The Effects of Nintendo Wii-Fit Video Games on Balance in Children with Mild Cerebral Palsy

Pediatrics International


Devrim Tarakci Assisstant Professor1,*,
Burcu Ersoz Huseyinsinoglu Assisstant Professor2,
Ela Tarakci Associate Professor2 and
Arzu Razak Ozdinçler Professor2

DOI: 10.1111/ped.12942



This study aimed to compare the effects of Nintendo Wii-Fit balance-based video games and conventional balance training in children with mild Cerebral Palsy (CP).


This randomized controlled trial included thirty ambulatory pediatric patients (5 to 18 years) with CP. Participants were randomized to either conventional balance training group (Control Group) or Wii-Fit balance-based video games group (Wii Group). Both group received Neuro-developmental treatment (NDT) during 24 sessions. In addition, while control group received conventional balance training in each session, Wii group performed Nintendo Wii Fit games like ski slalom, tightrope walk and soccer heading on balance board. Primary outcomes were Functional Reach Test (forward and sideways), Sit-to-Stand Test and Timed Get up and Go Test. Nintendo Wii Fit balance, age and game scores, 10-meter walk test, 10-step climbing test and Wee-Functional Independence Measure (Wee FIM) were secondary outcomes.


After the treatment, changes at balance scores and independence level in activities of daily living were significant (p<0.05) in both groups. Statistically significant improvements were found in Wii-based game group over control group in all balance tests and total Wee FIM score (p<0.05).


Wii-fit balance based video games are better at improving both static and performance-related balance parameters when combined with NDT treatment in children with mild CP.


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