Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

The Nintendo Wii Presentation For Canada Professionals 2

1,274 views

Published on

  • Be the first to comment

  • Be the first to like this

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

×