1. Steven Browne, O.T. Reg. (N.B.) Brad Holley, O.T.Reg. (N.B.)
Wii™ habilitation - Using the Nintendo Wii as a Complimentary Modality in Stroke Rehabilitation Stroke Conference Fredericton, NB
Steven Browne, O.T. Reg. (N.B.)
Brad Holley, O.T.Reg. (N.B.)

2. Outline Background of the Nintendo Wii The Wii as a therapeutic tool
Implementation of the Wii in Occupational Therapy Practice
Identification of Occupational performance issues (OPI’S)
Identification of Occupational performance components (OPC’s)
Goal setting
Case study
Conclusion
Questions

3. Background of the Wii Made commercially available in 2006
Infra red remote responds to movement in three axis and acceleration
Feedback – visual, auditory,
tactile
“Non gamer” target market
Active & social

4. The Wii as Therapeutic Tool
Not designed to be a rehabilitation tool
Complimentary to traditional therapy
Originally used in long term care setting
Ease of use for therapists and clients
Sports package– familiar
games that focus on rote
memory
Games and controller can
be graded to client’s ability

5. Therapeutic Process OT identify occupational performance issue
Identify occupational performance components
Define the goal
Measurable outcomes: as defined by goals

6. Targeting OPC’s Select an activity
Identify activity demands (task analysis)
Consider client’s abilities and interests
Modify environment and/or activity demands to target component.
Modify task demands (grading)
or environmental components to
maintain challenge.

7. Case study 68 yo Female Left Parietal lobe CVA
Prior to CVA independent for all ADL’s and IADL’s working as personal care worker.
Deficits noted on assessment:
General right sided weakness, poor balance / ataxia
Significant perceptual changes (temperature, Stereognosis, proprioception, abnormal movement patterns and intergation issues.)
Learned non use of right upper extremity side
No cognitive issues noted

8. Therapeutic Process

9. Intervention Plan Occupational performance Issue (OPI)
Occupational Performance Component (OPC’s)
Treatment Plan
Demonstrates challenges completing small meal preparation and clean up independently
Decreased balance in standing
Engage in standing tasks to challenge balance
Decreased sensation and impaired knowledge of self in space.
Education sessions regarding safety and setup
Decreased grip strength of right hand to hold and manipulate heavy objects
U/E strengthen and in hand manipulation program
Decreased fine motor coordination when handling utensils
Engage in fine motor and in hand manipulation tasks
Difficulty integrating upper and lower extremity during tasks
Engage in simple standing tasks to create self awareness
Decreased shoulder strength and movement patterns
Task specific ADLs and IADLs graded for success

10. Rehabilitation Session (Bowling)
Targeted OPIs:
Balance
Coordination
Motor planning
Integration of upper and lower body
Normalized movement patterns

11. Grading the Task

12. Conclusion Different therapies & modalities come and go
Theoretical background remains the same
Choosing any therapeutic tool relies on sound reasoning that supports the client’s desired outcome
It requires the expertise of a skilled therapist to monitor, modify and evaluate

13. Questions or Comments