Novel application of a Wii remote to measure spasticity with the pendulum test: Proof of concept.

Gait Posture

Research Center for Adaptive Data Analysis, National Central University, Taoyuan City 32001, Taiwan; Center for Dynamical Biomarkers and Translational Medicine, National Central University, Taoyuan City 32001, Taiwan; Institute of Translational and Interdisciplinary Medicine and Department of Biomedical Sciences and Engineering, National Central University, Taoyuan City 32001, Taiwan. Electronic address:

Published: January 2016

Background: The pendulum test is a standard clinical test for quantifying the severity of spasticity. In the test, an electrogoniometer is typically used to measure the knee angular motion. The device is costly and difficult to set up such that the pendulum test is normally time consuming.

Objective: The goal of this study is to determine whether a Nintendo Wii remote can replace the electrogroniometer for reliable assessment of the angular motion of the knee in the pendulum test.

Methods: The pendulum test was performed in three control participants and 13 hemiplegic stroke patients using both a Wii remote and an electrogoniometer. The correlation coefficient and the Bland-Altman difference plot were used to compare the results obtained from the two devices. The Wilcoxon signed-rank test was used to compare the difference between hemiplegia-affected and nonaffected sides in the hemiplegic stroke patients.

Results: There was a fair to strong correlation between measurements from the Wii remote and the electrogoniometer (0.513
Conclusion: Our findings suggest that the Wii remote may serve as a convenient and cost-efficient tool for the assessment of spasticity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5158180PMC
http://dx.doi.org/10.1016/j.gaitpost.2015.10.025DOI Listing

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