Nintendo?« Wii FitTM balance and cognitive function in older adults.

Abstract

Fear of falling is highly prevalent among older adults. It is important to find ways to decrease the fear of falling and improve the confidence one has in their own balance when doing daily activities. PURPOSE: The purpose of this study was to evaluate the effects of a balance training intervention using the Nintendo Wii Fit on balance confidence and cognitive function, specifically executive function, in older adults. METHODS: Twelve adults over the age of 65 years were assigned to a treatment group or control group to complete an eight-week balance training intervention. Balance confidence was measured using the Activities-Specific Balance Confidence Scale. Cognitive function was evaluated with the Trail Making Test (TMT), Part A and Part B. Center of mass was measured using the Nintendo Wii Fit balance board. All assessments were taken at baseline and after eight weeks of training. The data were analyzed using an ANOVA with repeated measures for each outcome (a?ü = .025). RESULTS: No significant interaction or time effects were observed for any variable. The group effect for TMT Part A approached significance (F = 7.034, p = 0.029). CONCLUSIONS: It can be concluded that using the Nintendo Wii Fit as a balance training tool will not improve balance confidence or cognitive function, particularly executive function, in older adults. Future studies should look at testing other components of cognitive function to see if the Nintendo Wii Fit is a useful device for older adults. They should also consider combining balance training using the Nintendo Wii Fit with resistance training, to build the strength in the lower body.