Punt Ilona M, Armand Stéphane, Ziltener Jean-Luc, Allet Lara
University of Applied Sciences of Western Switzerland, HES-SO, Department of Physical Therapy, Geneva, Switzerland.
Geneva University Hospital and University of Geneva, Willy Taillard Laboratory of Kinesiology, Geneva, Switzerland.
Gait Posture. 2017 Oct;58:52-58. doi: 10.1016/j.gaitpost.2017.06.284. Epub 2017 Jun 29.
Ankle sprains are the most common sport related injuries. An alternative to physical therapy in the treatment of ankle sprains is home based exercise therapy. This study aims to compare the effectiveness of Wii Fit™ exercise therapy in ankle sprain patients on temporal-spatial and kinematic gait parameters with a) conventional therapy and b) a control group not receiving exercise therapy. Ninety patients were randomly assigned to a Wii Fit™, physical therapy or control group. Temporal-spatial and kinematic gait parameters were assessed at baseline, 6 weeks and 6 months follow-up. All groups improved gait speed, cadence and step length between baseline and 6-week follow-up (P<0.036). Single support time improved only in the Wii Fit™ group (P<0.001). Symmetry index of the single support time improved in the Wii Fit™ group and physical therapy group (P<0.048). No between-group differences were found for temporal-spatial gait parameters (P>0.050). Maximum plantar flexion improved in the physical therapy and control group between baseline and 6-week follow-up (P<0.035). However, none of the groups improved dorsiflexion (P>0.050). In conclusion, an unsupervised home-based 6-week Wii Fit™ exercise therapy can be applied in ankle sprain patients. However, it was not more effective compared to physical therapy or no exercise therapy at all.
踝关节扭伤是最常见的与运动相关的损伤。在家进行运动疗法是治疗踝关节扭伤的一种替代物理治疗的方法。本研究旨在比较Wii Fit™运动疗法对踝关节扭伤患者时空和运动步态参数的有效性，与a)传统疗法和b)未接受运动疗法的对照组进行比较。90名患者被随机分配到Wii Fit™组、物理治疗组或对照组。在基线、6周和6个月随访时评估时空和运动步态参数。所有组在基线和6周随访之间的步速、步频和步长均有所改善（P<0.036）。仅Wii Fit™组的单支撑时间有所改善（P<0.001）。Wii Fit™组和物理治疗组的单支撑时间对称指数有所改善（P<0.048）。在时空步态参数方面未发现组间差异（P>0.050）。物理治疗组和对照组在基线和6周随访之间最大跖屈有所改善（P<0.035）。然而，所有组的背屈均未改善（P>0.050）。总之，为期6周的无监督家庭式Wii Fit™运动疗法可应用于踝关节扭伤患者。然而，与物理治疗或完全不进行运动疗法相比，它并没有更有效。
