PTOtherGait & posture2020

Relationship between Nintendo's Wii balance board derived variables and clinical balance scores in individuals with stroke.

Sangeetha Madhavan, Sonia Pradhan

PMID 32417647

WHAT IT FOUND

Wii Balance Board weight-symmetry and target-movement measures showed no useful match with Berg Balance Scale or Mini-BESTest scores in chronic stroke.

Only very small links appeared, so the board should not be read as a substitute for clinical balance tests.

Key findings

01Standing weight symmetry was not significantly related to clinical balance scores, but eyes-open weight symmetry differed between people with moderate and high Mini-BESTest scores (U = 456, P = 0.03).

02The only dynamic relationships were negligible: Berg Balance Scale with completion time (rho = -0.29, P = 0.021) and Mini-BESTest with reaction time (rho = -0.246, P = 0.05).

03Board-derived clusters did not differ significantly in clinical balance scores.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

The analysis used baseline data from an existing trial, not follow-up or outcome data. Dynamic reaction time and completion time analyses included 59 participants, not 69, because of missing data from software problems. The Berg Balance Scale groups were very uneven, with 4 participants in the moderate group and 55 in the high group, so the authors did not perform further group analyses. Cluster analyses produced uneven groups, such as 59 versus 10 for eyes-open weight symmetry, and the authors said this limited interpretation. The authors reported the significant dynamic relationships as negligible and said the results need caution. The authors said the clinical utility of the Wii Balance Board for fall risk may be limited, and newer Wii Balance Board models have been discontinued.

Declared interests

The authors declared no conflicts of interest. The paper is listed as supported by NIH extramural research.

The easy way to misread this

Do not conclude that the Wii Balance Board can replace the Berg Balance Scale or Mini-BESTest. The statistically significant relationships were negligible, standing weight symmetry was not significantly related to clinical scores overall, and board-derived clusters did not separate people by clinical balance scores.

Read it on PubMed →