Dr. Na n “ n” rz
          tha Be He
Me ic l C lle eo Ge rg
  d a o g f o ia
    Oc up tio l The p
        c a na     ra y
Wii
 Thec ns lew sc nc ive in 2 0 a theNinte o
      o o a o e d           0 1, s       nd
 Ga eC ewasfirst se ingre ase....
So how does it work
   with different
    Diagnoses?
Why is it good for rehabilitation
 Allows the therapist to have a virtual
  reality/environment in which to work .
 Moti...
Other reasons for use in
rehabilitation
 Adaptable: In Be , Sitting Sta ing a in
                  d         , nd , nd
  ...
The Wii
 Ad re s sthem ve e is ue b a o the
    d se       o m nt s s ut ls
  cg
   o nitivep rc p l, vis l p rc p l,
   ...
Other aspects to consider
   Eyeha c o ina n
           nd o rd tio      End nc
                                 ura e
...
Creating a Mii Character
 Go to Mii Siteo theW m nu
                 n     ii e
 C a b s do c
   re te a e n hild o c nt...
How does it work?
 Us sinte c n to c m le theg m ss c s fully in a
    e     ra tio   o p te    a e uc e s
  virtua e
   ...
Integration
 Ones nd ut a p c isthefunc na Mo m nt invo d
      ta o s e t            tio l ve e      lve
 in theinte ra ...
Functional aspects (Cooking Mama
Cook- off
Co
  o kingisno o func na b s fe
            t nly  tio l ut a …
Buttering a pan
Filling a pot
Cracking an egg
Implications
 TheW re uire func na m ve e
       ii q s      tio l o m nt
 C nb m a
   a e e ning a p o e
              ...
Duncan: Columbia
Area PD Support
Group Mascot
EVIDIENCE
 It isw e re o nize tha up n d g s o P tha d p m
        id ly c g d t o ia no is f D t o a ine
  le lsa d c a ...
EVIDIENCE
 P va nc e tim te va b d p s e m o isc m o in
   re le e s a s ry, ut e re s d o d o m n
  p tie w P (up to 4 %...
EVIDIENCE
 Virtua re lity e
        l a       nviro e d m ns tes a q itio
                       nm nts e o tra kill c ui...
Why is it good for PD
 Do a ineDe le n isa p xim te 70 a tim o
    pm      p tio    p ro a ly % t e f
  d g s
   ia no is...
Questions
 Tho etha d e rc eha b tte p rfo a ew
     s    t o xe is ve e r e rm nc ith
 a tivitie a m y s wtheP p c s , s...
In PD the Wii
 It a d s e them ve e is ue b a othe
      d re s s   o m nt s s ut ls
  cg
   o nitivep rc p l, vis l p rc...
 Theim le e tio o theW s te ha d m ns te
       p m nta n f     ii ys m s e o tra d
 inc a e in p rtic a a it re te to m ...
Study Overview
  Our p p s d re e rc s y a m te tod te inethee c o
        ro o e s a h tud tte p d     e rm       ffe t ...
Background and Need
 It isw e re o nize tha up n d g s o P tha d p m
        id ly c g d t o ia no is f D t o a ine
  le ...
Methods/ Subjects
   C ntsw rere ruite fo p rtic a n fro theC
     lie    e     c   d r a ip tio      m    SRA a nd
    C...
Methods/ Subjects Cont’d
                    7 ha W e e nc (us o W g a r
                          d ii xp rie e e f ii r...
Methods/ Design
   Op n La e Stud (Le l III, Inte ntio
      e    bl     y   ve          rve n)
       A typ o s y in w ...
Inclusion Criteria
   Id p thicP
      io a      D
   Me a w m n o a a e
        n nd o e f ny g
   Ho hn a Ya Sta e2in...
Exclusion Criteria
 De e
    m ntia(MMSE < 2 , a jus d fo e uc tio le l)
                   4 d te r d a n ve
 Kno n no ...
Project/Research Questions
 To d te ineif tre tm nt w theNinte o W s te p vid s
      e rm         a e ith          nd ii...
Methods/Instruments Used
P a Outc m s
 rim ry       o e             Se o a Outc m s
                                c nd r...
Measured Variables
 De c tiveVa b s(Tim , P rfo a e Ra , Se
    s rip      ria le     e e rm nc , ting lf-Re o
          ...
Operational Definitions
 Ninte o W Inte c
       nd ii:   ra tiveg m s te w h utilize virtua
                        a in...
Methods/Procedure
   P a p s te ting/ 1 m nth fo wup
      re nd o t s       o      llo
   Se s ns 3x /w e fo 4w e , 4 –...
Statistical Analysis
 All s tis a a lys sw rep rfo e b MC Bio ta tic ns
       ta tic l na e e e rm d y      G   s tis ia...
Results/Findings
 HAMD (De re s n)
          p s io
   P / P s Te t:
     re o t s
   P s Te t / 1 m nth fo wup
     ot...
Results/Findings: Motor
 Tim d Ta R
     e    p
   P /P s Te t:
     re o t s
  

 Le P ue
    ft urd
   P /P s Te t:...
Summary
 TheNinte o W ha m ny d re a p a nsfo
          nd ii s a iffe nt p lic tio r
  Re b tio
    ha ilita n
 TheSys ...
The Nintendo Wii Presentation For Canada Professionals 2
The Nintendo Wii Presentation For Canada Professionals 2
The Nintendo Wii Presentation For Canada Professionals 2
The Nintendo Wii Presentation For Canada Professionals 2
The Nintendo Wii Presentation For Canada Professionals 2
The Nintendo Wii Presentation For Canada Professionals 2
The Nintendo Wii Presentation For Canada Professionals 2
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The Nintendo Wii Presentation For Canada Professionals 2

  1. 1. Dr. Na n “ n” rz tha Be He Me ic l C lle eo Ge rg d a o g f o ia Oc up tio l The p c a na ra y
  2. 2. Wii  Thec ns lew sc nc ive in 2 0 a theNinte o o o a o e d 0 1, s nd Ga eC ewasfirst se ingre ase. Itsm jor conce t m ub e le a p invo d fo us o ane fo o p ye inte c n lve c ing n w rm f la r ra tio
  3. 3. So how does it work with different Diagnoses?
  4. 4. Why is it good for rehabilitation  Allows the therapist to have a virtual reality/environment in which to work .  Motivation/Fun  Meaningful and purposeful to both the therapist and the client  Goal directed activities  Can be modified for use across the lifespan  Social Interaction
  5. 5. Other reasons for use in rehabilitation  Adaptable: In Be , Sitting Sta ing a in d , nd , nd m tio o n  Variety: o a tivity/g m stha c uld s ula f c a e t o tim te a ne sinte s nyo ’ re t  Ad re s sa c lla o te w goal d s e nd o b ra s ith accomplishment.  C n d va usa tivitie s h a a ro ic a o rio c s uc s e b , s ng ning e ura ee … tre the , nd nc tc
  6. 6. The Wii  Ad re s sthem ve e is ue b a o the d se o m nt s s ut ls cg o nitivep rc p l, vis l p rc p l, e e tua ua e e tua e ura e a b la eis ue . nd nc , nd a nc s s  Thefa t tha the ise -ha c o ina n, c t re ye nd o rd tio fo c ns nc fig g und s q nc d rm o ta y, ure ro , e ue e m ve e (m to p nning tim , a d p o m nt o r la ), ing nd e th p rc p n a d to thea p c a s c te w e e tio d s s e ts s o ia d ith theW s te . ii ys m  And a o thea tivitie a c m le d in as fe ll f c s re o p te a a s e e e nd up rvis d nviro e nm nt.
  7. 7. Other aspects to consider  Eyeha c o ina n nd o rd tio  End nc ura e  Fig g und ure ro  Finem to c o ina n o r o rd tio  De th p rc p n p e e tio  Mo r P nning to la  Bila ra m tio te l o ns  De re s n p s io  Ba nc la e  Stre the ng ning  Tim ing  Se ue ing q nc  P p cp n ro rio e tio  Re c n tim a tio e
  8. 8. Creating a Mii Character  Go to Mii Siteo theW m nu n ii e  C a b s do c re te a e n hild o c nt r lie  Allo sfo p rs na tio a tra kingo w r e o liza n nd c f p g s ro re s  Als c o hild a c nt c n re teto g m b tte nd lie a la a e e r
  9. 9. How does it work?  Us sinte c n to c m le theg m ss c s fully in a e ra tio o p te a e uc e s virtua e l nviro e nm nt  Sp rts o  Bo ling w  Tennis  Golf  Boxing Functional Motion  Ba e a s b ll and everything
  10. 10. Integration  Ones nd ut a p c isthefunc na Mo m nt invo d ta o s e t tio l ve e lve in theinte ra n o theg m s g tio f a e
  11. 11. Functional aspects (Cooking Mama Cook- off Co o kingisno o func na b s fe t nly tio l ut a …
  12. 12. Buttering a pan
  13. 13. Filling a pot
  14. 14. Cracking an egg
  15. 15. Implications  TheW re uire func na m ve e ii q s tio l o m nt  C nb m a a e e ning a p o e ful nd urp s ful  Thea a tha ne dre b a a d s e in m ny o the re s t e ha re d re s d a f “ o ” a e a o rsin s e ia Sp rts g m s nd the p c lity g m s a e  The eg m sp vid “ c a n” r thec ntsa s a e ro e Oc up tio fo lie nd s m thingtha the d no ne e s rily re lizea o e t y o t c sa a s im ro p vingthe func na s tus ir tio l ta
  16. 16. Duncan: Columbia Area PD Support Group Mascot
  17. 17. EVIDIENCE  It isw e re o nize tha up n d g s o P tha d p m id ly c g d t o ia no is f D t o a ine le lsa d c a e b 70 0 ve re e re s d y -8 %.  Ones y (Ko p e a 19 8 s w tha p ic l a m nta tud e p t l., 9 ) ho s t hys a nd e l a tivity, p rtic rly tha o p yingavid og m , c n inc a ethe c a ula t f la e a e a re s a o o d p m re a e a c m a d to b s linele ls m unt f o a ine le s d s o p re ae ve .  An e rlie unp lis d 2 0 MC s y o the“ a r, ub he 0 7 G tud n Effic c o ay f Oc up tio l The p in C ntsw P d m ns te inc a e in c a na ra y lie ith D” e o tra d re s s a tivitie o d ily living(ADL) a c g c s f a nd o nitio fro b s line n m ae p rfo a eus theNinte o W g m s te . e rm nc ing nd ii a ing ys m
  18. 18. EVIDIENCE  P va nc e tim te va b d p s e m o isc m o in re le e s a s ry, ut e re s d o d o m n p tie w P (up to 4 %) (Ric rd , 2 0 ) a nts ith D 5 ka s 0 5  Ac o ingto Zha e a virtua re lity isaus ful to l fo g d c rd ng t l. l a e o r ra ing le urea tivitie s tha c ntsw P m y p uea tivitie in a is c s o t lie ith D a urs c s s fee a nviro e nm nt.  Ba e o theKo p e a s y ind a sd n e p t l. tud ic tingtha d p m inc a e t o a ine re s s w p rtic a n in vid o g m sa the2 0 MC s y, it w s ith a ip tio e a e nd 07 G tud a ne e s ry tois la theW s te a atre tm nt m tho to c sa o te ii ys m s a e e d d te ineit’ e c ne sin im ro e rm s ffe tive s p vingp rfo a ein ADL, e rm nc le ure p d tivity, IADL, a p yc s c l a p c . is , ro uc nd s ho o ia s e ts
  19. 19. EVIDIENCE  Virtua re lity e l a nviro e d m ns tes a q itio nm nts e o tra kill c uis n c m a b to re l w rld e o p ra le a o nviro e (Ro e Attre , & Bro ks nm nts s , e o , 19 7) 9  Virtua re lity e l a nviro e a c s ffe tive c ns te nm nts re o t-e c , o is nt, s nd rd d s fe a c ntro d (Zha e a 2 0 ) ta a ize , a , nd o lle ng t l., 0 3
  20. 20. Why is it good for PD  Do a ineDe le n isa p xim te 70 a tim o pm p tio p ro a ly % t e f d g s ia no is  Exe is inc a e thep d tio o Do a ine rc e re s s ro uc n f p m “ USE IT OR LOSE IT”
  21. 21. Questions  Tho etha d e rc eha b tte p rfo a ew s t o xe is ve e r e rm nc ith a tivitie a m y s wtheP p c s , s w tha in c s nd a lo D ro e s o ith t m w ta o ind ha b ut… Func na Ac tio l tivity vsExe is ? rc e
  22. 22. In PD the Wii  It a d s e them ve e is ue b a othe d re s s o m nt s s ut ls cg o nitivep rc p l, vis l p rc p l, e ura e e e tua ua e e tua nd nc , a b la eis ue . nd a nc s s  Thefa t tha the ise -ha c o ina n, fo c t re ye nd o rd tio rm c ns nc fig g und s q nc dm ve e o ta y, ure ro , e ue e o m nt (m to p nning tim , a d p p rc p n a d o r la ), ing nd e th e e tio d s tothea p c a s c te w theW s te . s e ts s o ia d ith ii ys m  All o thea tivitie a c m le din as fea f c s re o p te a nd s e e e up rvis d nviro enm nt.
  23. 23.  Theim le e tio o theW s te ha d m ns te p m nta n f ii ys m s e o tra d inc a e in p rtic a a it re te to m ve e re s s a ip nts s la s o m nt, a p m litud o m ve e e ura e a ility, b la e e f o m nt, nd nc , g a nc , s c l p rtic a n, a fine ro sc o ina n a w ll a o ia a ip tio nd /g s o rd tio s e in thevis l/c g ua o nitivep rc p l a a m ntio d a o . e e tua re s e ne b ve
  24. 24. Study Overview  Our p p s d re e rc s y a m te tod te inethee c o ro o e s a h tud tte p d e rm ffe t f theNinte o W s te a atre tm nt m d lity in c ntsw nd ® ii ys m s a e oa lie ith P rkins n’ d e s (P a it re te tofunc na a tivitie . a o s is a e D) s la s tio l c s  W hyp the ize tha theW w im ro thea ility o c nts e o s d t ii ill p ve b f lie w P top rfo ADL ta ks a w ll a func na m ve e ith D e rm s , s e s tio l o m nt, a d c a ed p s io in thes rt-te (a r 4w e o nd e re s e re s n ho rm fte e ks f inte ntio a o r o m nth fo w tre tm nt.   rve n) nd ve ne o llo ing a e  W ho etheW c n b va a d a a ine e iveinte ntio e p ii a e lid te s n xp ns rve n s te y tha e c ly inc a e thefunc na ind p nd nc a tra g t ffe tive re s s tio l e e e e nd q lity o lifeo c ntsw P ua f f lie ith D.
  25. 25. Background and Need  It isw e re o nize tha up n d g s o P tha d p m id ly c g d t o ia no is f D t o a ine le lsa d c a e b 70 0 ve re e re s d y -8 %.  Ones y (Ko p e a 19 8 s w tha p ic l a m nta tud e p t l., 9 ) ho s t hys a nd e l a tivity, p rtic rly tha o p yingavid og m , c n inc a ethe c a ula t f la e a e a re s a o o d p m re a e a c m a d to b s linele ls m unt f o a ine le s d s o p re ae ve .  An e rlie unp lis d 2 0 MC s y o the“ a r, ub he 0 7 G tud n Effic c o ay f Oc up tio l The p in C ntsw P d m ns te inc a e in c a na ra y lie ith D” e o tra d re s s a tivitie o d ily living(ADL) a c g c s f a nd o nitio fro b s line n m ae p rfo a eus theNinte o W g m s te . e rm nc ing nd ii a ing ys m
  26. 26. Methods/ Subjects  C ntsw rere ruite fo p rtic a n fro theC lie e c d r a ip tio m SRA a nd C lum iaP rkins n’ Sup o Gro , a w ll a Dr. Se Dr. o b a o s p rt up s e s thi, Mo a a Dr. Me ’ C rg n, nd hta s linic s  5 c ntsw reinvite to p rtic a 0 lie e d a ip te  2 c ntsd c d invita n fo p rtic a n 7 lie e line tio r a ip tio  2p rtic a d no m e inc io c ria a ip nts id t e t lus n rite  A to l o 2 c ntsw P w res le te ta f 1 lie ith D e e c d
  27. 27. Methods/ Subjects Cont’d  7 ha W e e nc (us o W g a r d ii xp rie e e f ii re te tha e ht tim s 14ha n ig e ), vingno W ii e e nc (ind ua ha xp rie e ivid ls vingp ye la d theW Sys mle stha e ht tim s ii te s n ig e p vio ly a no o ningaW s te ) re us nd t w ii ys m  2w re s c nd ry to m d a re s ns ithd w e o a e ic l a o (1 w re p r to b g ithd w rio e inningthes y; tud 1 w re d ithd w uringthes y) tud  2g up ; o g up c ns tingo 14 ro s ne ro o is f p rtic a a thes c nd g up a ip nts nd eo ro c ns tingo 7 p rtic a o is f a ip nts
  28. 28. Methods/ Design  Op n La e Stud (Le l III, Inte ntio e bl y ve rve n)  A typ o s y in w h b th thehe lth p vid rsa thep tie a e f tud hic o a ro e nd a nts re a a o thetre tm nt b ingg n. w re f a e e ive
  29. 29. Inclusion Criteria  Id p thicP io a D  Me a w m n o a a e n nd o e f ny g  Ho hn a Ya Sta e2in the“ n” ta e nd hr g o s te  Antic a ds b ip te ta ility o P m d a nsfo 8w e f D e ic tio r e ks  Me tingo o thefo w c ria e ne f llo ing rite :  P vio e e nc w theW Sys m–d fine a p vio re us xp rie e ith ii te e d s re us us o thes te g a r tha e ht tim s e f ys m re te n ig e  No p vio e e nc w theW Sys m–d fine a re us xp rie e ith ii te e d s p vio us o thes te le stha e ht tim s re us e f ys m s n ig e.
  30. 30. Exclusion Criteria  De e m ntia(MMSE < 2 , a jus d fo e uc tio le l) 4 d te r d a n ve  Kno n no o p nc w m d a o o r the p s w n-C m lia e ith e ic l r the ra ie  Any o r c -m rb c nd n tha c uld le its lf to unila ra o b te l the o o id o itio t o nd e te l r ila ra s ta dd func n (s ke tra a b in injury, fro n s uld r, p rip ra us ine ys tio tro , um tic ra ze ho e e he l ne p ls s m s niag vis e ) rve a ie , ya the ra , tc  Unc ntro d d p s io a d te ine b theInve tig to o lle e re s n s e rm d y s a r  P s nc o p yc s /d lus ns re e e f s ho is e io  Se rele d p -ind e d kine ia a d te ine b theInve tig to ve vo o a uc d ys s s s e rm d y s a r  De p Bra Stim tio The p e in ula n ra y  Sub c w ut p r e e nc w theNinte o W w b e lud d if je ts itho rio xp rie e ith nd ii ill e xc e the p ha ea us thes te thro ho thed tio o s y p rtic a n  y urc s nd e ys m ug ut ura n f tud a ip tio
  31. 31. Project/Research Questions  To d te ineif tre tm nt w theNinte o W s te p vid s e rm a e ith nd ii ys m ro e im ro m nt in ADLs tim d ta ks a func na m ve e in p ve e , e s , nd tio l o m nt c ntsw P lie ith D.   To d te ineif theW s te im ro so o e o theUnifie e rm ii ys m p ve utc m s n d P rkins n'sDis a eRa a o es tingSc le(UP a DRS), am a ureo q lity o es f ua f lifein P (P D DQ-3 ), a theHa ilto Ra 9 nd m n tingSc lefo De re s n a r p s io (HAMD).
  32. 32. Methods/Instruments Used P a Outc m s rim ry o e Se o a Outc m s c nd ry o e  9 leP gTe t -Ho e s  UP DRS  TheTine Ga a Ba nc tti it nd la e  PDQ-3 9 Te t s  P ueP g o rd Te t urd eba s  Tim d Ta p Te t e p ing s  Inte wtod te ineW rvie e rm ii  No tting mExte e ADL ha nd d e e nc xp rie e Sc le a  Tim d Up a Go e , nd  Ha ilto De re s n Ra m n p s io ting Sc le(HAMD) a
  33. 33. Measured Variables  De c tiveVa b s(Tim , P rfo a e Ra , Se s rip ria le e e rm nc , ting lf-Re o p rt)  Ind p nd nt Va b : W ee e ria le ii  De e e Va b : p nd nt ria le  P yc s c l, g it, b la e finem to ADL, a IADL o o e o ins s ho o ia a a nc , o r, nd utc m s n trum nts e us d e  P , P s a 1 Mo P s Te ting re o t, nd nth o t s  C nfo ingVa b s o und ria le :  2g up o te t a m tra rs ro s f s d inis to  Va usa o rio m unt o s e io f up rvis n
  34. 34. Operational Definitions  Ninte o W Inte c nd ii: ra tiveg m s te w h utilize virtua a ing ys m hic s l re lity a inc rp ra sfunc na a tivity tob s c s ful a nd o o te tio l c e uc e s  Ho hn a Ya s g 2 b te l invo m nt w ut d fic in e nd hr ta e : ila ra lve e itho e its g it a b la e a nd a nc  Virtua re lity: c m ute s ula n o are l o im g ry l a o p r im tio f a r a ina s te tha e b saus r top rfo o e tio o the ys m t na le e e rm p ra ns n s ula ds te im te ys m  “ On” ta : w n s p m a c ntro d b m d a n s te he ym to s re o lle y e ic tio
  35. 35. Methods/Procedure  P a p s te ting/ 1 m nth fo wup re nd o t s o llo  Se s ns 3x /w e fo 4w e , 4 –6 m s io : ek r e ks 5 0 inute p r s s io us s e e s n ing theW ii  P to o 2g m so te , 2g m so b w , a 1 g m o ro c l: a e f nnis a e f o ling nd a e f b xing o  Ga es q nc w sa rna d e c vis to d c a ep c ee c m e ue e a lte te a h it e re s ra tic ffe t  C ntsw rea w dto p y s o g m so the c ic a r lie e llo e la p rt a e f ir ho e fte s q nc w sc m le d e ue e a o p te
  36. 36. Statistical Analysis  All s tis a a lys sw rep rfo e b MC Bio ta tic ns ta tic l na e e e rm d y G s tis ia us thefo w : ing llo ing  W o n s ne ra te t ilc xo ig d nk s  Exa t b m l p p rtio te t c ino ia ro o n s
  37. 37. Results/Findings  HAMD (De re s n) p s io  P / P s Te t: re o t s  P s Te t / 1 m nth fo wup ot s o llo :  NEADL  To l P /P s Te t ta re o t s  To l P s Te t/ 1 m nth fo wup ta o t s o llo :  PDQ-3 (Qua o life 9 lity f )  To l P /P s Te t ta re o t s  UPDRS  Mo r P s m nth fo wup to o t/1 o llo :  Sta ility P /P s Te t b re o t s  To l P /P s Te t ta re o t s
  38. 38. Results/Findings: Motor  Tim d Ta R e p  P /P s Te t: re o t s   Le P ue ft urd  P /P s Te t: re o t s  9Ho P gR: le e  P /P s Te t: re o t s  TUG:  P /P s Te t: re o t s
  39. 39. Summary  TheNinte o W ha m ny d re a p a nsfo nd ii s a iffe nt p lic tio r Re b tio ha ilita n  TheSys mre uire inte ra d func na m ve e fo te q s g te tio l o m nts r s c s in thea tivitie uc e s c s  The isap ic l, c g re hys a o nitive p yc lo ic l, a s c l , s ho g a nd o ia a p c to the einflue ingthehe th a w llne so s et s nc a nd e s f p rtic a a ip nts
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