Validity of the Nintendo Wii® balance board for the assessment of standing balance in Parkinson's disease

Clin Rehabil. 2013 Apr;27(4):361-6. doi: 10.1177/0269215512458684. Epub 2012 Sep 7.


Background: Impaired postural stability places individuals with Parkinson's at an increased risk for falls. Given the high incidence of fall-related injuries within this population, ongoing assessment of postural stability is important.

Objective: To evaluate the validity of the Nintendo Wii(®) balance board as a measurement tool for the assessment of postural stability in individuals with Parkinson's.

Subjects: Twenty individuals with Parkinson's participated.

Intervention: Subjects completed testing on two balance tasks with eyes open and closed on a Wii(®) balance board and biomechanical force platform.

Main measures: Bland-Altman plots and a two-way, random-effects, single measure intraclass correlation coefficient model were used to assess concurrent validity of centre-of-pressure data.

Results: Concurrent validity was demonstrated to be excellent across balance tasks (intraclass correlation coefficients = 0.96, 0.98, 0.92, 0.94).

Conclusions: This study suggests that the Wii(®) balance board is a valid tool for the quantification of postural stability among individuals with Parkinson's.

Publication types

  • Validation Study

MeSH terms

  • Female
  • Humans
  • Male
  • Ontario
  • Parkinson Disease / diagnosis*
  • Parkinson Disease / physiopathology
  • Parkinson Disease / rehabilitation
  • Physical Therapy Modalities
  • Postural Balance*
  • Severity of Illness Index
  • Video Games*