The aim of the experiment was to analyze the influence of posturographic platform
biofeedback training on the dynamic balance of patients who experienced ischemic stroke.
The study included 21 patients treated at the Rehabilitation Center of the District
Hospital in Białogard, in the Ward of Neurological Rehabilitation with the Stroke
Division. The age of the patients (11 in the experimental and 10 in the control group)
ranged between 55 and 65 years. The level of dynamic balance was determined with Timed
Up and Go Test. The experimental group was subjected to the biofeedback training,
practicing maintenance of body balance (forced sway training) on posturographic platform
for 15 consecutive days. The perception of dynamic balance in the group subjected
to biofeedback training improved to a markedly greater extent (P < .05) as compared with conventionally rehabilitated group. Participation in biofeedback
training exerted stronger effect on the dynamic balance of patients who experienced
the stroke of the left hemisphere with right-sided hemiparesis than in those with
right hemisphere stroke and left-sided hemiparesis. The utilization of feedback mechanisms
during training on a posturographic platform can be reflected by enhanced stimulation
and further improvement of the control of performed motor tasks.
Key Words
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References
- Cardiovascular fitness after stroke: role of muscle mass and gait deficit severity.J Stroke Cerebrovasc Dis. 2000; 9: 185-191
- The incidence, management, and complications of dysphagia in patients with medullary strokes admitted to a rehabilitation unit.Dysphagia. 2002; 17: 115-120
- An analysis of falls occurring in patients with stroke on an acute rehabilitation unit.Rehabil Nurs. 2008; 33: 104-109
- Validation of a fall risk index in stroke rehabilitation.J Stroke Cerebrovasc Dis. 2005; 14: 23-28
- Relationship of balance and mobility to fall incidence in people with chronic stroke.Phys Ther. 2005; 85: 150-158
- Falls among Chinese stroke patients during rehabilitation.Arch Phys Med Rehabil. 2001; 82: 1219-1225
- Patient falls in stroke rehabilitation. A challenge to rehabilitation strategies.Stroke. 1995; 26: 838-842
- Falls in stroke patients: risk factors and risk management.IMAJ. 2010; 12: 216-219
- An integrative review of factors associated with falls during post-stroke rehabilitation.J Nurs Scholarsh. 2010; 42: 395-404
- Risk factors for falls in post-stroke patients treated in a neurorehabilitation ward.Neurol Neuroch Pol. 2007; 41: 28-35
- Posturographic description of the regaining of postural stability following stroke.Clin Physiol Funct Imaging. 2005; 25: 1-9
- Rehabilitation of balance after stroke with multisensorial training: a single-blind randomized controlled study.Neurorehabil Neural Repair. 2008; 22: 468-476
- Biofeedback therapy in stroke rehabilitation: a review.J R Soc Med. 1997; 90: 33-39
- The effect of electromyographic biofeedback treatment in improving upper extremity functioning of patients with hemiplegic stroke.J Stroke Cerebrovasc Dis. 2012; 21: 187-192
- Rehabilitation of walking with electromyographic biofeedback in foot-drop after stroke.Stroke. 1994; 25: 1189-1192
- Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?.Age Ageing. 2006; 35: ii7-ii11
- The effectiveness of functional electrical stimulation (FES), biofeedback and exercise therapy on various parameters of lower limb muscle strength, kinematics of gait and balance in stroke patients: a comparative study.JRRS. 2010; 6: 1-2
- Biofeedback therapy in poststroke rehabilitation: a meta-analysis of the randomized controlled trials.Arch Phys Med Rehabil. 1995; 76: 508-515
- Recent developments in biofeedback for neuromotor rehabilitation.JNER. 2006; 3: 11
- Development and validation of a functional fitness test for community-residing older adults.J Aging Phys Act. 1999; 7: 129-161
- Senior fitness test manual.California State University, Fullerton; Champaign, IL: Human Kinetics, 2001
- Expanded Timed Up and Go Test with subjects with stroke: reliability and comparisons with matched healthy controls.Arch Physic Med Rehabil. 2012; 93: 1034-1039
- Accuracy of Timed Up and Go Test for screening risk of falls among community-dwelling elderly.Braz J Phys Ther. 2012; 16: 381-386
- Effect of tai chi on body balance: randomised controlled trial in men with osteopenia or osteoporosis.AJCM. 2007; 35: 1-9
- Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention.Arch Phys Med Rehabil. 2001; 82: 1650-1654
- Reliance on visual information after stroke. Part I: balance on dynamic posturography.Arch Phys Med Rehabil. 2004; 85: 268-273
- Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training.Phys Ther. 2001; 81: 995-1005
- Visual feedback after stroke with balance performance monitor: two single case studies.Clin Rehabil. 1993; 7: 189-195
- Ocena skuteczności biologicznego sprzężenia zwrotnego w ćwiczeniach na Platformie MTD control jako czynnika wspomagającego fizjoterapię u osób po przebytym udarze mózgu.Balneol Pol. 2008; 50: 116-124
- Effects of repetitive motor training on movement representations in adult squirrel monkeys: role of use versus learning.Neurobiol Learn Mem. 2000; 74: 27-55
- Implicit and explicit learning in an auditory serial reaction time task.Acta Neurol Scand. 1998; 97: 131-137
- The plastic human brain cortex.Annu Rev Neurosci. 2005; 28: 377-401
- Force platform feedback for standing balance training after stroke.Cochrane Database Syst Rev. 2004; : CD004129
- Critical analysis of measurements in balance: a clinical approach.in: Proceedings of the 16th Annual Eugene Michels Researchers' Forum, American Physical Therapy Association Combined Sections Meeting, Atlanta, GA. American Physical Therapy Association, Alexandria, VA1996: 5-8
- Using non-invasive brain stimulation to augment motor training-induced plasticity.JNER. 2009; 6: 8-21
- Stroke: influence of patient's sex and side of weakness on outcome.Arch Phys Med Rehabil. 1984; 65: 513-516
- Can the site of brain lesion predict improved motor function after low-TENS treatment on the post-stroke paretic arm?.Clin Rehabil. 2001; 15: 545-551
Article info
Publication history
Published online: April 28, 2014
Accepted:
October 14,
2013
Received in revised form:
September 4,
2013
Received:
July 9,
2013
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2013.10.029
Copyright
© 2014 National Stroke Association. Published by Elsevier Inc. All rights reserved.