Wii Benefits Across the Life Span

Students worked together to create a video touting the benefits of Wii-Hab. In this snappy video, viewers get an idea of how Wii is used to encourage improved muscle strength and flexibility in adults.

Children also benefit from using the Wii in therapy. The blog entry posted on October 5, 2009 shares with readers a story about Wii use in a classroom as an addition to traditional therapy. News station KEPR CBS 19 in Pasco, Washington posts a video of Wii being used in a school setting by therapists to improve coordination and balance.

Read Lon Thornburg’s great blog to learn more about creative uses of Wii with children who have developmental disabilities.

SENIOR HEALTH & FITNESS DAY 2009

May 27, 2009 was National Senior Health and Fitness Day. As you may know, seniors who stay active and physically fit help themselves avoid some of the declines associated with aging; in particular, the increased risk for falls.

According to the website, www.fitnessday.com/ the common goal for this day is to help keep older Americans healthy and fit. Many health related facilities held special events to help raise fitness awareness in those who they serve. The life care community where I work scheduled many different events to encourage all of the residents at all fitness levels, to either stay or become active.

Occupational Therapy's interactive Wii Fit presentation proved to be a very popular. Thirty-five participants, many of which had never seen a Wii, a Wii Fit balance board, or a Mii before, enjoyed learning all about using the Nintendo Wii and playing the fun games. Wii Fit offers an exciting alternative to the more traditional machine-based exercises, encouraging participants to improve their balance, endurance, and strength while having fun and experiencing new technology that they know their grandchildren also enjoy.

Wii Sports - Learning the Basics

When a therapist chooses to use a new technique for rehabilitation, the first step is to become familiar with the basics. Using the Wii as a therapeutic activity or exercise requires the same approach. Dan Birlew authored You & Wii – Everything You Need to Know and Prima Games, a Division of Random House, published it. This book not only explains the basics, but also includes a full explanation of Wii Sports. By reading this book, the therapist can learn what Wii Sports offers.

Wii Sports offers both an opportunity to play a game and an opportunity to improve skills. In the Bowling Training section, power throws can be utilized to increase standing tolerance and standing balance, build strength in the upper extremity, encourage shoulder flexion and improve flexibility throughout the upper extremity. Once the player has signed into this activity, they are allowed 10 throws to knock down as many pins as possible. This training module builds in difficulty as the bowling lane as additional pins are added. On the first throw, the player attempts to bowl down 10 pins. By the tenth throw, the player bowls the ball into a field of 91 pins.

The therapist can increase the workout gained from Wii Sports activities in so many ways. By simply placing wrist weights on the targeted upper extremity or by increasing the length of time that the participant must stand while playing are just a sample of the ideas. Have you tried using any of the Wii Sports training sections? If you have, you know that by spending time in an existing activity, the participant can open new training games. Once earned, these new challenges appear on the menu.

"Technical Difficulties" - What if the Wii isn't Working?

If the technology that supports the Wii Gaming System is not working, is the OT out of luck? No, but she better be able to quickly figure out another therapeutic activity to substitute in its place.

Last week, a technical difficulty at a facility where I was working brought down the entire cable/TV system, and even after trying to follow the cable company's detailed directions for use, no picture appeared on the screen. Just as we were getting ready for a Wiihab session, we realized we were out of luck.

The patient was in occupational therapy to improve upper body strength along with overall endurance and activity tolerance following a recent hospitalization for an infection. Prior to the recent hospitalization, this particular patient ambulated short distances with a rolling walker while wearing bilateral static ankle supports. Functional transfers from bed to wheelchair and from wheelchair to power rover were independent.

Following hospitalization, this patient required contact guard for all transfers. Dressing and bathing, which were performed with modified independence before hospitalization, required minimal assist to contact guard following the hospitalization. The plan of care was designed to restore the patient to the prior level of independence.

Therapeutic exercises for upper body strengthening, therapeutic activities to increase endurance, balance and standing tolerance, and retraining in energy conservation techniques for self care filled the treatment time. Following a unit of traditional graded upper body exercises, the patient usually participated in several games of Wii Tennis. Prior to the initial injury, tennis was an enjoyable activity for this individual and introducing Wii Tennis into the treatment plan brought new enthusiasm for therapy. Keenness for therapy was assessed by the patient’s insistence on being seen promptly. This eagerness for treatment replaced the past behavior of cancelling appointments or disregarding appointment time.

When the Wii didn’t work, both the therapist and the patient were understandably disappointed. As a substitute for swinging arms through complete range of motion while serving and returning the virtual tennis ball, the patient had to transfer black and orange cones from tabletop to upper shelf and back again. Instead of guarding the patient myself to protect against possible falls as the swing of the remote sent the ball across the net, another person in the clinic had to become involved in the treatment session to either stand along side the patient or to toss the beach ball toward the patient. Though the physical aspects of the activities used as an alternative to the Wii game may have been equivalent, the cognitive and psycho-social aspects seemed far lacking. Even if I could mope or gloat in response to the work, my patient seemed to miss the reaction of the personal avatar painstakingly created during the first Wii session. And though the movements were all completed, I sensed little, if any, push or determination with stacking the cones or batting the beach ball.

“I hope they fix that Wii before my next session”, was all that was said when therapy ended.

I was in complete agreement!