Validity of the Nintendo Wii Balance Board for kinetic gait analysis

Abstract

The Nintendo Wii Balance Board (WBB) has been suggested as an inexpensive, portable and accessible alternative to costly laboratory-grade force plates for measuring the vertical ground reaction force (vGRF) and center of pressure (COP). Kinetic gait analysis provides important information for the rehabilitation of patients with gait disorders; however, the validity of the WBB for measuring kinetic gait parameters has not been evaluated. Therefore, the purpose of this study is to determine the accuracy of walking force measurements-which change dynamically in a short period of stance time-collected with the WBB. Three healthy adults were asked to walk 10 steps along both straight and curved paths in clockwise (CW) and counterclockwise (CCW) directions while measurements were taken using the WBB and the force plate. The accuracy of the vGRF, COP trajectory, and stance duration were evaluated using the root-mean-square error (RMSE), Pearson's correlation coefficient and Bland-Altman plots (BAPs) to compare the WBB and the force plate. The results of the vGRF showed high accuracy (r > 0.96 and %RMSE < 6.1% in the mean values), and the stance duration as defined by the vGRF and COP trajectory was equivalent to that of commercial instrumented insoles, which are used as an alternative to the force plates. From these results, we determined that the WBB may be used for kinetic gait analysis in clinical settings where lower accuracy is acceptable.