Effects of Weight-Shift Training on Balance Control and Weight Distribution in Chronic Stroke: A Pilot Study

Tsaklis, Panagiotis; Grooten, Wilhelmus Johannes Andreas; Franzén, Erika

doi:10.1310/tsr1901-23

Cited by 55 publications

(50 citation statements)

References 31 publications

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“…Concurrent augmented visual feedback has also been applied to re-learning balancing tasks among individuals with impaired balance due to neurologic injury (Shumway-Cook et al 1988;Winstein et al 1989;Sackley and Lincoln 1997;Walker et al 2000;Ioffe et al 2010;Sayenko et al 2010;Tsaklis et al 2012) or aging (Wolf et al 1997;Rose and Clark 2000;Lajoie 2004;Sihvonen et al 2004b;Hatzitaki et al 2009). Typically, this is done by asking the participant to stand on one or two force platforms and providing visual feedback regarding weight distribution between the two limbs (Winstein et al 1989;Sackley and Lincoln 1997;Hatzitaki et al 2009), or the location of the centre of gravity (COG; Rose and Clark 2000;Walker et al 2000) or centre of pressure (COP; Shumway-Cook et al 1988;Lajoie 2004;Sihvonen et al 2004b;Ioffe et al 2010;Sayenko et al 2010;Tsaklis et al 2012). With the goal of improving quiet standing balance control when provided with feedback of the COG or COP, participants are asked to minimize movement of the COG or COP (Shumway-Cook et al 1988;Lajoie 2004;Sayenko et al 2010;Tsaklis et al 2012).…”

Section: Introductionmentioning

confidence: 99%

“…Typically, this is done by asking the participant to stand on one or two force platforms and providing visual feedback regarding weight distribution between the two limbs (Winstein et al 1989;Sackley and Lincoln 1997;Hatzitaki et al 2009), or the location of the centre of gravity (COG; Rose and Clark 2000;Walker et al 2000) or centre of pressure (COP; Shumway-Cook et al 1988;Lajoie 2004;Sihvonen et al 2004b;Ioffe et al 2010;Sayenko et al 2010;Tsaklis et al 2012). With the goal of improving quiet standing balance control when provided with feedback of the COG or COP, participants are asked to minimize movement of the COG or COP (Shumway-Cook et al 1988;Lajoie 2004;Sayenko et al 2010;Tsaklis et al 2012). This type of concurrent feedback allows the participant to identify that a balance control error has occurred (i.e., that the COG or COP has travelled too far from the ideal location) and to correct this error in real-time.…”

Section: Introductionmentioning

confidence: 99%

“…Presumably, through repeated practice with augmented feedback, participants eventually learn to identify and correct these errors and retain this skill even after feedback is removed. Indeed, studies suggest that repeated practice with this type of feedback can improve some features of quiet standing balance control, such as stance symmetry (Shumway-Cook et al 1988) or postural sway (Sayenko et al 2010;Tsaklis et al 2012), and can improve functional balance control (Lajoie 2004). …”

Section: Introductionmentioning

confidence: 99%

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Can augmented feedback facilitate learning a reactive balance task among older adults?

et al. 2016

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While concurrent augmented visual feedback of the centre of pressure (COP) or centre of gravity (COG) can improve quiet standing balance control, it is not known if such feedback improves reactive balance control. Additionally, it is not known if feedback of the COP or COG is superior. This study aimed to determine if: 1) concurrent augmented feedback can improve reactive balance control; and 2) feedback of the COP or COG is more effective. Forty-eight healthy older adults (60-75 years old) were randomly allocated to one of 3 groups: feedback of the COP, feedback of the COG, or No Feedback. The task was to maintain standing while experiencing 30 seconds of continuous pseudo-random perturbations delivered by a moving platform. Participants completed 25 trials with or without feedback (acquisition), immediately followed by 5 trials without feedback (immediate transfer); 5 trials without feedback were completed after a 24-hour delay (delayed transfer). The root mean square error (RMSE) of COP-COG, electrodermal level, and cocontraction index were compared between the groups and over time. All three groups reduced RMSE and co-contraction index from the start of the acquisition to the transfer tests, and there were no significant between-group differences in RMSE or co-contraction on the transfer tests. Therefore, all three groups learned the task equally well and improved balance was achieved with practice via a more efficient control strategy. The two feedback groups reduced electrodermal level with practice, but the No Feedback group did not, suggesting that feedback may help to reduce anxiety.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Can augmented feedback facilitate learning a reactive balance task among older adults?

et al. 2016

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“…The Romberg test observes the different standing performances between E/O and E/C conditions, and was first used for detecting vestibular issues; however, the Romberg test was also extended to assess balance ability, owing to the fact that a decrease in visual input may affect balance performance. The forward reach test is a dynamic balance test that evaluates how far a person can reach without losing balance: when a person is able to reach farther, their balance ability is considered to be superior [11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Development of a Smartphone-Based Balance Assessment System for Subjects with Stroke

Hou¹,

Chiu²,

Chiang

et al. 2019

Sensors

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Stroke is a cerebral artery disease that negatively affects activities of daily living (ADLs) and quality of life (QoL). Smartphones have demonstrated strong potential in assessing balance performance. However, such smartphone-based tools have thus far not been applied to stroke survivors. The purpose of this study was to develop a smartphone-based balance assessment system for subjects who have experienced strokes and evaluate the system feasibility. The smartphone-based balance assessment application was developed with Android Studio, and reliability and validity tests were conducted. The smartphone was used to record data using a built-in accelerometer and gyroscope, and increased changes represented greater instability. Six postures were tested for 30 s each. Ten healthy adults were recruited in the reliability test, and the intraclass correlation coefficient (ICC) was used to analyze the within-day and between-day reliabilities. Eight subjects with chronic stroke and eight healthy adults were recruited for the validity test, in which balance performance was compared to represent the application validity. The ICC values of the reliability tests were at least 0.76 (p = 0.00). The acceleration data exhibited no difference between individuals who have experienced stroke and healthy subjects; however, all six postures were found to differ significantly between the two groups in the gyroscope data. The study demonstrates that the smartphone application provides a convenient, reliable, and valid tool for the balance assessments of subjects who have experienced chronic stroke.

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“…Previous studies on weight shifting have studied the use of prop exercises or games for balance training and use of a force plate that receives COP information on the body weight [11,12]. Feedback training is to correct performance for effective outcomes for during exercise and training, and the method of the feedback is provided by verbal command, hand contact, visual information or auditory signals [13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Effects of real-time feedback training on weight shifting during golf swinging on golf performance in amateur golfers

Hwang

Choi

Shin

2017

PTRS

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Objective: The purpose of this study was to examine the effects of real-time visual feedback weight shift training during golf swinging on golf performance. Design: Repeated-measures crossover design. Methods: Twenty-sixth amateur golfers were enrolled and randomly divided into two groups: The golf swing training with real-time feedback on weight shift (experimental group) swing training on the Wii balance board (WBB) by viewing the center of pressure (COP) trajectory on the WBB. All participants were assigned to the experimental group and the control group. The general golf swing training group (control group) performed on the ground. The golf performance was measured using a high-speed 3-dimensional camera sensor which analyses the shot distance, ball velocity, vertical launch angle, horizontal launch angle, back spin velocity and side spin velocity. The COP trajectory was assessed during 10 practice sessions and the mean was used. The golf performance measurement was repeated three times and its mean value was used. The assessment and training were performed at 24-hour intervals. Results: After training sessions, the change in shot distance, ball velocity, and horizontal launch angle pre-and post-training were significantly different when using the driver and iron clubs in the experimental group (p<0.05). The interaction time×group and time×club were not significant for all variables. Conclusions: In this study, real-time feedback training using real-time feedback on weight shifting improves golf shot distance and accuracy, which will be effective in increasing golf performance. In addition, it can be used as an index for golf player ability.

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Effects of Weight-Shift Training on Balance Control and Weight Distribution in Chronic Stroke: A Pilot Study

Abstract: A weight-shift training program improved balance control but not weight distribution in a group of chronic stroke subjects. Larger, randomized, and controlled studies are necessary.

Cited by 55 publications

References 31 publications

Can augmented feedback facilitate learning a reactive balance task among older adults?

Can augmented feedback facilitate learning a reactive balance task among older adults?

Development of a Smartphone-Based Balance Assessment System for Subjects with Stroke

Effects of real-time feedback training on weight shifting during golf swinging on golf performance in amateur golfers

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