Effectiveness of the Wii for pediatric rehabilitation in individuals with cerebral palsy: a systematic review

Background: The Nintendo Wii is a virtual reality system that has become increasingly popular in neurorehabilitation and research because it provides an innovative method for training lower extremity function and balance. Objective: The purpose of this systematic review was to evaluate the effectiveness of the Nintendo Wii for improving gait and standing balance in individuals with cerebral palsy (CP). Methods: A comprehensive literature search of CINAHL Complete, MEDLINE, and ProQuest Medical Database was performed using the search terms "Wii" AND "cerebral palsy" AND "balance OR postural control OR stability OR ambulation OR gait OR walking." The evidence level for all included studies was established using the Oxford Center for Evidence-Based Medicine 2011 Levels of Evidence, and the methodological rigor for all included studies was established using the PEDro Scale. Results: Based on the inclusion and exclusion criteria, six articles were included in this systematic review. This systematic review showed that rehabilitation using the Nintendo Wii is generally more effective than no treatment or traditional treatment methods when used to improve standing balance and gait in individuals, 21 years of age or younger, with a diagnosis of CP. Findings suggested that the Nintendo Wii may be more effective when used in combination with traditional treatment methods and may be an appropriate option for long-term rehabilitation. Conclusion: Therapists should consider using the Nintendo Wii, alone or in combination with traditional treatment methods designed to improve standing balance and gait, when treating individuals with CP.