Article

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.
CI - Copyright (c) 2017 Elsevier B.V. All rights reserved.

Langue : ANGLAIS