NDLI: Validity of the Nintendo Wii Balance Board to assess weight bearing asymmetry during sit-to-stand and return-to-sit task.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Abujaber, Sumayeh Gillispie, Gregory Marmon, Adam Zeni, Joseph
Description	Author Affiliation: Abujaber S ( Biomechanics and Movement Science Program, University of Delaware, Newark, DE, United States); Gillispie G ( Department of Kinesiology and Applied Physiology, University of Delaware, Newark, DE, United States.); Marmon A ( Biomechanics and Movement Science Program, University of Delaware, Newark, DE, United States.); Zeni J ( Biomechanics and Movement Science Program, University of Delaware, Newark, DE, United States)
Abstract	Weight bearing asymmetry is common in patients with unilateral lower limb musculoskeletal pathologies. The Nintendo Wii Balance Board (WBB) has been suggested as a low-cost and widely-available tool to measure weight bearing asymmetry in a clinical environment; however no study has evaluated the validity of this tool during dynamic tasks. Therefore, the purpose of this study was to determine the concurrent validity of force measurements acquired from the WBB as compared to laboratory force plates. Thirty-five individuals before, or within 1 year of total joint arthroplasty performed a sit-to-stand and return-to-sit task in two conditions. First, subjects performed the task with both feet placed on a single WBB. Second, the task was repeated with each foot placed on an individual laboratory force plate. Peak vertical ground reaction force (VGRF) under each foot and the inter-limb symmetry ratio were calculated. Validity was examined using Intraclass Correlation Coefficients (ICC), regression analysis, 95% limits of agreement and Bland-Altman plots. Force plates and the WBB exhibited excellent agreement for all outcome measurements (ICC=0.83-0.99). Bland-Altman plots showed no obvious relationship between the difference and the mean for the peak VGRF, but there was a consistent trend in which VGRF on the unaffected side was lower and VGRF on the affected side was higher when using the WBB. However, these consistent biases can be adjusted for by utilizing regression equations that estimate the force plate values based on the WBB force. The WBB may serve as a valid, suitable, and low-cost alternative to expensive, laboratory force plates for measuring weight bearing asymmetry in clinical settings.
File Format	HTM / HTML
ISSN	09666362
e-ISSN	18792219
DOI	10.1016/j.gaitpost.2015.01.023
Journal	Gait & Posture
Issue Number	2
Volume Number	41
Language	English
Publisher	Elsevier
Publisher Date	2015-02-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Discipline Orthopedics Instrumentation Motor Activity Foot Physiology Postural Balance Weight-bearing
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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