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Updated: Dec 21, 2025

Quantitative Static and Dynamic Assessment of Balance Control in Stroke Patients
Published on: May 17, 2020
Relationship between Nintendo's Wii balance board derived variables and clinical balance scores in individuals with
Sangeetha Madhavan1, Sonia Pradhan2
1Brain Plasticity Laboratory, Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, USA.
Background:
The Wii Balance Board (WBB) is widely studied as a balance testing platform and is reliable in detecting changes in the body's center of pressure (COP). However, the relationship between WBB derived measures and clinical tests of balance is currently unknown.
Research Question:
To investigate the association between static and dynamic COP measures from the WBB with balance tests commonly used in chronic stroke.
Methods:
This retrospective study included sixty-nine individuals with stroke who performed the Berg Balance Score (BBS), the Mini-BESTest and WBB assessments as a part of their baseline measurements. The WBB assessments included body weight symmetry and a dynamic target matching task that measured Reaction Time (RT) and Completion Time (CT).
Results:
Body weight symmetry performed with eyes open was significantly different between participants who were classified as high and moderate balance using the Mini-BESTest (p = 0.03). A significant negative linear correlation was observed between the BBS and CT (rho = -0.29, p = 0.021) and between the Mini-BESTest and RT (rho=-0.246, p = 0.05).
Significance:
We provide preliminary but weak evidence supporting the relationship between WBB derived variables in relevance to the BBS and Mini-BESTest. Further research is needed to fully understand the clinical utility of the WBB especially in a larger sample and to generalize these results to stroke survivors at all levels of ability.
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