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

wendyr@kerbycentre.com

www.kerbycentre.com