Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study

John Ross Rizzo, Peter Thai, Edward J. Li, Terence Tung, Todd E. Hudson, Joseph Herrera, Preeti Raghavan

    Research output: Contribution to journalArticlepeer-review


    Objective To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome. Methods A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n = 8) or conventional therapy (n = 6). Pain-free shoulder range of motion, strength, shoulder pain and disability, and quality of life were assessed pre- and post-treatment. Results All 8 patients completed the Wii protocol, and 3 completed conventional therapy. The Wii protocol conferred significant improvements in shoulder range of motion, pain and disability, and quality of life but not strength, whereas conventional therapy conferred a significant improvement in strength. Conclusions As compared to conventional treatment, the structured Wii protocol implemented in this pilot study was a viable adjunct to therapy for shoulder impingement syndrome. Gaming may have a supplemental benefit by increasing motivation, pleasure, and/or adherence. Further investigation in larger cohorts is warranted.

    Original languageEnglish (US)
    Pages (from-to)363-370
    Number of pages8
    JournalAnnals of Physical and Rehabilitation Medicine
    Issue number6
    StatePublished - Nov 2017


    • Gaming
    • Motivation
    • Rehabilitation
    • Shoulder impingement syndrome
    • Shoulder pain

    ASJC Scopus subject areas

    • Orthopedics and Sports Medicine
    • Rehabilitation


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