The Effect of Wii Fit Rehabilitation

Study Overview
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Brief Summary
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The goal of this clinical trial is to investigate the effect of Wii Fit rehabilitation on risk of fall, balance, and functional limitation, in patients with chronic ankle instability ,The main question it aims to answer is: Are there any effect of Wii Fit rehabilitation training on balance, functional limitation, and risk of falls in patients with chronic ankle instability? Participants will be asked to sign a written informed consent form before the study according to guidelines of ethical committee The first group control group: 30 patients will receive conventional physical therapy training only which consist of strengthening, proprioceptive exercises. The second group experimental group: 30 patients Wii Fit group will receive Wii Fit rehabilitation training and the same conventional exercise training.

Detailed Description
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Wii Fit is an effective virtual reality approach for balance training. This intervention requires less time per session compared to traditional physical therapy treatment. Moreover, it is user-friendly, engaging, cost-effective and can be delivered at home without the need for supervision by a trained rehabilitation professional. Given the growing popularity of the technological approach as Wii Fit intervention, it would be important for the rehabilitation field to replicate these findings as high quality randomized clinical trials with large sample size and equal distribution of males and females.Further researches are needed to assess the long term effect of Wii training in patients with functional ankle instability. A variety of exercise programs were used as an intervention for chronic ankle instability, and conservative treatment interventions including balance, proprioceptive, and muscle strengthening exercises are effective for patients with chronic ankle instability

Official Title
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The Effect of Wii Fit Rehabilitation in Patients With Chronic Ankle Instability a Randomized Control Study

Conditions
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Instability, Joint

Intervention / Treatment
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* Device: Wii fit
* Other: Strengthening, proprioceptive exercises.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Sixty patients, their age ranges between 18 to 60 years old. Patients of both gender (men and women) A history of at least one ankle sprain, with the initial sprain occurring more than 1-year before the study A feeling of ''giving way'' at least 2 episodes in the last 6 months before the study Experiencing a recurring sprain, which is defined as two or more sprains on the same ankle No history of ankle injury within the three months prior to participation, and no cognitive deficit Capability to perform the intervention or daily activities without an increase in pain Currently they are not participating in any other rehabilitation exercise programs No history of ankle surgery Exclusion Criteria: Subjects had balance deficits due to vestibular disorders, such as vertebro-basilar insufficiency and/or visual disorders Tumors in the area to be treated for the study pregnancy Any injury or surgery done in ankle joint, deformity at lower extremity Musculoskeletal condition like fracture, osteoporosis Neurological condition like parkinsonism disease, ataxia, stroke, muscular dystrophy, myasthenia gravis Cardiopulmonary conditions

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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 |
| --- | --- |
| Active Comparator: Conventional exercise training group<br>30 patients will receive conventional physical therapy training only which consist of strengthening, proprioceptive exercises. | Other: Strengthening, proprioceptive exercises.<br>* -Strengthening exercise: Ankle Dorsiflexion and Plantar Flexion & inversion and eversion Strengthening with Exercise Bands -Proprioceptive exercise using wobble board<br>* Other names: conventional physical therapy training;|
| Experimental: Wii Fit rehabilitation training group<br>30 patients Wii Fit group will receive Wii Fit rehabilitation training and the same conventional exercise training (strengthening, proprioceptive exercises) | Device: Wii fit<br>* Nintendo Wii console (Nintendo Co., Ltd, Kyoto, Japan) is the main power unit of Nintendo Wii Fit. Its software includes an interactive video games that is played with a handheld, wireless remote that senses motion and requires the participant to mimic the action of their on - screen character. These games are played using a special Wii balance board in order to perform activities like yoga, balance and aerobics. The Wii remote is the primary controller for Nintendo's Wii console. The motion sensing capability is the main feature of it. It allows the user to interact with and manipulate items on screen via pointing.<br>* Other names: Nintendo Wii Fit system;Other: Strengthening, proprioceptive exercises.<br>* -Strengthening exercise: Ankle Dorsiflexion and Plantar Flexion & inversion and eversion Strengthening with Exercise Bands -Proprioceptive exercise using wobble board<br>* Other names: conventional physical therapy training;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Balance | will be assessed by Biodex balance system (overall, Anterior posterior and mediolateral balance indices with opened eyes and closed eyes). | up to 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional limitation | will be assessed by Arabic version of the Foot and Ankle Ability Measure (FAAM). The FAAM consists of a 21-item Activities of Daily Living (ADL) scale and an 8- item Sports scale | up to 8 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Wii fit rehabilitation, chronic ankle instability, biodex balance system