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


Dive into the research topics of 'Structured Wii protocol for rehabilitation of shoulder impingement syndrome: A pilot study'. Together they form a unique fingerprint.

Cite this