Assessment of the Impact of Training on the Stabilometric Platform Using the Biofeedback Method on Improving Balance and Functional Efficiency of Patients After a Stroke

2021 ◽  
Vol 63 (1) ◽  
pp. 15-21
Author(s):  
Agnieszka Jankowska ◽  
Paulina Klimkiewicz ◽  
Sylwia Krukowska ◽  
Marta Woldańska-Okońska
Keyword(s):  
Berg Balance Scale ◽  
Rehabilitation Program ◽  
Control Group ◽  
Everyday Functioning ◽  
Balance Disorders ◽  
Balance Scale ◽  
Comprehensive Therapy ◽  
Functional Efficiency ◽  
The Impact ◽  
Tinetti Test

Introduction: Postural balance disorders are one of the most common motor symptoms in patients after stroke, which affect the limitation of patients mobility and their ability to perform everyday activities. Balance disorders require comprehensive neurorehabilitation. Aim: The aim of the study was to assess the effect of exercises on the stabilometric platform using the biofeedback method on improving balance and functional performance in patients after stroke. Material and Methods: The study involved 75 patients after ischemic stroke aged from 35-80 years. Two groups were created: a study and control group. The study group consisted of patients in whom a comprehensive rehabilitation program was implemented, consisting of physical therapy, kinesitherapy, speech therapy and psychological consultation, complemented by the use of modern neurorehabilitation solutions, including a platform for balance training. The control group included patients in whom a comprehensive therapy program was implemented, but without training on a stabilometric platform. Functional assessment of patients was performed using selected scales and tests: Barthel Scale, Tinetti Test and Berg Balance Scale. Results: Patients after stroke, in whom a comprehensive physiotherapy program was implemented using the training on the Tecnobody stabilometric platform, obtained a statistically significant improvement in all parameters describing the ability to maintain balance. Also in the Tinetti Test in the gait evaluation section, Berg Balance Scale and Barthel Scale the improvement was statistically significant. Conclusions: The program used on the stabilometric platform had a significantly better impact on improving ability to maintain balance and everyday functioning of patients after stroke.

scholarly journals Augmented Rehabilitation Program for Young Patients Following Total Hip Arthroplasty

2021 ◽  
Author(s):  
Ahmed Negm ◽  
Milad Yavarai ◽  
Gian Jhangri ◽  
Robert Haennel ◽  
Allyson Jones
Keyword(s):  
Physical Activity ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Intervention Group ◽  
Young Patients ◽  
Rehabilitation Program ◽  
Control Group ◽  
Total Hip ◽  
The Impact

Abstract BackgroundThe increase rate seen in Total Hip Arthroplasty (THA) for younger patients has implications for future rehabilitation demands for primary and revision THA surgery. This study aims to determine the impact of a 6-week post-operative rehabilitation program designed for THA patients ≤ 60 years on physical activity (PA) and function compared to age- and a sex-matched control group received usual postoperative care at 12-week post-THA. MethodsIn this quasi-experimental study, a cohort of THA candidates was recruited during their 6-week postoperative visit to their surgeons. The out-patient rehabilitation program consisted of 12 structured exercise classes (2 hrs/class) over 6 weeks. Physical activity was assessed using Sense Wear Pro ArmbandTM [SWA]. Participants completed the Hip Osteoarthritis Outcome Score (HOOS), and THA satisfaction questionnaire before and immediately after the intervention. ResultsThe intervention group took significantly more steps/day at the follow-up compared to baseline. The intervention group had a higher mean change in the number of weekly PA bouts than the control group. Within the intervention groups, all HOOS subscales were significantly higher at the follow-up compared to baseline. ConclusionThe augmented rehabilitation program may have immediate effects on pain relief and symptom reduction for patients (≤60 years) following THA.

Effects of robot-(Morning Walk®) assisted gait training for patients after stroke: a randomized controlled trial

2018 ◽  
Vol 33 (3) ◽  
pp. 516-523 ◽  
Author(s):  
JaYoung Kim ◽  
Dae Yul Kim ◽  
Min Ho Chun ◽  
Seong Woo Kim ◽  
Ha Ra Jeon ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Lower Limb ◽  
Controlled Trial ◽  
Gait Training ◽  
Berg Balance Scale ◽  
Control Group ◽  
Balance Scale ◽  
Randomized Controlled ◽  
Scale Scores ◽  
Conventional Physiotherapy

Objective: To investigate the effects of Morning Walk®–assisted gait training for patients with stroke. Design: Prospective randomized controlled trial. Setting: Three hospital rehabilitation departments (two tertiary and one secondary). Patients: We enrolled 58 patients with hemiparesis following a first-time stroke within the preceding year and with Functional Ambulation Category scores ⩾2. Intervention: The patients were randomly assigned to one of two treatment groups: 30 minutes of training with Morning Walk®, a lower limb rehabilitation robot, plus 1 hour of conventional physiotherapy (Morning Walk® group; n = 28); or 1.5 hour of conventional physiotherapy (control group; n = 30). All received treatment five times per week for three weeks. Main outcome measurements: The primary outcomes were walking ability, assessed using the Functional Ambulation Category scale, and lower limb function, assessed using the Motricity Index-Lower. Secondary outcomes included the 10 Meter Walk Test, Modified Barthel Index, Rivermead Mobility Index, and Berg Balance Scale scores. Results: A total of 10 patients were lost to follow-up, leaving a cohort of 48 for the final analyses. After training, all outcome measures significantly improved in both groups. In Motricity Index-Lower of the affected limb, the Morning Walk® group (∆mean ± SD; 19.68 ± 14.06) showed greater improvement ( p = .034) than the control group (∆mean ± SD; 11.70 ± 10.65). And Berg Balance Scale scores improved more ( p = .047) in the Morning Walk® group (∆mean ± SD; 14.36 ± 9.01) than the control group (∆mean ± SD; 9.65 ± 8.14). Conclusion: Compared with conventional physiotherapy alone, our results suggest that voluntary strength and balance of stroke patients with hemiparesis might be improved with Morning Walk®–assisted gait training combined with conventional physiotherapy.

The influence of intellectual disability on longitudinal arching and symmetry of lateral and medial load of the foot

2019 ◽  
Vol 6 (1) ◽  
pp. 29-34
Author(s):  
Marta Bibro ◽  
Agnieszka Jankowicz-Szymańska ◽  
Katarzyna Wódka ◽  
Małgorzata Łaczek-Wójtowicz
Keyword(s):  
Intellectual Disability ◽  
Intellectual Disabilities ◽  
Down's Syndrome ◽  
Down’S Syndrome ◽  
Control Group ◽  
Functional Efficiency ◽  
Flat Feet ◽  
People With Intellectual Disabilities ◽  
The Right ◽  
The Impact

Background: In the population of people with intellectual disabilities (ID) there is a frequent occurrence of bone deformities and orthopedic problems affecting the feet as well. They are associated with a change of the loading of the feet. It affects the deterioration of the functional efficiency of the feet, often contributes to discomfort, pain and predisposes to the development of adverse changes in the upper body segments. The aim of the study was to assess the impact of intellectual disability in participants with aetiology other than Down’s syndrome on longitudinal arching and symmetry of lateral and medial load of the foot. Materials and methods: There were 38 participants with mild and moderate intellectual disability, with an average age of 23 years and 44 young non-disabled people with an average age of 20.8 under research. The main measurement tool used to assess the arching and loading the foot zones was the BTS P-WALK platform. The measurement included analysis in terms of statics and lasted 30s. Results: The comparison of both groups showed no significant differentiation in the medial and lateral load of the forefoot and rearfoot. Among people with ID correct arches of the feet were observed in 52.6% of participants in the right foot and 57.9% of the left foot, while in the control group in 56.9% in both the right and left foot. People with intellectual disabilities were characterized by a higher rate of flatfoot in relation to the control group. The hollow foot was more frequently observed in control group than in people with ID. Conclusions: In people with intellectual disabilities with aetiology other than Down’s syndrome, flat feet are diagnosed more often than in healthy peers who do not differ in body weight and BMI. Intellectual disability is associated with a greater loading of the medial part of the forefoot.

scholarly journals Assessment of balance in mild and moderate stages of Alzheimer's disease: implications on falls and functional capacity

2011 ◽  
Vol 69 (2a) ◽  
pp. 202-207 ◽  
Author(s):  
Eliane Mayumi Kato-Narita ◽  
Ricardo Nitrini ◽  
Marcia Radanovic
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Functional Capacity ◽  
Functional Decline ◽  
Berg Balance Scale ◽  
Control Group ◽  
Disability Assessment ◽  
Balance Impairment ◽  
Balance Scale

OBJECTIVE: To analyze the correlation between balance, falls and loss of functional capacity in mild and moderate Alzheimer's disease(AD). METHOD: 40 subjects without cognitive impairment (control group) and 48 AD patients (25 mild, 23 moderate) were evaluated with the Berg Balance Scale (BBS) and the Disability Assessment for Dementia (DAD). Subjects answered a questionnaire about falls occurrence in the last twelve months. RESULTS: Moderate AD patients showed poorer balance (p=0.001) and functional capacity (p <0.0001) and it was observed a correlation between falls and balance (r= -0.613; p=0.045). CONCLUSION: There is a decline of balance related to AD which is a factor associated to the occurrence of falls, albeit not the most relevant one. The loss of functional capacity is associated with the disease's progress but not to a higher occurrence of falls. The balance impairment did not correlate with functional decline in AD patients.

scholarly journals Community Delivery of a Comprehensive Fall-Prevention Program in People with Multiple Sclerosis

2016 ◽  
Vol 18 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Cinda L. Hugos ◽  
Debra Frankel ◽  
Sara A. Tompkins ◽  
Michelle Cameron
Keyword(s):  
Multiple Sclerosis ◽  
Fall Prevention ◽  
Berg Balance Scale ◽  
Timed Up And Go ◽  
Balance Confidence ◽  
Balance Scale ◽  
Scale Scores ◽  
The Impact ◽  
Confidence Scale

Background: People with multiple sclerosis (MS) fall frequently. In 2011, the National Multiple Sclerosis Society launched a multifactorial fall-prevention group exercise and education program, Free From Falls (FFF), to prevent falls in MS. The objective of this study was to assess the impact of participation in the FFF program on balance, mobility, and falls in people with MS. Methods: This was a retrospective evaluation of assessments from community delivery of FFF. Changes in Activities-specific Balance Confidence scale scores, Berg Balance Scale scores, 8-foot Timed Up and Go performance, and falls were assessed. Results: A total of 134 participants completed the measures at the first and last FFF sessions, and 109 completed a 6-month follow-up assessment. Group mean scores on the Activities-specific Balance Confidence scale (F1,66 = 17.14, P &lt; .05, η2 = 0.21), Berg Balance Scale (F1,68 = 23.39, P &lt; .05, η2 = 0.26), and 8-foot Timed Up and Go (F1,79 = 4.83, P &lt; .05, η2 = 0.06) all improved significantly from the first to the last session. At the 6-month follow-up, fewer falls were reported (χ2 [4, N = 239] = 10.56, P &lt; .05, Phi = 0.21). Conclusions: These observational data suggest that the FFF group education and exercise program improves balance confidence, balance performance, and functional mobility and reduces falls in people with MS.

scholarly journals Balance and Mobility Following Stroke: Effects of Physical Therapy Interventions With and Without Biofeedback/Forceplate Training

2001 ◽  
Vol 81 (4) ◽  
pp. 995-1005 ◽  
Author(s):  
Ruth Ann Geiger ◽  
Jeffery B Allen ◽  
Joanne O'Keefe ◽  
Ramona R Hicks
Keyword(s):  
Physical Therapy ◽  
Berg Balance Scale ◽  
Treatment Session ◽  
Control Group ◽  
Perceptual Skills ◽  
Balance Scale ◽  
Visual Biofeedback ◽  
Before And After ◽  
Therapy Interventions ◽  
Experimental Group

Abstract Background and Purpose. Visual biofeedback/forceplate systems are often used for treatment of balance disorders. In this study, the researchers investigated whether the addition of visual biofeedback/forceplate training could enhance the effects of other physical therapy interventions on balance and mobility following stroke. Subjects. The study included a sample of convenience of 13 outpatients with hemiplegia who ranged in age from 30 to 77 years (X̄=60.4, SD=15.4) and were 15 to 538 days poststroke. Methods. Subjects were assigned randomly to either an experimental group or a control group when the study began, and their cognitive and visual-perceptual skills were tested by a psychologist. Subjects were also assessed using the Berg Balance Scale and the Timed “Up & Go” Test before and after 4 weeks of physical therapy. Both groups received physical therapy interventions designed to improve balance and mobility 2 to 3 times per week. The experimental group trained on the NeuroCom Balance Master for 15 minutes of each 50-minute treatment session. The control group received other physical therapy for 50 minutes. Results. Following intervention, both groups scored higher on the Berg Balance Scale and required less time to perform the Timed “Up & Go” Test. These improvements corresponded to increased independence of balance and mobility in the study population. However, a comparison of mean changes revealed no differences between groups. Discussion and Conclusion. Although both groups demonstrated improvement following 4 weeks of physical therapy interventions, no additional effects were found in the group that received visual biofeedback/forceplate training combined with other physical therapy.

The effect of foot orthoses on balance, foot function, and mobility in rheumatoid arthritis: A randomized controlled clinical trial

2021 ◽  
pp. 026921552199331
Author(s):  
Juliana Zonzini Gaino ◽  
Manoel Barros Bértolo ◽  
Caroline Silva Nunes ◽  
Cecília de Morais Barbosa ◽  
Síbila Floriano Landim ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Standard Deviation ◽  
Intervention Group ◽  
Berg Balance Scale ◽  
Control Group ◽  
Foot Orthoses ◽  
Timed Up And Go ◽  
Balance Scale ◽  
Randomized Controlled ◽  
Foot Function

Objectives: To compare balance, foot function and mobility in patients with rheumatoid arthritis with and without foot orthoses. Design: Randomized controlled trial. Setting: Outpatient rheumatology clinic. Subjects: A total of 94 subjects with rheumatoid arthritis were randomized; of these, 81 were included in the analyses (Intervention group: 40; Control group: 41). Intervention: The Intervention Group received custom-made foot orthoses while the Control Group received none intervention. Main measure: The “Foot Function Index,” the “Berg Balance Scale,” and the “Timed-up-and-go Test” were assessed at baseline an after four weeks. The chosen level of significance was P < 0.05. Results: Average (standard deviation) participant age was 56.7 (±10.6) years old and average disease duration (standard deviation) was 11.4 (± 7.2) years. Groups were similar at baseline, except for comorbidity index and race. After four weeks, significant interaction group versus time was observed for Foot Function Index (change: Intervention group: −1.23 ± 1.58; Control group: −0.12 ± 1.16 – P = 0.0012) and for Berg Balance Scale (change: Intervention group: 2 ± 3; Control group: 0 ± 3 – P = 0.0110), but not for the Timed-up-and-go Test (change: Intervention group: −1.34 ± 1.99; Control group: −0.84 ± 2.29 – P = 0.0799). Conclusion: Foot orthoses improved foot function and balance in patients with rheumatoid arthritis.

Early balance training with a computerized stabilometric platform in persons with mild hemiparesis in subacute stroke phase: A randomized controlled pilot study

2020 ◽  
pp. 1-9
Author(s):  
Brunelli Stefano ◽  
Gentileschi Noemi ◽  
Iosa Marco ◽  
Fusco Francesca Romana ◽  
Grossi Valerio ◽  
...  
Keyword(s):  
Balance Training ◽  
Standing Position ◽  
Berg Balance Scale ◽  
Control Group ◽  
Subacute Phase ◽  
Balance Scale ◽  
Subacute Stroke ◽  
The Difference ◽  
Conventional Physiotherapy ◽  
Experimental Group

Background: Along with conventional therapy, novel tools are being developed in balance training for the rehabilitation of persons with stroke sequelae. The efficacy of Computerized Balance Training thus far been the object of studies only in persons with chronic stroke. Objective: To investigate the effects of an early Computerized Balance Training on balance, walking endurance and independence in activities of daily living, in persons with mild hemiparesis in subacute phase. Methods: Thirty-two persons with a recent hemiparesis (within 4 weeks from stroke onset), able to maintain a standing position for at least 30 seconds were randomly assigned to an experimental or control group. The control group (CG) were administered conventional physiotherapy of 40 minutes twice a day, five times a week for 4 weeks, while the experimental group (EG) underwent conventional physiotherapy 40 minutes once a day and Computerized Balance Training once a day, 5 times a week for 4 weeks. Outcomes were evaluated by means of Berg Balance scale (BBS), Tinetti Balance Scale (TBS), Two Minutes Walk Test (2MWT), Barthel Index (BI) and stabilometric tests. Results: Twelve participants for each group completed the training. Each group experienced 8 dropouts. The mean age (years) was 58.1±20.4 for EG and 59.7±14,7 for CG; the days from stroke were respectively 27.9±15.5 and 20±11.7. The difference between the two groups was statistically significant in experimental group for BBS (p = 0.003), for TBS (p = 0.028), for Sensory Integration and Balance tests performed with closed eyes on steady (p = 0.009) or instable surface (p = 0.023). and for 2MWT (p = 0.008). Conclusions: Computerized Balance Training is an effective therapeutic tool for balance and gait endurance improvement in persons with stroke in subacute phase.

scholarly journals THE INFLUENCE OF ACTIVE REHABILITATION ON THE RECOVERY OF COGNITIVE AND PSYCHOEMOTIONAL DISORDERS AFTER ISCHEMIC STROKE

2021 ◽  
Vol 74 (8) ◽  
pp. 1910-1916
Author(s):  
Oleksandr O. Pushko
Keyword(s):  
Ischemic Stroke ◽  
Cerebrovascular Disorders ◽  
Control Group ◽  
Comprehensive Treatment ◽  
Rehabilitation Treatment ◽  
Comprehensive Therapy ◽  
Group 2 ◽  
Active Rehabilitation ◽  
The Impact ◽  
Group 1

The aim: Was to evaluate the impact of active rehabilitation treatment in the scheme of comprehensive therapy of patients with cerebral hemispheric ischemic stroke on the dynamics of recovery of cognitive and psychoemotional disorders, as well as to study their correlations. Materials and methods: The study involved 138 patients: 30 apparently healthy individuals (control group, CG, n = 30) without acute cerebrovascular disorders (anamnestic and neuroimaging), of whom 53.33% were men (n = 16) and 46.67% women (n = 14), the average age of patients in the group was 57.9 ± 1.45 years; 108 people diagnosed with cerebral hemispheric ischemic stroke (n = 108), of whom 62.96% were men (n = 68) and 37.04% women (n = 40), the average age of patients in the group was 58.4 ± 0.76 years. The neurocognitive assessment was performed using the international standardized scales: MMSE, MoCa were used to assess the cognitive sphere, and BDI, STAI (STAI SA, STAI TA) were used to assess psychoemotional disorders. Results: Patients in the comprehensive treatment scheme were additionally prescribed and given two courses of rehabilitation treatment using active rehabilitation methods after the first and third examinations, recovery of cognitive and psychoemotional disorders was significantly faster and better than in group 1, where “classical” measures were applied with the predominance of medicinal therapy. Thus, the average score on the MoCa scale during examination on days 3-7 after cerebral hemispheric ischemic stroke in group 1 was 19.71 ± 0.62 points, in group 2 – 19.17 ± 0.54 points, and during evaluation after 6 months in group 2 – 24.72 ± 0.26 points against 22.19 ± 0.41 points (p <0.0001) in group 1. According to the MMSE scale during examination on days 3-7 after cerebral hemispheric ischemic stroke, the average indicator in group 1 was 22.56 ± 0.43 points, in group 2 – 22.47 ± 0.37 points, and when evaluated after 6 months in group 2 – 25.83 ± 0.23 points against 24.35 ± 0.27 points (p = 0.0001) in group 1. Conclusions: The use of methods for active rehabilitation in the treatment of patients in acute and recovery periods of cerebral hemispheric ischemic stroke significantly contributes to the acceleration and enhancement of the recuperation of cognitive and psychoemotional functions after the acute cerebral accident. The obtained results can find practical application in improving the effectiveness of therapeutic and rehabilitation programs in patients with cerebral hemispheric ischemic stroke to reduce their post-stroke deficit.

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