Balance Training for People With Multiple Sclerosis Using Nintendo Wii Fit

Study Overview
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Brief Summary
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The aim is to evaluate balance training using Nintendo Wii Fit. The hypothesis is that a period of training will increase balance capacity och self-efficacy. People with diagnosed multiple sclerosis are invited to participate. Estimation of study power gave that 29 people in each group was necessary to detect a difference in the primary outcome measure, Timed Up and Go test. Other measures used are the Four square step test, Dynamic Gait Index, Timed stands test, 25 foot walking test, 12-item Walking scale and the ABC scale. Participants were randomised to either training or control. The training consisted of 6 weeks training with Nintendo Wii Fit 30 minutes 2 times a week.

Official Title
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Balance Training for People With Multiple Sclerosis Using Nintendo Wii Fit

Conditions
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Multiple Sclerosis

Intervention / Treatment
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* Other: Training using Nintendo Wii Fit


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed multiple sclerosis Subjective experience of affected balance and walking Being able to walk 100 meters with assistance Exclusion Criteria: Cognitive or language deficits that prevents using the self-rating scales Visual deficits that prevents training with television games Weight above 149 kg

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>Participants allocated as controls receive no treatment. They may be physically active as usual. | |
| Experimental: Training with Nintendo Wii Fit<br>Training 6 weeks with Nintendo Wii Fit, 30 minutes 2 times per week | Other: Training using Nintendo Wii Fit<br>* Training 2 times per week, 30 minutes, for 6 weeks.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Timed Up and Go Test From Day 1 to Day 42 | Change in seconds on the Timed Up and Go test (TUG). In the TUG test time is taken from rising from a chair, walking 3 meters, turning,walking back and sitting down. | Measured at day 1 (before the training period) and at day 42 (after the training period) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Score on the Dynamic Gait Index From Day 1 to Day 42 | The Dynamic Gait index consists of 8 items. Performance on each item is rated from 0 (severe impairment) to 3 (nomal performance). Minimum total score is 0 and maximum 24. Higher scores indicate better walking and balance performance. | Measured at day 1 (before training) and day 42 (after training) | 
| Change in the Activities-specific Balance Confidence (ABC) Scalefrom Day 1 to Day 42 | The ABC scale is a self-rating scale of balance activities in everyday Life. It includes 16 items. The patient rates his/her performance from 0-100. Score on each item are summed an divided by 16. Minimum score is 0 and maximum score 100. A higher score indicate higher confidence in ones balance and walking capacity. | Measured at day 1 (before training) and day 42 (after training) | 
| Change in the 12 Item Walking Scale From Day 1 to Day 42 | The 12 item walking scale is a self-rating scale of walking limitations. The scale includes 12 items that each are scores from 1 to 5, where 5 is extremely limited. Scores are added and transformed to a scale from 0-100. 0 indicates no limitation and 100 extremely limited. | Measured at day 1 and day 42, before and after the training | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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balance, walking