World of Psychology

Doctors Use Wii Games for Physical Therapy

By John M Grohol PsyD
February 10, 2008

I love the versatility of the Nintendo Wii, a video game system that’s become very popular and is relatively inexpensive (compared to its competitors anyways). The Wii revolutionized gaming through its use of an interactive controller that allows participants to manipulate on-screen behaviors through parallel real-life actions. Want to swing a virtual golf club in a game? You have to take a stance with the Wii’s controller similar to using a real golf club. It’s a simple idea, but with very powerful consequences.

It was only a matter of time before professionals started to make use of this technology for more direct benefits, such as helping a person recover from a physical injury. Which is exactly what doctors are doing, as described in yesterday’s Washington Post article, Doctors Use Wii Games for Rehab Therapy:

Using the game console’s unique, motion-sensitive controller, Wii games require body movements similar to traditional therapy exercises. But patients become so engrossed mentally they’re almost oblivious to the rigor, Osborn said.

“In the Wii system, because it’s kind of a game format, it does create this kind of inner competitiveness. Even though you may be boxing or playing tennis against some figure on the screen, it’s amazing how many of our patients want to beat their opponent,” said Osborn of Southern Illinois Healthcare, which includes the hospital in Herrin. The hospital, about 100 miles southeast of St. Louis, bought a Wii system for rehab patients late last year.

The competitiveness found in the Wii games helps a person in physical therapy overcome the usual boredom and tediousness associated with many traditional physical therapy exercises.

Fantastic! A living example of the psychology of engaging patients to do something they don’t really want to do by focusing their minds on something more interesting and entertaining.

There are probably a lot more interesting opportunities for health-based use of the Wii, and we look forward to seeing what enterprising companies develop in the years to come.


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5 Comments to
“Doctors Use Wii Games for Physical Therapy”

I hate to blow my professions own trumpet and all that, but Occupational Therapists have known for decades, granted not always proved, that activity, and by that I mean real purposeful, meaningful activity (we call it ‘occupation’) engages optimal function- be it motor, cognitive - heck, be it both!

I really don’t get the novelty here; why couldn’t hanging washing out on the line be used for the same purposes, its eminently more adaptable to individual needs - sitting/standing/bending/turning. gross motor, fine motor, grip strength, spatial thinking, trunk rotation/extension, object recognition, visual perception, memory, socializing and achieving something that might even matter to the individual! costs nothing but some serious expertise in activity analysis.

Reply to Austin’s comment: Who wants to engage in therapy like that. It is tedious and downright boring. A game is much more FUN and if it provides similar adaptations…I choose the game bro.

I call BS. Physical therapy is about utilizing muscle groups in a controlled environment, not playing video games. I’ve worked in a PT office for 3 years and I am confident that this type of “physical therapy” is more of a charade than anything else. Physical therapy can be extremely harmful to patients if not done correctly, and I see too many random elements involved with video game playing to make it beneficial to the therapy process. This article is just a stupid attempt at capitalizing on the Wii’s popularity to bolster your own career, Mr. Grohol.

Physio-guy has obviously never seen the effects of how a stroke patient can benefit from the neuromsucular facilitation provided by the wii fit program, it’s balance interactions with the patient, with both the visual and reactive components from the wii board. I have seen poor terminal knee extension and foot drop be just as activated with a combination of wii activities and good old fashioned neuromuscular PT bring good carryover into their comprehensive multidisciplinary therapies including concentration and focus with speech, static balance, and facilitation of hip and knee groups with gait.
We use many different dynamic reactive balance games with the Wii fit balance board for our ACL patients, our total knee patients, and our low back pain patients with the “hula hoop” activities. The occupational therapist uses as an adjuct to her therapies the bowling and tennis at times for body mechanics and single arm strengthening and reaction. Granted none of these activities are used at every single treatment session, and none of these are replacing conventional and comprehensive individualized treatment, but used as an adjuct to facilitate certain movements, and to give the patient further cues in understanding different body movements that they are lacking and understanding other things they should be facilitating. And yes, it is fun. God forbid that therapy be fun for the patient…right?

I have so much questions about every things happening in my life and I don t have any answer, thinking I m strong and I can forgive to continue to live normal life, but at the and I find inside me alotof anger and I can t forget, I m not an engele, but I m beter then that. I m a human, I m 35 years old with 4mariages and 3 divorces… 1 child has been victim of adults stupidities, but how I call destiny. my english speling is not very good but my expression is not to bad..
I always want to speek but I never could have the courrage to look for the right lestener..
or may be because the nature of been human we like to feel we are victimes and all others are the criminals or the bad ones…actuelly it s the situations and circonstenceses who made of as what we are now, the brain is acting+education+cultural level+++the good or bad action.. actually no one knows if it’s good or bad at the time, but whene you are in your ohne you deffnetlly know. after you are confused and lost… no guide line, and may be reppeting the same mistek. I m tierd I m realy tierd. I don t know what to do . if the right one can read this mail, please help me..
Best Regards

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    Last reviewed: By John M. Grohol, Psy.D. on 10 Feb 2008

 


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