scholarly journals Positive effect of balance training with visual feedback on standing balance abilities in people with incomplete spinal cord injury

Spinal Cord ◽  
2010 ◽  
Vol 48 (12) ◽  
pp. 886-893 ◽  
Author(s):  
D G Sayenko ◽  
M I Alekhina ◽  
K Masani ◽  
A H Vette ◽  
H Obata ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Visual Feedback ◽  
Balance Training ◽  
Standing Balance ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Positive Effect

scholarly journals Perspectives of individuals with chronic spinal cord injury following novel balance training involving functional electrical stimulation with visual feedback: a qualitative exploratory study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
David J. Houston ◽  
Janelle Unger ◽  
Jae W. Lee ◽  
Kei Masani ◽  
Kristin E. Musselman
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Electrical Stimulation ◽  
Visual Feedback ◽  
Functional Electrical Stimulation ◽  
Balance Training ◽  
Perceived Benefits ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Perceived Impact

Abstract Background Individuals with an incomplete spinal cord injury (iSCI) are highly susceptible to falls during periods of walking or standing. We recently reported the findings of a novel intervention combining functional electrical stimulation with visual feedback balance training (FES + VFBT) on standing balance abilities among five individuals with motor iSCI. However, the previous publication did not report the perceived impact of the intervention on the participants’ lives. In this report, the experiences of these five individuals with incomplete spinal cord injury (iSCI) who had recently completed the four-week balance training program are described. Methods Five individuals with a motor iSCI took part in this study. Each individual was at least 12 months post-injury, capable of unassisted standing for 60 s and had a Berg Balance Scale Score < 46. Participants completed twelve sessions of a novel balance intervention combining closed-loop functional electrical stimulation with visual feedback balance training (FES + VFBT). Participants received visual feedback regarding their centre of pressure position as they completed balance-training exercises while FES was applied to the ankle plantarflexors and dorsiflexors bilaterally. Semi-structured interviews were conducted after completion of the balance training intervention and eight-weeks post-training to understand participant’s experiences. Categories and themes were derived from the transcripts using conventional content analysis. Results Three themes were identified from the collected transcripts: (1) Perceived benefits across International Classification of Functioning, Disability and Health levels; (2) Change in perceived fall risk and confidence; (3) Motivation to keep going. Conclusions Participation in the FES + VFBT program resulted in perceived benefits that led to meaningful improvements in activities of daily living. Following completion of the training, individuals felt they still had the capacity to improve. Individuals felt they had increased their balance confidence, while a few participants also reported a decrease in their risk of falling. The inclusion of qualitative inquiry allows for the evaluation of the meaningfulness of an intervention and its perceived impact on the lives of the participants. Trial registration: NCT04262414 (retrospectively registered February 10, 2020)

scholarly journals Acquisition of a precision walking skill and the impact of proprioceptive deficits in people with motor-incomplete spinal cord injury

2019 ◽  
Vol 121 (3) ◽  
pp. 1078-1084 ◽  
Author(s):  
Amanda E. Chisholm ◽  
Taha Qaiser ◽  
Alison M. M. Williams ◽  
Gevorg Eginyan ◽  
Tania Lam
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Visual Feedback ◽  
Spinal Cord Injuries ◽  
Sensory Function ◽  
Joint Position ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury ◽  
Rate Of Learning ◽  
The Impact

Many people with motor-incomplete spinal cord injury (m-iSCI) experience difficulty navigating obstacles, such as curbs and stairs. The ability to relearn walking skills may be limited by proprioceptive deficits. The purpose of this study was to determine the capacity of participants to acquire a precision walking skill, and to evaluate the influence of proprioceptive deficits on the skill acquisition in individuals with m-iSCI. Sixteen individuals with m-iSCI and eight controls performed a precision walking task that required matching their foot height to a target during the swing phase. Proprioceptive deficits were quantified at the hip and knee for joint position and movement detection sense. Participants completed 600 steps of training with visual feedback. Pretraining and posttraining tests were conducted without visual feedback, along with a transfer test with an ankle weight. Posttraining and transfer tests were repeated 1 day later. Participants returned to the laboratory 1 wk later to repeat the training. Performance was calculated as the vertical distance between the target and actual foot height for each step. The posttraining and transfer performances were similar between groups. However, participants with m-iSCI had a slower rate of acquisition to achieve a similar performance level compared with controls. Acquisition rate and posttraining performance of the precision walking task were related to lower limb joint position sense among SCI participants. Although they can achieve a similar level of performance in a precision walking task, proprioceptive deficits impair the rate of learning among individuals with m-iSCI compared with able-bodied controls. NEW & NOTEWORTHY People with motor-incomplete spinal cord injuries are able to achieve the same level of performance accuracy on a precision walking task as able-bodied controls; however, the rate of learning is slower, indicating that more practice is required to stabilize performance. Our findings also show a relationship between impaired sensory function and reduced accuracy when performing a precision walking task after spinal cord injury.

Does Balance Training Impact Fear of Falling and Balance Confidence After Incomplete Spinal Cord Injury?

2019 ◽  
Vol 100 (10) ◽  
pp. e64
Author(s):  
Janelle Unger ◽  
Hardeep Singh ◽  
Avril Mansfield ◽  
Beverley Catharine Craven ◽  
Kei Masani ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Fear Of Falling ◽  
Balance Training ◽  
Incomplete Spinal Cord Injury ◽  
Balance Confidence ◽  
Cord Injury ◽  
Training Impact

A Pilot Study of Brain-Triggered Electrical Stimulation with Visual Feedback in Patients with Incomplete Spinal Cord Injury

2017 ◽  
Vol 38 (5) ◽  
pp. 790-803 ◽  
Author(s):  
Fernando Trincado-Alonso ◽  
Eduardo López-Larraz ◽  
Francisco Resquín ◽  
Aitor Ardanza ◽  
Soraya Pérez-Nombela ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Electrical Stimulation ◽  
Pilot Study ◽  
Visual Feedback ◽  
Incomplete Spinal Cord Injury ◽  
Cord Injury

scholarly journals The Effect of Perturbation-Based Balance Training and Conventional Intensive Balance Training on Reactive Stepping Ability in Individuals With Incomplete Spinal Cord Injury or Disease: A Randomized Clinical Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Janelle Unger ◽  
Katherine Chan ◽  
Jae W. Lee ◽  
B. Catharine Craven ◽  
Avril Mansfield ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Randomized Clinical Trial ◽  
Balance Training ◽  
Drop Out ◽  
Incomplete Spinal Cord Injury ◽  
Clinical Trial Registration ◽  
Cord Injury ◽  
Reactive Stepping

Introduction: Impaired balance leads to falls in individuals with motor incomplete spinal cord injury or disease (iSCI/D). Reactive stepping is a strategy used to prevent falls and Perturbation-based Balance Training (PBT) can improve this ability.Objective: The objective of this study was to determine if PBT results in greater improvements in reactive stepping ability than frequency-matched Conventional Intensive Balance Training (CIBT) in adults with iSCI/D.Design: Randomized clinical trial.Setting: Tertiary SCI/D rehabilitation center.Participants: Twenty-one adults with chronic (&gt;1 year) iSCI/D were randomized. Due to one drop out 20 participants completed the study.Methods: Participants were randomly allocated to complete either PBT or CIBT three times per week for 8 weeks. Both programs included challenging static and dynamic balance tasks, but the PBT group also experienced manual external balance perturbations.Main Outcome Measures: Assessments of reactive stepping ability using the Lean-and-Release test were completed at baseline, and after 4 and 8 weeks of training, and 3 and 6 months after training completion. A blinded assessor evaluated secondary outcomes.Results: Twenty-five participants were screened and 21 consented; one withdrew. Ten PBT and 10 CIBT participants were included in analyses. Across all participants there were improvements in reactive stepping ability (p = 0.049), with retention of improvements at follow up assessments. There were no differences in reactive stepping ability between groups [median (interquartile range): PBT 0.08 (0.68); CIBT 0.00 (0.22)]. One participant in the PBT group experienced a non-injurious fall during training.Conclusions: Balance training is beneficial for individuals with iSCI/D, but the addition of manual perturbations (i.e., PBT) did not prove advantageous for performance on a measure of reactive stepping ability.Clinical Trial Registration:www.ClinicalTrials.gov, identifier: NCT02960178.

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