Have you ever incorporated Wii games into rehab?

What was your experience?

Did patients enjoy participating in these video games?

What are your tips for other PTs who may want to include Wii in their facility?

I have modeled and implemented a Wii program with a four tier challenge mostly for our outpatient program but if i have a inpatient that can tolerate and would also benefit from the Wii program, I set up and modify the activity to match their status and functional capabilities.  Now with the tiered portion of it, I have upgraded the challenge of the balance (since as you improve on the wii the cardio/core strengthening challenges increase) from a singular level surface up to a softer unlevel surface, along with other variables using single leg staggered stance to a NBOS with B LE's--there are a multitude of ways to challenge the balance and allow your patients to strive using the Wii.  I have found that for the older patients whom weren't part of the video game era as some of us are, the biggest challenge is the coordination with the different buttons, now that being said some are better than others at this but that's were you really have to personalize the program for your patient and find the game or functional activity on the Wii that allows them to get the most gain.  I believe its a very good tool to be utilized and would make a great program to be studied as part of the increased evidence based care the field is moving towards.  I've worked with enough patients on the Wii (Sports) that it really can make a difference with dynamic mobility outside the standard balance activities can't always cover (berg, tinetti, DGI, etc), so if i can use this equipement to improve my patients quality of life and allow them to return to their prior level of function I will do so.  The best advice is be creative, educate, and explore.