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Updated: Sep 10, 2025
Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
Effect of Wii Fit Rehabilitation on Balance, Functional Ability, and Risk of Falling in Patients With Chronic Ankle
Nabil Mahmoud Abdel-Aal1, Maher Ahmed El-Kablawy1, Mohamed Abdel-Haleem Kadah2
1From the Department of physical therapy for Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Objective:
The aim of the study was to evaluate the efficacy of incorporating Wii Fit-based rehabilitation into a conventional physical therapy program on balance, functional ability, and fall risk in individuals with chronic ankle instability.
Design:
This is a single-blinded randomized controlled trial.
Methods:
Sixty participants with chronic ankle instability (aged 18-60 yrs) were randomly assigned to either an experimental group (Wii Fit-based rehabilitation plus conventional physical therapy) or a control group (conventional physical therapy only). Both groups received supervised therapy three times per week over 8 wks. Outcome measures included the anteroposterior, mediolateral, and overall stability indices assessed via the Biodex Balance System; functional ability via the Foot and Ankle Ability Measure-Activities of Daily Living; and fall risk via the Falls Efficacy Scale-International, measured before and after intervention.
Results:
The Wii Fit-based rehabilitation combined with conventional physical therapy group demonstrated significantly greater improvements across all outcome measures compared with the conventional physical therapy-only group ( P < 0.001). At 8 wks, Foot and Ankle Ability Measure-Activities of Daily Living and Falls Efficacy Scale-International scores were 94.7 ± 3.22 and 17.77 ± 2.76 in the intervention group versus 83.43 ± 2.45 and 26.3 ± 3.51 in controls, respectively.
Conclusions:
Combined Wii Fit-based rehabilitation and conventional physical therapy program significantly enhance postural stability, functional performance, and reduces fall risk in patients with chronic ankle instability. Wii Fit-based rehabilitation may serve as a valuable adjunct in rehabilitation protocols targeting balance deficits in this population.
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