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The aim of this study was to verify whether the Nintendo Wii-Balance-Board was valid and reliable for assessing sit-to-stand and return-to-sit tasks by comparing it with a gold-standard force plate. Ten elderly (age = 78.21±14.82 years; males=4; females=6) and eleven young (age =24.25±12.43 years; males=6; females=5) participants of both genders performed five sit-to-stand and return-to-sit tasks consecutively by placing their feet on the Wii-Balance-Board; after two days of rest, they repeated the same assessment. The Wii-Balance- Board was positioned over the force plate to concurrently acquire the vertical component of ground reaction forces. Relevant kinetic and temporal parameters were estimated from these signals. Both the Wii-Balance-Board and force plate measurements resulted in a high level of correlation for almost all the parameters (Pearson’s product-moment r ranged from 0.91 to 0.99, p<.001) and, for the same parameters, intra-class correlation coefficients revealed a high level of agreement between the devices (ranged from 0.93 to 0.99). Bland-Altman plots and regression analysis detected systematic and fixed biases for two parameters (i.e., the inclination of force in standing and rising), while other parameters resulted with none systematic biases; the absolute magnitude of those differences was trivial or small (standardized biases ranged from 0.01 to 0.4). A high level of intra-device reliability was measured for all the parameters (intra-class correlation coefficients ranged from 0.85 to 0.99). The Wii-Balance-Board proved valid and reliable in comparison with a force plate for assessing transition movements so it can be considered a valuable solution for supporting the assessment procedures of average practitioners.

Balance and mobility assessment, and the estimation of the risk of falls, represent crucial elements for supporting a healthy aging process. In this work, we evaluated the association of two approaches used to estimate standing balance and sit-to-stand abilities in community-dwelling older people. The clinical-based test was the Short Physical Performance Battery, while the laboratory-based assessments were realized by means of output measures obtained with the Wii Balance Board. The correlation between clinical scores and laboratory measures showed poor association for the standing balance test (.05