Use of Wii Fit (TM) to Increase Compliance With Home Exercises in Treating Patellofemoral Syndrome

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01007643
Recruitment Status : Terminated (Difficulty in recruitment of study participants in alloted time and funding)
First Posted : November 4, 2009
Results First Posted : September 27, 2012
Last Update Posted : September 27, 2012
Information provided by (Responsible Party):
University of Manitoba

Brief Summary:
To determine the utility of the Wii Fit TM interactive video game program in patellofemoral symptom resolution, development of increased muscle strength and flexibility as a result of increased compliance with home exercises in adolescent females with patellofemoral syndrome.

Condition or disease Intervention/treatment Phase
Patellofemoral Syndrome Patellofemoral Pain Syndrome Anterior Knee Pain Syndrome Other: Wii Fit (TM) Interactive Video Game Other: Traditional Home Exercise Program Not Applicable

Detailed Description:

Patellofemoral syndrome (PFS) is a very common diagnosis amongst adolescents and young adults. Symptoms can be chronic in nature and interfere with sporting activity and activities of daily living. Current treatment consists of home exercises to increase muscular strength and flexibility. Adolescents are known to have poor compliance with treatments for chronic illnesses.

There is a paucity of published literature surrounding the Wii TM Interactive Video Game. There has been one published report of the use of Wii Fit TM in rehabilitation where participants used the Wii Fit TM to train proprioception after ankle injury. Individuals that participated in the Wii Fit TM group found improvement in their balance on objective measures as well as increased enjoyment with their treatment plan. One anecdotal report used the Wii TM video game in physiotherapy treatments of a college athlete and found a dramatic increase in attendance compliance after introduction of the video game.

This randomized controlled study will determine if using the Wii Fit TM for home exercise completion will increase compliance and subsequently improve symptoms related to patellofemoral syndrome in adolescent females.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 22 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: The Use of Wii Fit ™ to Increase Compliance With Home Exercises for Treatment of Patellofemoral Syndrome in Adolescent Females
Study Start Date : October 2009
Actual Primary Completion Date : September 2010
Actual Study Completion Date : September 2010

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Wii Fit (TM) Interactive Video Game
Wii Fit (TM) Interactive Video Game
Other: Wii Fit (TM) Interactive Video Game
Use of interactive video game exercise program on a daily basis focusing on quadriceps and hamstring flexibility along with VMO strengthening.
Other Name: Nintendo Wii Fit (TM)

Active Comparator: Traditional Home Exercise Program
Traditional Home Exercise Program
Other: Traditional Home Exercise Program
Completion of daily home exercise program for quadriceps and hamstring flexibility and VMO strengthening.

Primary Outcome Measures :
  1. Percentage of Exercise Days Completed. [ Time Frame: 3 months ]
    Calculated for the 12 week period as daily exercise completion rate as percentage

Secondary Outcome Measures :
  1. Changes in Patellofemoral Symptoms [ Time Frame: 3 months ]
  2. Change in Hamstring Flexibility [ Time Frame: 3 months ]
  3. Change in Quadriceps Flexibility [ Time Frame: 3 months ]
  4. Change in Vastus Medialis Oblique Muscle Strength [ Time Frame: 3 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   11 Years to 17 Years   (Child)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Female between ages of 11 and 17 years of age
  • A diagnosis of patellofemoral syndrome with one or more of the following symptoms: anterior knee pain, positive theater sign, stairs provoking knee pain.
  • No physiotherapy or regular, structured home exercise program is being followed
  • Parental/guardian consent to participate
  • Patient assent to participate

Exclusion Criteria:

  • Patients participating in physiotherapy at the time of initial assessment or have had physiotherapy in the last 6 months for patellofemoral syndrome
  • Patients performing regular home exercise program prescribed by physician, physiotherapist, or other allied health professional for patellofemoral syndrome at time of initial assessment
  • Patients who have additional knee pathology (e.g. acute patellar dislocation; acute internal knee derangement (i.e. meniscal, ligament injury); osteochondritis dissecans; severe apophysitis or tendinitis) that could interfere with rehabilitation exercises due to pain or instability from these conditions
  • Individuals with history of knee surgery
  • Individuals that have a Wii Fit TM video game at home
  • Individuals for whom consent and assent is not obtained

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01007643

Canada, Manitoba
Legacy Sport Medicine
Winnipeg, Manitoba, Canada, R2M 5L6
Sponsors and Collaborators
University of Manitoba
Principal Investigator: Erika B Persson, MD University of Manitoba

Responsible Party: University of Manitoba Identifier: NCT01007643     History of Changes
Other Study ID Numbers: B2009:115
First Posted: November 4, 2009    Key Record Dates
Results First Posted: September 27, 2012
Last Update Posted: September 27, 2012
Last Verified: June 2010

Keywords provided by University of Manitoba:
anterior knee pain
interactive video games
patellofemoral syndrome
home exercises

Additional relevant MeSH terms:
Somatoform Disorders
Patellofemoral Pain Syndrome
Pathologic Processes
Mental Disorders
Joint Diseases
Musculoskeletal Diseases