Skip to main content
Top
Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

“Not just another Wii training”: a graded Wii protocol to increase physical fitness in adolescent girls with probable developmental coordination disorder-a pilot study

Authors: Emmanuel Bonney, Eugene Rameckers, Gillian Ferguson, Bouwien Smits-Engelsman

Published in: BMC Pediatrics | Issue 1/2018

Login to get access

Abstract

Background

Adolescents with low motor competence participate less in physical activity and tend to exhibit decreased physical fitness compared to their peers with high motor competence. It is therefore essential to identify new methods of enhancing physical fitness in this population. Active video games (AVG) have been shown to improve motor performance, yet investigations of its impact on physical fitness are limited. The objective of this study was to examine the impact of the graded Wii protocol in adolescent girls with probable Developmental Coordination Disorder (p-DCD).

Methods

A single-group pre-post design was conducted to assess the impact of a newly developed Wii protocol in adolescent girls attending school in a low income community of Cape Town, South Africa. Sixteen participants (aged 13-16 years) with p-DCD (≤16th percentile on the MABC-2 test) were recruited. Participants received 45 min Wii training for 14 weeks. Outcome measures included the six-minute walk distance and repeated sprint ability. Information on heart rate, enjoyment and perceived exertion ratings were also collected.

Results

Significant improvements in aerobic and anaerobic fitness were observed. The participants reported high enjoyment scores and low perceived exertion ratings. The graded Wii protocol was easily adaptable and required little resources (space, equipment and expertise) to administer.

Conclusions

The findings provide preliminary evidence to support the use of the graded Wii protocol for promoting physical fitness in adolescent girls with p-DCD. Further studies are needed to confirm these results and to validate the clinical efficacy of the protocol in a larger sample with a more robust design.
Appendix
Available only for authorised users
Literature
1.
go back to reference Wilson PH, McKenzie BE. Information processing deficits associated with developmental coordination disorder: a meta-analysis of research findings. J Child Psychol Psychiatry. 1998;39(6):829–40.CrossRefPubMed Wilson PH, McKenzie BE. Information processing deficits associated with developmental coordination disorder: a meta-analysis of research findings. J Child Psychol Psychiatry. 1998;39(6):829–40.CrossRefPubMed
2.
go back to reference Cantell M, Crawford SG, Doyle-Baker PK. Physical fitness and health indices in children, adolescents and adults with high or low motor competence. Hum Mov Sci. 2008;27(2):344–62.CrossRefPubMed Cantell M, Crawford SG, Doyle-Baker PK. Physical fitness and health indices in children, adolescents and adults with high or low motor competence. Hum Mov Sci. 2008;27(2):344–62.CrossRefPubMed
3.
go back to reference Kirby A, Sugden D, Beveridge S, Edwards L. Developmental co-ordination disorder (DCD) in adolescents and adults in further and higher education. J Res Speci Educ Needs. 2008;8(3):120–31.CrossRef Kirby A, Sugden D, Beveridge S, Edwards L. Developmental co-ordination disorder (DCD) in adolescents and adults in further and higher education. J Res Speci Educ Needs. 2008;8(3):120–31.CrossRef
4.
go back to reference Philips NE, Chirico D, Cairney J, Hay J, Faught BE, O’Leary DD. Arterial stiffness in children with and without probable developmental coordination disorder. Res Dev Disabil. 2016;59:138–46.CrossRefPubMed Philips NE, Chirico D, Cairney J, Hay J, Faught BE, O’Leary DD. Arterial stiffness in children with and without probable developmental coordination disorder. Res Dev Disabil. 2016;59:138–46.CrossRefPubMed
5.
go back to reference Haga M, Sigmundsson H. Motor competence and physical fitness in adolescents. Pediatr Phys Ther. 2014;26(1):69–74.CrossRefPubMed Haga M, Sigmundsson H. Motor competence and physical fitness in adolescents. Pediatr Phys Ther. 2014;26(1):69–74.CrossRefPubMed
6.
go back to reference Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–75.CrossRefPubMed Sallis JF, Prochaska JJ, Taylor WC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–75.CrossRefPubMed
7.
go back to reference Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc. 2002;34(2):350–5.CrossRefPubMed Trost SG, Pate RR, Sallis JF, Freedson PS, Taylor WC, Dowda M, Sirard J. Age and gender differences in objectively measured physical activity in youth. Med Sci Sports Exerc. 2002;34(2):350–5.CrossRefPubMed
8.
go back to reference Altamimi R, Skinner G. A survey of active video game literature. J Comput Inf Technol. 2012;1(1):20–35. Altamimi R, Skinner G. A survey of active video game literature. J Comput Inf Technol. 2012;1(1):20–35.
9.
go back to reference Nitz JC, Kuys S, Isles R, Fu S. Is the Wii fit™ a new-generation tool for improving balance, health and well-being? A pilot study. Climacteric. 2010;13(5):487–91.CrossRefPubMed Nitz JC, Kuys S, Isles R, Fu S. Is the Wii fit™ a new-generation tool for improving balance, health and well-being? A pilot study. Climacteric. 2010;13(5):487–91.CrossRefPubMed
10.
go back to reference Berg P, Becker T, Martian A, Danielle PK, Wingen J. Motor control outcomes following Nintendo Wii use by a child with down syndrome. Pediatr Phys Ther. 2012;24(1):78–84.CrossRefPubMed Berg P, Becker T, Martian A, Danielle PK, Wingen J. Motor control outcomes following Nintendo Wii use by a child with down syndrome. Pediatr Phys Ther. 2012;24(1):78–84.CrossRefPubMed
11.
go back to reference Smits-Engelsman BC, Jelsma LD, Ferguson GD. The effect of exergames on functional strength, anaerobic fitness, balance and agility in children with and without motor coordination difficulties living in low-income communities. Hum Mov Sci. 2016;55:327–33.CrossRefPubMed Smits-Engelsman BC, Jelsma LD, Ferguson GD. The effect of exergames on functional strength, anaerobic fitness, balance and agility in children with and without motor coordination difficulties living in low-income communities. Hum Mov Sci. 2016;55:327–33.CrossRefPubMed
12.
go back to reference Hammond J, Jones V, Hill EL, Green D, Male I. An investigation of the impact of regular use of the Wii fit to improve motor and psychosocial outcomes in children with movement difficulties: a pilot study. Child Care Health Dev. 2014;40(2):165–75.CrossRefPubMed Hammond J, Jones V, Hill EL, Green D, Male I. An investigation of the impact of regular use of the Wii fit to improve motor and psychosocial outcomes in children with movement difficulties: a pilot study. Child Care Health Dev. 2014;40(2):165–75.CrossRefPubMed
13.
go back to reference Ferguson GD, Jelsma D, Jelsma J, Smits-Engelsman BC. The efficacy of two task-orientated interventions for children with developmental coordination disorder: Neuromotor task training and Nintendo Wii fit training. Res Dev Disabil. 2013;34(9):2449–61.CrossRefPubMed Ferguson GD, Jelsma D, Jelsma J, Smits-Engelsman BC. The efficacy of two task-orientated interventions for children with developmental coordination disorder: Neuromotor task training and Nintendo Wii fit training. Res Dev Disabil. 2013;34(9):2449–61.CrossRefPubMed
14.
go back to reference Salem Y, Gropack SJ, Coffin D, Godwin EM. Effectiveness of a low-cost virtual reality system for children with developmental delay: a preliminary randomised single-blind controlled trial. Physiotherapy. 2012;98(3):189–95.CrossRefPubMed Salem Y, Gropack SJ, Coffin D, Godwin EM. Effectiveness of a low-cost virtual reality system for children with developmental delay: a preliminary randomised single-blind controlled trial. Physiotherapy. 2012;98(3):189–95.CrossRefPubMed
15.
go back to reference Ashkenazi T, Weiss PL, Orian D, Laufer Y. Low-cost virtual reality intervention program for children with developmental coordination disorder: a pilot feasibility study. Pediatr Phys Ther. 2013;25(4):467–73.CrossRefPubMed Ashkenazi T, Weiss PL, Orian D, Laufer Y. Low-cost virtual reality intervention program for children with developmental coordination disorder: a pilot feasibility study. Pediatr Phys Ther. 2013;25(4):467–73.CrossRefPubMed
16.
go back to reference Jelsma D, Geuze RH, Mombarg R, Smits-Engelsman BC. The impact of Wii fit intervention on dynamic balance control in children with probable developmental coordination disorder and balance problems. Hum Mov Sci. 2014;33:404–18.CrossRefPubMed Jelsma D, Geuze RH, Mombarg R, Smits-Engelsman BC. The impact of Wii fit intervention on dynamic balance control in children with probable developmental coordination disorder and balance problems. Hum Mov Sci. 2014;33:404–18.CrossRefPubMed
17.
go back to reference Pompeu JE, dos Santos Mendes FA, da Silva KG, Lobo AM, de Paula OT, Zomignani AP, Piemonte ME. 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. 2012;98(3):196–204.CrossRefPubMed Pompeu JE, dos Santos Mendes FA, da Silva KG, Lobo AM, de Paula OT, Zomignani AP, Piemonte ME. 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. 2012;98(3):196–204.CrossRefPubMed
18.
go back to reference Maddison R, Mhurchu CN, Jull A, Jiang Y, Prapavessis H, Rodgers A. Energy expended playing video console games: an opportunity to increase children’s physical activity? Pediatr Exerc Sci. 2007;19(3):334–43.CrossRefPubMed Maddison R, Mhurchu CN, Jull A, Jiang Y, Prapavessis H, Rodgers A. Energy expended playing video console games: an opportunity to increase children’s physical activity? Pediatr Exerc Sci. 2007;19(3):334–43.CrossRefPubMed
19.
go back to reference Truter L, Pienaar AE, Du Toit D. The relationship of overweight and obesity to the motor performance of children living in South Africa. S Afr Fam Pract. 2012;54(5):429–35. Truter L, Pienaar AE, Du Toit D. The relationship of overweight and obesity to the motor performance of children living in South Africa. S Afr Fam Pract. 2012;54(5):429–35.
20.
go back to reference Ortega FB, Ruiz JR, Castillo MJ, Sjostrom M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes (London). 2008;32(1):1–11.CrossRef Ortega FB, Ruiz JR, Castillo MJ, Sjostrom M. Physical fitness in childhood and adolescence: a powerful marker of health. Int J Obes (London). 2008;32(1):1–11.CrossRef
21.
go back to reference Hands B. Changes in motor skill and fitness measures among children with high and low motor competence: a five-year longitudinal study. J Sci Med Sport. 2008;11(2):155–62.CrossRefPubMed Hands B. Changes in motor skill and fitness measures among children with high and low motor competence: a five-year longitudinal study. J Sci Med Sport. 2008;11(2):155–62.CrossRefPubMed
22.
go back to reference Hands B, Larkin D, Parker H, Straker L, Perry M. The relationship among physical activity, motor competence and health-related fitness in 14-year-old adolescents. Scand J Med Sci Sports. 2009;19(5):655–63.CrossRefPubMed Hands B, Larkin D, Parker H, Straker L, Perry M. The relationship among physical activity, motor competence and health-related fitness in 14-year-old adolescents. Scand J Med Sci Sports. 2009;19(5):655–63.CrossRefPubMed
23.
go back to reference Bouffard M, Watkinson EJ, Thompson LP, Dunn JL, Romanow SK. A test of the activity deficit hypothesis with children with movement difficulties. Adapt Phys Act Q. 1996;13(1):61–73.CrossRef Bouffard M, Watkinson EJ, Thompson LP, Dunn JL, Romanow SK. A test of the activity deficit hypothesis with children with movement difficulties. Adapt Phys Act Q. 1996;13(1):61–73.CrossRef
24.
go back to reference Monyeki MA, Neetens R, Moss SJ, Twisk J. The relationship between body composition and physical fitness in 14 year old adolescents residing within the Tlokwe local municipality, South Africa: the PAHL study. BMC Public Health. 2012;12:374.CrossRefPubMedPubMedCentral Monyeki MA, Neetens R, Moss SJ, Twisk J. The relationship between body composition and physical fitness in 14 year old adolescents residing within the Tlokwe local municipality, South Africa: the PAHL study. BMC Public Health. 2012;12:374.CrossRefPubMedPubMedCentral
25.
go back to reference Henderson SE, Sugden DA, & Barnett AL. Movement assessment battery for children-2: movement ABC-2: Examiner's manual: Pearson São Paulo; 2007. Henderson SE, Sugden DA, & Barnett AL. Movement assessment battery for children-2: movement ABC-2: Examiner's manual: Pearson São Paulo; 2007.
26.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders (fifth ed.). Washington: American Psychiatric Association; 2013. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (fifth ed.). Washington: American Psychiatric Association; 2013.
27.
go back to reference Blank R, Smits-Engelsman B, Polatajko H, Wilson P, et al. Dev Med Child Neurol. 2012;54(1):54–93.CrossRefPubMed Blank R, Smits-Engelsman B, Polatajko H, Wilson P, et al. Dev Med Child Neurol. 2012;54(1):54–93.CrossRefPubMed
28.
go back to reference Harris SR, Mickelson ECR, Zwicker JG. Diagnosis and management of developmental coordination disorder. Can Med Assoc J. 2015;187(9):659–65.CrossRef Harris SR, Mickelson ECR, Zwicker JG. Diagnosis and management of developmental coordination disorder. Can Med Assoc J. 2015;187(9):659–65.CrossRef
29.
go back to reference Smits-Engelsman B, Schoemaker M, Delabastita T, Hoskens J, Geuze R. Diagnostic criteria for DCD: past and future. Hum Mov Sci. 2015;42:293–306.CrossRefPubMed Smits-Engelsman B, Schoemaker M, Delabastita T, Hoskens J, Geuze R. Diagnostic criteria for DCD: past and future. Hum Mov Sci. 2015;42:293–306.CrossRefPubMed
30.
go back to reference Cairney J, Hay J, Veldhuizen S, Faught B. Comparison of VO 2 maximum obtained from 20m shuttle run and cycle ergometer in children with and without developmental coordination disorder. Res Dev Disabil. 2010;31(6):1332–9.CrossRefPubMed Cairney J, Hay J, Veldhuizen S, Faught B. Comparison of VO 2 maximum obtained from 20m shuttle run and cycle ergometer in children with and without developmental coordination disorder. Res Dev Disabil. 2010;31(6):1332–9.CrossRefPubMed
31.
go back to reference Farhat F, Masmoudi K, Hsairi I, Smits-Engelsman B, McHirgui R, Triki C, Moalla W. The effects of 8 weeks of motor skill training on cardiorespiratory fitness and endurance performance in children with developmental coordination disorder. Appl Physiol Nutr Metab. 2015;40(12):1269–78.CrossRefPubMed Farhat F, Masmoudi K, Hsairi I, Smits-Engelsman B, McHirgui R, Triki C, Moalla W. The effects of 8 weeks of motor skill training on cardiorespiratory fitness and endurance performance in children with developmental coordination disorder. Appl Physiol Nutr Metab. 2015;40(12):1269–78.CrossRefPubMed
32.
go back to reference Newell KM. Constraints on the development of coordination. In Wade WG & Whiting HTA (Eds). Motor development in children: Aspects of coordination and control. Boston: Martinus Nijhoff. 1986. p. 341-360. Newell KM. Constraints on the development of coordination. In Wade WG & Whiting HTA (Eds). Motor development in children: Aspects of coordination and control. Boston: Martinus Nijhoff. 1986. p. 341-360.
33.
go back to reference Renshaw I, Chow JY, Davids K, Hammond J. A constraints-led perspective to understanding skill acquisition and game play: a basis for integration of motor learning theory and physical education praxis? Phys Educ Sport Pedagog. 2010;15(2):117–37.CrossRef Renshaw I, Chow JY, Davids K, Hammond J. A constraints-led perspective to understanding skill acquisition and game play: a basis for integration of motor learning theory and physical education praxis? Phys Educ Sport Pedagog. 2010;15(2):117–37.CrossRef
34.
go back to reference Kraemer WJ, Ratamess NA. Fundamentals of resistance training: progression and exercise prescription. Med Sci Sports Exerc. 2004;36(4):674–88.CrossRefPubMed Kraemer WJ, Ratamess NA. Fundamentals of resistance training: progression and exercise prescription. Med Sci Sports Exerc. 2004;36(4):674–88.CrossRefPubMed
35.
go back to reference Bompa TO, Haff GG. Periodization: theory and methodology of training. Champaign: Human Kinetics Publishers; 2009. Bompa TO, Haff GG. Periodization: theory and methodology of training. Champaign: Human Kinetics Publishers; 2009.
36.
go back to reference Li AM, Yin J, Yu CCW, Tsang T, So THK, Wong E, Chan D, Hon EKL, Sung R. The six-minute walk test in healthy children: reliability and validity. Eur Respir J. 2005;25(6):1057–60.CrossRefPubMed Li AM, Yin J, Yu CCW, Tsang T, So THK, Wong E, Chan D, Hon EKL, Sung R. The six-minute walk test in healthy children: reliability and validity. Eur Respir J. 2005;25(6):1057–60.CrossRefPubMed
37.
go back to reference Geiger R, Strasak A, Treml B, Gasser K, Kleinsasser A, Fischer V, Stein JI. Six-minute walk test in children and adolescents. J Pediatr. 2007;150(4):395–9.CrossRefPubMed Geiger R, Strasak A, Treml B, Gasser K, Kleinsasser A, Fischer V, Stein JI. Six-minute walk test in children and adolescents. J Pediatr. 2007;150(4):395–9.CrossRefPubMed
38.
go back to reference Li AM, Yin J, Au JT, So HK, Tsang T, Wong E, Ng PC. Standard reference for the six-minute-walk test in healthy children aged 7 to 16 years. Am J Respir Crit Care Med. 2007;176(2):174–80.CrossRefPubMed Li AM, Yin J, Au JT, So HK, Tsang T, Wong E, Ng PC. Standard reference for the six-minute-walk test in healthy children aged 7 to 16 years. Am J Respir Crit Care Med. 2007;176(2):174–80.CrossRefPubMed
39.
go back to reference Morinder G, Mattsson E, Sollander C, Marcus C, Larsson UE. Six-minute walk test in obese children and adolescents: reproducibility and validity. Physiother Res Int. 2009;14(2):91–104.CrossRefPubMed Morinder G, Mattsson E, Sollander C, Marcus C, Larsson UE. Six-minute walk test in obese children and adolescents: reproducibility and validity. Physiother Res Int. 2009;14(2):91–104.CrossRefPubMed
40.
go back to reference Steenman K, Verschuren O, Rameckers E, Douma-van Riet D, Takken T. Extended reference values for the muscle power Sprint test in 6-to 18-year-old children. Pediatr Phys Ther. 2016;28(1):78–84.CrossRefPubMed Steenman K, Verschuren O, Rameckers E, Douma-van Riet D, Takken T. Extended reference values for the muscle power Sprint test in 6-to 18-year-old children. Pediatr Phys Ther. 2016;28(1):78–84.CrossRefPubMed
42.
go back to reference Kingsley M, Lewis MJ, Marson R. Comparison of polar 810 s and an ambulatory ECG system for RR interval measurement during progressive exercise. Int J Sports Med. 2005;26(01):39–44.CrossRefPubMed Kingsley M, Lewis MJ, Marson R. Comparison of polar 810 s and an ambulatory ECG system for RR interval measurement during progressive exercise. Int J Sports Med. 2005;26(01):39–44.CrossRefPubMed
43.
go back to reference Nunan D, Jakovljevic DG, Donovan G, Hodges LD, Sandercock GR, Brodie DA. Levels of agreement for RR intervals and short-term heart rate variability obtained from the polar S810 and an alternative system. Eur J Appl Physiol. 2008;103(5):529–37.CrossRefPubMed Nunan D, Jakovljevic DG, Donovan G, Hodges LD, Sandercock GR, Brodie DA. Levels of agreement for RR intervals and short-term heart rate variability obtained from the polar S810 and an alternative system. Eur J Appl Physiol. 2008;103(5):529–37.CrossRefPubMed
44.
go back to reference Gulati M, Shaw LJ, Thisted RA, Black HR, Merz CNB, Arnsdorf MF. Heart rate response to exercise stress testing in asymptomatic women the st. James women take heart project. Circulation. 2010;122(2):130–7.CrossRefPubMed Gulati M, Shaw LJ, Thisted RA, Black HR, Merz CNB, Arnsdorf MF. Heart rate response to exercise stress testing in asymptomatic women the st. James women take heart project. Circulation. 2010;122(2):130–7.CrossRefPubMed
45.
go back to reference Chen MJ, Fan X, Moe ST. Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. J Sports Sci. 2002;20(11):873–99.CrossRefPubMed Chen MJ, Fan X, Moe ST. Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. J Sports Sci. 2002;20(11):873–99.CrossRefPubMed
46.
go back to reference Bishop D, Spencer M, Duffield R, Lawrence S. The validity of a repeated sprint ability test. J Sci Med Sport. 2001;4(1):19–29.CrossRefPubMed Bishop D, Spencer M, Duffield R, Lawrence S. The validity of a repeated sprint ability test. J Sci Med Sport. 2001;4(1):19–29.CrossRefPubMed
47.
go back to reference Morris SB, DeShon RP. Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychol Methods. 2002;7(1):105.CrossRefPubMed Morris SB, DeShon RP. Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychol Methods. 2002;7(1):105.CrossRefPubMed
48.
go back to reference Cohen J. Statistical power analysis for behavioural sciences. Hilsdale: Lawrence Earlbaum Associates; 1988. Cohen J. Statistical power analysis for behavioural sciences. Hilsdale: Lawrence Earlbaum Associates; 1988.
49.
go back to reference Saad HB, Prefaut C, Missaoui R, Mohamed IH, Tabka Z, Hayot M. Reference equation for 6-min walk distance in healthy north African children 6–16 years old. Pediatr Pulmonol. 2009;44(4):316–24.CrossRefPubMed Saad HB, Prefaut C, Missaoui R, Mohamed IH, Tabka Z, Hayot M. Reference equation for 6-min walk distance in healthy north African children 6–16 years old. Pediatr Pulmonol. 2009;44(4):316–24.CrossRefPubMed
50.
go back to reference Smits-Engelsman B, Blank R, Van Der Kaay AC, Mosterd-Van Der Meijs RI, Vlugt-Van Den Brand EL, Polatajko HJ, Wilson PH. Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(3):229–37.CrossRefPubMed Smits-Engelsman B, Blank R, Van Der Kaay AC, Mosterd-Van Der Meijs RI, Vlugt-Van Den Brand EL, Polatajko HJ, Wilson PH. Efficacy of interventions to improve motor performance in children with developmental coordination disorder: a combined systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(3):229–37.CrossRefPubMed
Metadata
Title
“Not just another Wii training”: a graded Wii protocol to increase physical fitness in adolescent girls with probable developmental coordination disorder-a pilot study
Authors
Emmanuel Bonney
Eugene Rameckers
Gillian Ferguson
Bouwien Smits-Engelsman
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1029-7

Other articles of this Issue 1/2018

BMC Pediatrics 1/2018 Go to the issue