Deficits Targeted: Static/dynamic balance and depression

Cerebral Palsy

Some of the evidence concerning use of the Nintendo Wii for PD was focused on the rehabilitation of balance using Wii Fit. As such, it will be discussed on the balance systems page.

Wii-based interactive video games as a supplement to conventional therapy for rehabilitation of children with cerebral palsy: a pilot, randomized controlled
trial.

Sajan, John, Grace, Sabu, & Tharion., 2017

RCT PEDro: 7/10

Technology: Nintendo Wii + boxing and bowling games

Deficits Targeted: Static/dynamic balance, gait, upper limb function

Efficacy of neurodevelopmental treatment combined with the Nintendo®Wii in patients with cerebral palsy.

Acar, Altun, Yurdalan, Polat,. 2016

RCT PEDro: 5/10

Technology: Nintendo Wii + boxing, baseball and boxing games.

Deficits Targeted: Upper limb function and functional independence

Effects of Nintendo Wii training on occupational performance, balance, and daily living activities in children with spastic hemiplegic cerebral palsy: a single-blind and randomized trial

Atasavun Uysal & Baltaci., 2016

RCT PEDro: 7/10 (as graded here)

Technology: Nintendo Wii, unable to determine games

Deficits Targeted: Motor function, balance, ADLs

Effects of conventional neurological treatment and a virtual reality training program on eye-hand coordination in children with cerebral palsy

Shin, Song, & Hwangbo., 2015

RCT PEDro: 4/10

Technology: Nintendo Wii, games unspecified

Deficits Targeted: Eye-hand coordination

Upper limb training using Wii Sports Resort for children with hemiplegic cerebral palsy: a randomized, single-blind trial.

Chiu, Ada, Lee,. 2014

RCT PEDro 9/10

Technology: Nintendo Wii + Wii Sports Resort games

Deficits Targeted: Upper limb function

Stroke
Multple Sclerosis
Parkinson's Disease
Cerebral Palsy

Interested?

Having sold 101.63 million units by 2016, the Wii is one of the best selling home consoles of all time. Therefore, there are plenty of consoles available on second hand retail markets such as ebay.com, where they sell for anywhere between $40 and $130 AUD, depending on rarity and condition.

Nintendo also released the Wii Mini, a smaller iteration of the same console, as well as its successor the Wii U. These consoles retail on ebay.com for $300 and $279 AUD respectively.

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Purchasing

Created in 2018 by Burton CRK

Created as part of LaTrobe University's PEEK program

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