Jean-Luc Ziltener

Wii Fit™ exercise therapy for the rehabilitation of ankle sprains: Its effect compared with physical therapy or no functional exercises at all.

Lateral ankle sprains represent the most common sports‐related injuries. The Nintendo Wii Fit™ could be useful in the treatment of ankle sprains. The aim of this study was to compare the effectiveness of exercise training using the Wii Fit™ in ankle sprain patients: (a) with physical therapy; and (b) a control group not receiving any treatment. Ninety lateral ankle sprain patients were randomized to a Wii Fit™, physical therapy, or control group. We assessed the following outcome measures before, and 6 weeks after starting the allocated treatment: Foot and Ankle Ability Measure, pain during rest and walking, delay before return to sport, patient satisfaction, and effectiveness of the allocated treatment. Six weeks after the baseline measures, foot and ankle ability scores had improved in all groups, and pain had decreased during walking (P < 0.050). No between‐group differences were detected between Wii Fit™ treatment, and both other groups (P > 0.050). In conclusion, the Wii Fit™ could be used as an exercise therapy to treat ankle sprain patients. However, Wii Fit™ was not more effective than only physical therapy, or no exercise therapy at all. Patients who did not receive treatment showed similar results as people who got any kind of exercise therapy.

Gait and Physical Impairments in Patients With Acute Ankle Sprains Who Did Not Receive Physical Therapy

To assess ankle function 4 weeks after conservative management and to examine the correlation of function with gait.

Effect of Wii Fit™ exercise therapy on gait parameters in ankle sprain patients: A randomized controlled trial

Ankle sprains are the most common sport related injuries. An alternative to physical therapy in the treatment of ankle sprains is home based exercise therapy. This study aims to compare the effectiveness of Wii Fit™ exercise therapy in ankle sprain patients on temporal-spatial and kinematic gait parameters with a) conventional therapy and b) a control group not receiving exercise therapy. Ninety patients were randomly assigned to a Wii Fit™, physical therapy or control group. Temporal-spatial and kinematic gait parameters were assessed at baseline, 6 weeks and 6 months follow-up. All groups improved gait speed, cadence and step length between baseline and 6-week follow-up (P<0.036). Single support time improved only in the Wii Fit™ group (P<0.001). Symmetry index of the single support time improved in the Wii Fit™ group and physical therapy group (P<0.048). No between-group differences were found for temporal-spatial gait parameters (P>0.050). Maximum plantar flexion improved in the physical therapy and control group between baseline and 6-week follow-up (P<0.035). However, none of the groups improved dorsiflexion (P>0.050). In conclusion, an unsupervised home-based 6-week Wii Fit™ exercise therapy can be applied in ankle sprain patients. However, it was not more effective compared to physical therapy or no exercise therapy at all.

Range of motion and energy cost of locomotion of the late medieval armoured fighter: A proof of concept of confronting the medieval technical literature with modern movement analysis

ABSTRACT Study of technical, normative, and narrative medieval literature and of archaeological pieces allows the motor skills of armoured members of the aristocracy to be outlined but not quantified. The authors present novel data on the impact of wearing armour on both the freedom of movement and the energy cost of locomotion, and confront the results to systematic analysis of medieval written sources. An accurate harness replica realized in an informed archaeological experimental way, close to medieval material and manufacturing conditions, was used for the experiments. Measurements of the energy cost of locomotion in and out of armour were taken during walking and running on a treadmill. Gait analysis and range of motion of joints were performed with 3-D kinematics. The results indicated an increase in the energy cost of locomotion in slight excess to the added weight and for most movements studied reductions in the range of motion over the joint, potentially to the advantage of the wearer during combat. This proof of concept appears promising for further study in this field of scholarly endeavor.