Effects of Wii Fit-based Exercises versus proprioceptive training on balance and fall risk in patients with diabetic neuropathy

Syed Shakil ur Rehman; Danish  Hassan; Maryam Ikram; Mehwish Ikram

doi:10.12669/pjms.41.2.8775

Syed Shakil ur Rehman Riphah International University, Lahore, Pakistan
Danish Hassan Riphah International University, Lahore, Pakistan
Maryam Ikram Riphah International University, Lahore, Pakistan
Mehwish Ikram Riphah International University

DOI: https://doi.org/10.12669/pjms.41.2.8775

Keywords: Wii Fit balance board, Proprioceptive training, diabetic neuropathy, balance, fall risk, Modified Fall Efficacy Scale, Timed Up and Go test, Berg Balance Scale, Physical Activities, Proprioception, Exercise, Accidental falls, Physical Therapy Techniques

Abstract

Objective: To determine the effects of Wii Fit-based exercises and proprioceptive training on balance and fall risk in diabetic neuropathy patients.

Methods: This randomized clinical trial was conducted in Riphah Rehabilitation Centre, Lahore, between March 2022 to August 2022 (duration six months). Thirty-four participants were included, twenty males and fourteen females. Participants were randomly allocated into two groups. Group-A received Wii Fit-based exercises thrice a week for six weeks and Group-B received Proprioceptive training thrice a week for six weeks. Pre and post-measurements of balance and risk fall were assessed through Berg Balance Scale (BBS), Modified Fall Efficacy Scale (MFES), and Timed Up and Go test (TUG).

Results: Thirty-four participants (20 males and 14 females) were allocated in each group, with a mean age of 62±9.21. The normality test (Shaphiro-Wilk Test, p>0.05) of BBS, MFES, and TUG summarized that data was normally distributed. Six weeks of treatment sessions have shown no significant difference between both groups (p>0.05). However, the within-group comparisons showed significant results that indicate the clinical effects of both treatments (p<0.05).

Conclusion: It was concluded that there was no difference between Wii Fit exercises and proprioceptive training on balance and risk of falls in diabetic neuropathic patients.

Trial Registration Number: This study was registered at ClinicalTrials.gov ID: NCT05282602 on date 16/03/2022.

doi: https://doi.org/10.12669/pjms.41.2.8775

How to cite this: Shakil ur Rehman S, Hassan D, Ikram M, Ikram M. Effects of Wii Fit-based Exercises versus proprioceptive training on balance and fall risk in patients with diabetic neuropathy. Pak J Med Sci. 2025;41(2):393-398. doi: https://doi.org/10.12669/pjms.41.2.8775

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.