Please select the eligibility criteria that correspond to the clinical trial below.
Title: Evaluation of the WiiFit to Enhance Walking in Older Adults With Lower Limb Amputation
Brief Summary: 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.


Options:
A: Inclusion Criteria:

* Subjects will be at least 50 years of age and have a unilateral TT or TF amputation
* Use their prosthesis for at least two hours per day for the past 6 months
* Be cognitively able to engage in the program
* Have a television that will enable connection to Nintendo hardware

Exclusion Criteria:

* Are unable to communicate in English
* Cannot provide informed consent
* Have important medical conditions
* Have prosthetic fit issues (ie: pain and discomfort)
* Are currently enrolled in another formal exercise or training program
B: Inclusion Criteria:

* Lower limb amputation 1-5 years prior to enrollment
* Type 2 Diabetes Mellitus and/or
* Peripheral Artery Disease
* Ambulatory using a lower limb prosthesis
* English speaking

Exclusion Criteria:

* Traumatic or cancer-related etiology of the lower limb amputation
* Unstable heart condition, including:

  * unstable angina
  * uncontrolled cardiac dysrhythmia
  * acute myocarditis
  * acute pericarditis
* Uncontrolled hypertension
* Acute systemic infection
* Prisoner
* Decisionally challenged volunteers
* Cancer
* Recent cerebral vascular accident (within two years)
* lower extremity wound or ulcer that limits ability to ambulate
C: Inclusion Criteria:

* Unilateral, non-traumatic, transtibial amputation
* Diabetes mellitus and/or peripheral artery disease
* Able to ambulate in the community without assistive device
* Step length asymmetry during walking (\>1.0 asymmetry index.)
* 6 months since amputation

Exclusion Criteria:

* Unstable heart condition
* Including unstable angina, uncontrolled cardiac dysrhythmia, acute myocarditis, hypertension, and acute pericarditis
* Acute systemic infection
* Active cancer treatment
* Traumatic or cancer related amputation etiology
D: Inclusion Criteria:

* transtibial and unilateral amputation
* At least 1 year prothesis usage, 18- 65 year age,
* At least 15 min independent walking ability,
* Stabile stump volume,
* Standart stump lentgh,
* Enough kognition for evaluation and tests.

Exclusion Criteria:

* walking and other activities to prevent; shortness of muscle, limitation of joint motion and phantom pain in stump, presence of any discomfort or systemic health problem that may affect the gait outside the amputation
* presence of visual problems to prevent participation in virtual reality applications,
* use of walking aids

Answer: A