Rehabilitation of postural stability in ataxic/hemiplegic patients after stroke

Abstract

Purpose: This study assesses the postural stability and the effect of balance training using a force platform visual biofeedback among outpatients with postural disturbances following stroke. Method: A tilting multiaxial force platform was used to assess bilateral postural stability in 38 outpatients (mean age 69.50 ± 8.57 years) with hemiplegia and/or ataxia after stroke. Stability indexes were obtained. Afterwards, a subgroup of 12 patients with the poorest overall stability index (OASI) started a balance training programme in the force platform.Postural control training consisted of a 30 minute training session once a week for a 15 week period. The test was then repeated. Results: In the 38 outpatients sample the mean OASI was 4.7 ± 2.0 and 42.1% of the patients used their hands for support. In the 12 outpatients group, the initial OASI was 5.8 ± 2.3 and half of the patients used their hands for support. The final OASI was 3.3 ± 1.0 (p=0.005) and only 2 of the patients used their hands for support (p=0.046). Conclusion: Our results suggest that a training program using force platform visual biofeedback improves objective measures of bilateral postural stability in patients with hemiplegia and/or ataxia after stroke.

Assessment of Body Balance with the use of a Stabilometric Platform in Early Cerebral Infarction Sufferers

“…Research results [18][19][20] demonstrate an impairment of the feedforward balance control required for retaining the balance disturbed by the patient in cerebral stroke sufferers. An example of this is the often restriction of the ability to shift the body weight-especially on the paretic LL.…”

A new posture-correcting system using a vector angle model for preventing forward head posture

“…If a system is designed to give feedback to patients, it would give consequentially superior results. [ 17 ] That is why this study proposes a new system, functional electrical stimulation (FES), for correcting posture based on a mathematically digitized vector.…”

“…Due to the fact that the main controller automatically and continuously decides how to deal with treatment, the system unit can be constructed as a portable device. [ 11 , 17 ]…”

The Effect of 8 Weeks of Dynamic Neuromuscular Stability (DNS) Exercises on the Performance and Quality of Men and Women's Life with Apoplexy (Stroke)

“…Poor motor control and inadequate posture stability can increase future problems for these patients. Unbalance and increased risk of falling in this cortex, which are mostly elders, can cause countless losses (Januário et al, 2010). Dangers of falling out, such as fractures, physical and psychological imbalances (Gillen, 2015), high medical costs (Gillen, 2015) and threats to the family foundation (Skidmore et al, 2015), and finding strategies that can improve postural and improve the motor's performance and quality of life in these patients are essential.…”