wii balance - seniorscouncil.net
TRANSCRIPT
Wendy Rodger , Kerby Centre
Senior Manager – Information, Education and Recreation
September 14, 2012
WHAT YOU WILL LEARN??
• Goals of Wii Balance
• Anticipated Results of each year
• Learnings from each year
• Conclusions from each year
• Recommendations from each year
• Wii Balance manual
• 3 year ACICR
project with
learnings built
on each year
• 1 year project to
develop a user
manual
• Target group:
older adults
aged 55+
community
dwelling
independent
WII BALANCE PROJECT
1. Increase
awareness of
fall prevention
strategies
• Stride length
• Foot wear
• Base of support
WII BALANCE GOALS
2. Increase
physical activity
WII BALANCE GOALS
3. Increase self
confidence in
daily living
activities
WII BALANCE GOALS
4. Increase in
muscular
strength,
flexibility, agility
and balance
WII BALANCE GOALS
• Increase in
physical activity,
balance, self-
confidence and
socialization in
different avenue
than normal
daily living
PURPOSE OF THE PROJECT – YEAR 1
• ↑ ROM of
shoulders,
wrists, hips,
knees & ankles
• ↑ application of
techniques in
ADLs
• Effective use of
Wii™ as a tool to
enhance
balance, mobility
& agility
• ↑ in physical
activity
ANTICIPATED RESULTS
• Pre and post testing
• Balance Efficacy Scale
• Seniors Fitness Test (6 exercises)
• Dynamometer
• Mid and final evaluations
PHASE 1 - TESTING
WII SPORTS™ - BOWLING
WII SPORTS™ - TENNIS
WII SPORTS™ - GOLF
WII SPORTS™ - BASEBALL
WII SPORTS™ - BOXING
• Most effective in
twos or singles
• System is highly
adaptable for
different
functional levels
• More fit do
realize benefits
on ADLs and
other activities
LEARNINGS FROM PHASE 1
• Speed of play is
issue for frail
• Technology
issues
• Transfer of skill
from real to
virtual games
• More education
on risk factors
for falling
LEARNINGS FROM PHASE 1
• Learning curve
for games
• Wii Sports™ for
dynamic balance
• Wii Fit™ for
static balance
and body
awareness
LEARNINGS FROM PHASE 1 (CONT)
• Tracking of
scores manually
for future
reference.
• Games provide
mechanism to
increase body
awareness and
centre of gravity
LEARNINGS FROM PHASE 1
• Small sample
size
• Qualitative data
indicated a
positive effect
on balance
• ↑ feeling of
better balance in
ADLs
• ↑ understanding
of balance
PHASE 1 EVALUATION - CONCLUSIONS
• Stricter
adherence to
post-testing
• ADLs were being
re-assessed with
balance
competency in
mind
PHASE 1 EVALUATION - RECOMMENDATIONS
• More training for
trainers on
proper body
alignment &
balance
• Streamlined
reporting
systems (charts)
PHASE 2 – EVALUATION - CONCLUSIONS
• ↑ confidence in
ADLs
• ↑ in skill in
games and
enjoyment
• ↑ hand/eye
coordination
• ↑ in flexibility,
MS, coordination
and balance
PHASE 2 – ANTICIPATED RESULTS
• ↑ body
awareness &
impact on daily
living
• ↑ in problem
solving in games
• ↑ in socialization
with peers &
others
• Effectiveness of
non-fitness
trainer
PHASE 2 – ANTICIPATED RESULTS
• Pre and post testing
• Seniors Fitness Test
• Fullerton Short Form Advanced Balance Test
• Dynamometer
• Mid term and final evaluations
PHASE 2 - TESTING
WII FIT™ - HULA HOOP
WII FIT™ - SKI JUMP
WII FIT™ - STRENGTH TRAINING
WII FIT™ - YOGA
• More want
single sessions
• Teach how to
work system
• Charge a
nominal fee for
ownership
• We all learn in
different ways
PHASE 2 - LEARNINGS
• Learning curve
for Wii Fit™
activities
• More than
one/wk sessions
needed for some
• Commitment of
trainers to
program
PHASE 2 - LEARNINGS
• Important to go
back & play Wii
Sports™ so
progress can be
seen
• Combo of games
and balance
activities works
PHASE 2 - LEARNINGS
• Participants
value the
training
• Body testing in
Wii Fit™ is
valuable to
participants
PHASE 3 - LEARNINGS
• Recognize the
connection
between
increased
balance &
confidence in
ADLs.
• Increased
opportunities for
socialization
with peers and
family - beating
grandson at
bowling
PHASE 2 – EVALUATIONS - CONCLUSIONS
• Not possible to
conclude that
Nintendo Wii™
fixes balance
problems
• Limitations of
study sample
size,
socialization
tool, testing,
reliable tests
PHASE 2 – EVALUATION - CONCLUSIONS
• Well designed
and well
implemented
• Revisions to
progress charts
• Capitalize on
teaching
moments (bus)
• Generational
appeal
PHASE 2 – EVALUATION - RECOMMENDATIONS
• ↑ confidence in daily living activities
• Maintain or ↑ scores on flexibility, muscular strength , agility and balance
• ↑ in awareness of components of balance training and risk factors for fall prevention
PHASE 3 – ANTICIPATED RESULTS
• Pre and post testing
• Seniors Fitness Test
• Fullerton Short Form Advanced Balance test
• Dynamometer
• Knowledge, Attitude and Behaviour Questionnaire
PHASE 3 - TESTING
• Socialization
aspect with men
• Non-dominant
hand training
• More
responsibility to
choose activities
in sessions
• Joined other
exercise
programs at
Kerby Centre
• Joined new Fit
Room (Feb,
2011)
PHASE 3 - LEARNINGS
• Real value to the
training
• 2 sessions/wk ,
one self-directed
• Self referral to
Fall Clinic by one
user
• Enjoyed testing
and the
comparison of
results in the
games and
activities
PHASE 3 - LEARNINGS
• Quantitative
data is inclusive
due to small
sample size and
inconsistent
reporting
• Qualitative
results provide
valuable insight
into benefits and
perceived
benefits
PHASE 3 – EVALUATION -CONCLUSIONS
• ↑ awareness of
importance of
balance training
• ↑ confidence in
balance
activities
↑ in flexibility,
concentration
and confidence
in ADLs
PHASE 3 – EVALUATION - CONCLUSIONS
• Multi-faceted: • Social benefits
• Physical benefits
• Cognitive benefits
• Enjoyment of
games/activities
PHASE 3 – EVALUATION - CONCLUSIONS
• Project should
continue and
expand.
• Additional
resources
needed
• Important need
for programs • Self-efficacies
• Balance
• Flexibility
• Fall prevention
• Social support
PHASE 3 – EVALUATION - RECOMMENDATIONS
• User’s manual
for professionals
and older adults
• Advisory
committee was
struck – content
and editorial
WII BALANCE MANUAL
• Purpose: From the learnings of phases 1 & 2 – share with others in an accessible format.
• 2 Workshops were held to share.
WII BALANCE MANUAL
• Introduction on Balance
• Why use the Wii™
• Lots of photos • Wii remote with what
each button does
• Models doing the activities/sports
• Screen prints of the games and activities
WII BALANCE MANUAL – WHAT’S IN IT!
• Charts • Skill Development
progressions
• Training Activities
• Testing
• Forms
• Evaluation
WII BALANCE MANUAL
• Nintendo Wii™
manuals were
not user-friendly
or complete
enough for many
of the seniors.
• 200 copies were
produced.
WII BALANCE MANUAL
• Workshop held
for launch in
November, 2011
• Evaluations from
workshop were
excellent
WII BALANCE MANUAL
• Evaluation
• Feedback form was
sent by mail or email
to all who received
the manual for
feedback on user
friendliness,
effectiveness of
manual,
WII BALANCE MANUAL
• Available in print • Available off the
Kerby Centre
website
WII BALANCE MANUAL
www.kerbycentre.com
CONTACT INFORMATION
Wendy Rodger
(403) 705-3221
www.kerbycentre.com