EXercising with C-omputers in L-ater L-ife (EXCELL) - Pilot and feasibility study of the acceptability of the Nintendo® WiiFit in community-dwelling fallers

Abstract

Background. Falls management programmes have been instituted to attempt to reduce falls. This pilot study was undertaken to determine whether the Nintendo WiiFit was a feasible and acceptable intervention in community-dwelling older fallers. Findings. Community-dwelling fallers over 70 years were recruited and attended for computer-based exercises (n = 15) or standard care (n = 6). Balance and fear of falling were assessed at weeks 0, 4 and 12. Participants were interviewed on completion of the study to determine whether the intervention was acceptable. Eighty percent of participants attended 75% or more of the exercise sessions. An improvement in Berg Score was seen at four weeks (p = 0.02) and in Wii Age at 12 weeks (p = 0.03) in the intervention group. There was no improvement in balance scores in the standard care group. Conclusion. WiiFit exercise is acceptable in self-referred older people with a history of falls. The WiiFit has the potential to improve balance but further work is required. Trial Registration. ClinicalTrials.gov - NCT01082042. © 2010 Williams et al; licensee BioMed Central Ltd.