Older Adults Clinical Trial
Official title:
Evaluation of the WiiFit to Enhance Walking in Older Adults With Lower Limb Amputation
WiiNWALK is a 4 week physical activity, with the intervention of a WiiFit, targeted to
improve walking capacity in individuals with either a unilateral below-knee or above-knee
amputation. This is a randomized control trial to evaluate the effectiveness of the WiiNWALK
program in older (50+ years) community living adults with lower limb amputations (LLA).
Hypothesis: We expect the WiiNWALK intervention will have a treatment effect with improvement
in functional walking capacity, compared to the control group who will only be playing
cognitive games. Secondarily, a functional walking capacity will also include an improvement
in lower extremity strength and balance, inter-limb gait symmetry, balance confidence along
with participation in daily and social activities, locomotor capabilities and an increase in
physical activities.
Lower limb amputation (LLA) is prevalent among older Canadians. Estimates from 2003 suggest
that > 2 million individuals were living with LLA in North America with an annual estimated
150,000 incident cases. Over 50% of these procedures are considered major, with 28% of
individuals having a transtibial (TT) or below knee amputation and 26% having a transfemoral
(TF) or above knee amputation. The WiiNWalk is designed to evaluate whether this intervention
does improve the walking capacity of older adults through a series of balancing and other
physical activities using the Wii balance board.
An improved walking capacity (ie: being able to walk a longer distance) may effect balance,
strength, and fitness components that are critical to improve prosthetic walking. The ability
to walk a longer distance may effect a person's lifestyle as it allows the individual to move
around his/her environment independently which in turn impacts ones choice of daily and
social activities and participation, and therefore providing them with more mobility, freedom
and choice.
This study focuses on older adults because, according to Canadian Institute of Health
Information data, 50-74 year old were 17 times more likely to have a LLA and individuals aged
≥ 75 were 36 times more likely to have a LLA.The primary reason for this exponential
age-related increased incidence is the late stage effects of chronic diseases such as
diabetes and vascular disease that are common in older adults.
If as anticipated, the WiiFit proves to increase walking capacity, it will provide a low cost
method for those with LLA to have an accessible system that, due to the weight-shifting,
balance and aerobic training nature of the Wii games, will serve as a therapeutic agent for
rehabilitation.
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