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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 5/2014

01-05-2014 | Knee

Effects of Wii balance board exercises on balance after posterior cruciate ligament reconstruction

Authors: Urška Puh, Nia Majcen, Sonja Hlebš, Darja Rugelj

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 5/2014

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Abstract

Purpose

To establish the effects of training on Wii balance board (WBB) after posterior cruciate ligament (PCL) reconstruction on balance.

Methods

Included patient injured her posterior cruciate ligament 22 months prior to the study. Training on WBB was performed 4 weeks, 6 times per week, 30–45 min per day. Center of pressure (CoP) sway during parallel and one-leg stance, and body weight distribution in parallel stance were measured. Additionally, measurements of joint range of motion and limb circumferences were taken before and after training.

Results

After training, the body weight was almost equally distributed on both legs. Decrease in CoP sway was most significant for one-leg stance with each leg on compliant surface with eyes open and closed. The knee joint range of motion increased and limb circumferences decreased.

Conclusion

According to the results of this single case report, we might recommend the use of WBB for balance training after PCL reconstruction.

Level of evidence

Case series with no comparison group, Level IV.
Literature
1.
Adachi N, Ochi M, Uchio Y, Iwasa J, Ishikawa M, Shinomiya R (2007) Temporal change of joint position sense after posterior cruciate ligament reconstruction using multi-stranded hamstring tendons. Knee Surg Sports Traumatol Arthrosc 15(1):2–8PubMedCrossRef
2.
Balogun JA, Ajayi LO, Alawale F (1997) Determinants of single limb stance balance performance. Afr J Med Sci 26(3–4):153–157
3.
Baltaci G, Harput G, Haksever B, Ulusoy B, Ozer H (2012) Comparison between Nintendo Wii Fit and conventional rehabilitation on functional performance outcomes after hamstring anterior cruciate ligament reconstruction: prospective, randomized, controlled, double-blind clinical trial. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-012-2034-2
4.
Bateni H (2012) Changes in balance in older adults based on use of physical therapy versus the Wii fit gaming system: a preliminary study. Physiotherapy 98(3):211–216PubMedCrossRef
5.
Cameiráo MS, Bermudez i Badia S, Duarte-Oller E, Verschure P (2010) Neurorehabilitation using the virtual reality based rehabilitation gaming system: methodology, design, psychometrics, usability and validation. J Neuroeng Rehabil 48(7):7
6.
Chen CH, Chuang TY, Wang KC, Chen WJ, Shih CH (2006) Arthroscopic posterior cruciate ligament reconstruction with hamstring tendon autograft: result with a minimum 4-year follow-up. Knee Surg Sports Traumatol Arthrosc 14:1045–1054PubMedCrossRef
7.
Clark RA, Bryant AL, Pua Y, McCrory P, Bennell K, Hunt M (2010) Validity and reliability of the Nintendo Wii balance board for assessment of standing balance. Gait Posture 31:307–310PubMedCrossRef
8.
de Andrade MS, Grant C, Dixon A (1965) Joint distension and reflex muscle inhibition in the knee. J Bone Joint Surg 47A:313–322
9.
Deutsch JE, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P (2008) Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther 88(10):1198–1204CrossRef
10.
Frontera WR, Micheli LJ, Herring SA, Silver JK (2007) Clinical sports medicine medical management and rehabilitation. Saunders, Philadelphia, pp 421–439
11.
Frontera WR, Silver JK, Rizzo TD (2008) Essentials of physical medicine and rehabilitation. Musculoskeletal disorders pain and rehabilitation. Saunders, Philadelphia, pp 307–406
12.
Fung V, So K, Park E, Ho A, Shaffer J, Chan E, Gomez M (2010) The utility of a video game system in rehabilitation of burn and nonburn patients: a survey among occupational therapy and physiotherapy practitioners. J Burn Care Res 31(5):768–775PubMedCrossRef
13.
González-Fernández M, Gil-Gómez JA, Alcañiz M, Noé E, Colomer C (2010) eBaViR, Easy balance virtual rehabilitation system: a study with patients. Ann rev cyberther telemed 154:61–66
14.
Han G, Wang S, Luo W, Liu H (2008) Latest changes of joint proprioceptive function after posterior cruciate ligament reconstruction using double-bundle semitendinosus and gracilis under arthroscopy. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 22(10):1181–1183PubMed
15.
Horak FB, Hlavacka F (2001) Somatosensory loss increases vestibulospinal sensitivity. J Neurophysiol 86:575–585PubMed
16.
Irrgang JJ, West R, Sahasrabudhe A, Harner CD (2006) Rehabilitation after posterior cruciate ligament reconstruction. In: Manske RC (ed) Postsurgical orthopaedic sports rehabilitation: knee and shoulder. Mosby, St Louis, pp 245–527
17.
Lederman E (2010) Neuromuscular rehabilitation in manual and physical therapies. Elsevier, Edinburgh
18.
Levac D, Pierrynowski MR, Canestraro M, Gurr L, Leonard L, Neley C (2010) Exploring children`s movement characteristics during virtual reality video game play. Hum Mov Sci 29(6):1023–1038PubMedCrossRef
19.
Lin D, Seol H, Nussbaum MA, Madigan ML (2008) Reliability of COP-based postural sway measures and age-related differences. Gait Posture 28:337–342PubMedCrossRef
20.
McArdle WD, Katch FI, Katch VL (2001) Exercise physiology: energy nutrition and human performance. Lipincott, Baltimore, pp 500–547
21.
McGough R, Paterson K, Bradshaw EJ, Bryant AL, Clark RA (2012) Improving lower limb weight distribution asymmetry during the squat using Nintendo Wii balance boards and real-time feedback. J Strength Cond Res 26(1):47–52PubMedCrossRef
22.
Palmer ML, Epler M (1990) Clinical assessment procedures in physical therapy. Lippincott, Philadelphia, pp 273–297
23.
Pompeu JE, Mendes FA, Silva KG, Lobo AM, Oliveira Tde P, Zomignani AP, Piemonte ME (2012) Effect of Nintendo Wii™-based motor and cognitive training on activities of daily living in patients with Parkinson’s disease: a randomised clinical trial. Physiotherapy 98(3):196–204PubMedCrossRef
24.
Roberts D, Friden T, Stomberg A, Linstrand A, Moritz U (2000) Bilateral proprioceptive defects in patients with an unilateral anterior cruciate ligament reconstruction: a comparison between patients and healthy individuals. J Orthop Res 18(4):565–571PubMedCrossRef
25.
Rugelj D, Sevšek F (2007) Analysis of postural sway data of elderly subjects. WSEAS Trans Signal Process 3:213–219
26.
Rugelj D, Sevšek F (2011) The effect of load mass and its placement on postural sway. Appl Ergon 42(6):860–866PubMedCrossRef
27.
Safran MR, Allen AA, Lephart SM, Borsa PA, Fu FH, Harner CD (1999) Proprioception in the posterior cruciate ligament deficient knee. Knee Surg Sports Traumatol Arthrosc 7(5):310–317PubMedCrossRef
28.
Seroyer ST, Harner CD (2009) Avoiding and managing complications in PCL reconstruction. In: Meislin RJ, Halbrecht J (eds) Complications in knee and shoulder surgery. Springer, London, pp 75–90CrossRef
29.
30.
Sihvonen S (2004) Postural balance and aging. Cross-sectional comparative studies and a balance training intervention. Doctoral thesis. University of Jyvaskyla, pp 1–65
31.
Zarychta P, Zarychta-Bargiela A (2010) Anterior and posterior cruciate ligament–extraction and 3D visualization. In: Pietka E, Kawa J (eds) Information technologies in biomedicine. Springer, Berlin, pp 115–122CrossRef
Metadata
Title
Effects of Wii balance board exercises on balance after posterior cruciate ligament reconstruction
Authors
Urška Puh
Nia Majcen
Sonja Hlebš
Darja Rugelj
Publication date
01-05-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 5/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-013-2513-0

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