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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 2009 Stroke Conference Fredericton, NB. Steven Browne, O.T. Reg. (N.B.) Brad Holley, O.T.Reg. (N.B.). Outline. Background of the Nintendo Wii The Wii as a therapeutic tool

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Steven Browne, O.T. Reg. (N.B.) Brad Holley, O.T.Reg. (N.B.)

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  1. Wii™ habilitation-Using the Nintendo Wii as a Complimentary Modality in Stroke Rehabilitation2009 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

  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

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