WiihabWiihabusing new technology to using new technology to improve your athletes.improve your athletes.

WIAA Coaches School 2009WIAA Coaches School 2009

RehabilitationRehabilitation

““The art and science of improving a The art and science of improving a persons health”persons health”

Two main goals-Two main goals-– Restore the patient to Restore the patient to pre-injury pre-injury fitnessfitness– Prevent deconditioning of the rest of the Prevent deconditioning of the rest of the

patient during this timepatient during this time

New TechnologyNew TechnologyThe Nintendo WiiThe Nintendo Wii

An interactive game that enables the An interactive game that enables the person to play the game using body person to play the game using body motionsmotions

The Wii came out in 2006The Wii came out in 2006Nintendo said that it wanted to make Wii a living room centerpiece by shipping the system with features outside of the videogame realm. Wii will include a photo channel, enabling users to display their digital photos through the console. It will also boast regularly updated news and weather channels. In addition, the Opera browser will be available for the system, enabling users to access the web with the console.

"Mii Channel.""Mii Channel." Custom made profile that each Custom made profile that each person can makeperson can makeThe hook is that these avatars can The hook is that these avatars can not only be stored on the console not only be stored on the console itself, they can also be transferred to itself, they can also be transferred to the Wii remote itself -- presumably so the Wii remote itself -- presumably so players can easily access their players can easily access their personalized characters and take personalized characters and take them with them when playing them with them when playing against friendsagainst friends. .

Combining rehabilitation with the Combining rehabilitation with the WiiWii

Already see research on PubMed Already see research on PubMed regarding this idearegarding this idea

Use of a low-cost, commercially Use of a low-cost, commercially available gaming console (Wii) for available gaming console (Wii) for rehabilitation of an adolescent with rehabilitation of an adolescent with cerebral palsy.cerebral palsy. Deutsch JEDeutsch JE, , BorbelyBorbely M M, , Filler JFiller J, , Huhn KHuhn K, , Guarrera-Bowlby Guarrera-Bowlby PP. University of Medicine and . University of Medicine and Dentistry of New Jersey Dentistry of New Jersey

MeasuredMeasured

Three main outcome measures were Three main outcome measures were used:used:– (1) visual-perceptual processing, using (1) visual-perceptual processing, using

a motor-free perceptual test (Test of a motor-free perceptual test (Test of Visual Perceptual Skills, third edition)Visual Perceptual Skills, third edition)

– (2) postural control, using weight (2) postural control, using weight distribution and sway measuresdistribution and sway measures

– (3) functional mobility, using gait (3) functional mobility, using gait distancedistance

ResultsResults

The feasibility of using the system in The feasibility of using the system in the school-based setting during the the school-based setting during the summer session was supported. For summer session was supported. For this patient whose rehabilitation was this patient whose rehabilitation was augmented with the Wii, there were augmented with the Wii, there were positive outcomes at the impairment positive outcomes at the impairment and functional levels. and functional levels.

Other ideasOther ideas

Fitness levelFitness level

Arm, wrist and hand rehabArm, wrist and hand rehab

Balance, proprioception and ROMBalance, proprioception and ROM

Athlete interest and fun-Athlete interest and fun-TRANSLATION willing to do more and TRANSLATION willing to do more and more often-RESULT increased time more often-RESULT increased time spent in rehabilitation = faster full spent in rehabilitation = faster full recoveryrecovery

GamesGamesWii fitWii fitEA ActiveEA ActiveCardio WorkoutCardio WorkoutDance, Dance RevolutionDance, Dance RevolutionPunch OutPunch OutTiger Woods Golf-wrist attachmentTiger Woods Golf-wrist attachmentSki and SnowboardSki and SnowboardWii sports-Wii sports-– BoxingBoxing– Other sport specific games-questionable on Other sport specific games-questionable on

true potentialtrue potential

Wii FitWii Fit

Balance, posture and fitnessBalance, posture and fitness

Uses yoga, strength training, balance Uses yoga, strength training, balance and aerobics sectionsand aerobics sections

Measures BMI (body mass index Measures BMI (body mass index (weight and height)-this might not be (weight and height)-this might not be a good thing for some athletes to seea good thing for some athletes to see

Not bad, especially for someone Not bad, especially for someone coming off a surgery or long-term coming off a surgery or long-term injury.injury.

Wii CardioWii Cardio

Uses shape boxing as the basis for Uses shape boxing as the basis for the cardio workoutthe cardio workout

This uses the balance board as well This uses the balance board as well as the controller and nunchuk or 2 as the controller and nunchuk or 2 controllerscontrollers

You can cheat this game by not You can cheat this game by not throwing the punches and just throwing the punches and just moving your wristsmoving your wrists

Wii ActiveWii ActiveUses resistance bands for upper body work Uses resistance bands for upper body work and lunges, squats with BW for lower body and lunges, squats with BW for lower body work.work.Has a 30-day challenge programHas a 30-day challenge programCan use the Wii balance board to enhance Can use the Wii balance board to enhance the workoutthe workoutCalendar days, basic nutrition questions, Calendar days, basic nutrition questions, etc. are includedetc. are includedDoes have a sports function with it as well Does have a sports function with it as well as cardio, upper and lower body as cardio, upper and lower body strengtheningstrengthening

Contact InformationContact Information

Patrick Olsen ATC, L/ATPatrick Olsen ATC, L/AT

South Kitsap High South Kitsap High

360-874-5769 office360-874-5769 office

360-710-9248 cell360-710-9248 cell

olsenp@skitsap.wednet.eduolsenp@skitsap.wednet.edu