Task-specificity of balance training

Giboin, Louis-Solal; Grüber, Markus; Krämer, Andreas

doi:10.1016/j.humov.2015.08.012

Cited by 141 publications

(151 citation statements)

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“…Conventional balance training studies have shown that a transfer from trained to untrained tasks is limited [39] . Interestingly, a study included in this review reported transfer effects of trained tasks to nontrained tasks after a single training session in PD patients [28] .…”

Section: Training Effectsmentioning

confidence: 99%

Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performance in Healthy and Patient Populations: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2017

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n = 1, type 3: n = 3) or combined different types of training paradigms within their intervention (type 1 and 2: n = 2; all types: n = 2). The meta-analyses revealed significant overall effects of WS training on static steady-state balance outcomes including mediolateral (eyes open: Hedges' g = 0.82, CI: 0.43-1.21; eyes closed: g = 0.57, CI: 0.14-0.99) and anterior-posterior sway (eyes open: g = 0.55, CI: 0.01-1.10; eyes closed: g = 0.44, CI: 0.02-0.86). No effects on habitual gait speed were found in the meta-analysis ( g = -0.19, CI: -0.68 to 0.29). Two RCTs reported significant improvements for selected gait variables including single support time, and fast gait speed. One study identified effects on proactive balance (Alternate Step Test), but no effects were found for the Timed Up and Go test and the Berg Balance Scale. Two studies reported positive results on feasibility and usability. Only one study was performed in an unsupervised setting. Conclusion: This review provides evidence for a positive effect of WS training on static steady-state balance in studies with usual care controls and studies with conventional balance training controls. Specific gait parameters and proactive balance measures may also be improved by WS training, yet limited evidence is available. Heterogeneous training paradigms, small sample sizes, and short intervention durations limit the validity of our findings. Larger studies are required for estimating the true potential of WS technology. © 2017 S. Karger AG, Basel KeywordsInertial measurement unit · Force sensor · Postural balance · Gait · Biofeedback · Exergame · Systematic review Abstract Background: Wearable sensors (WS) can accurately measure body motion and provide interactive feedback for supporting motor learning. Objective: This review aims to summarize current evidence for the effectiveness of WS training for improving balance, gait and functional performance. Methods: A systematic literature search was performed in PubMed, Cochrane, Web of Science, and CINAHL. Randomized controlled trials (RCTs) using a WS exercise program were included. Study quality was examined by the PEDro scale. Metaanalyses were conducted to estimate the effects of WS balance training on the most frequently reported outcome parameters. Results: Eight RCTs were included (Parkinson n = 2, stroke n = 1, Parkinson/stroke n = 1, peripheral neuropathy n = 2, frail older adults n = 1, healthy older adults n = 1). The sample size ranged from n = 20 to 40. Three types of training paradigms were used: (1) static steady-state balance training, (2) dynamic steady-state balance training, which includes gait training, and (3) proactive balance training. RCTs either used one type of training paradigm (type 2:

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Section: Training Effectsmentioning

confidence: 99%

Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performance in Healthy and Patient Populations: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2017

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“…If the learned response on the SL would have been transferred to the FL task, the SOM and k-means cluster algorithm should have been able to discern this by mapping the FL-post-trials into clusters of units with even higher ROM, lower VEL and FREQ than the ones from clusters 1, 2 and 4. Giboin et al (2015) hypothesized that depending on the type of task, different semi-autonomous subsystems of the sensorimotor control are more or less recruited and that the control of these systems by supraspinal structures may be different. Training a specific balance task would thus induce adaptations only in the subsystems required for that task and in the control systems responsible for them (Giboin et al 2015).…”

Section: Transfer To An Unlearned Balance Taskmentioning

confidence: 99%

“…Giboin et al (2015) hypothesized that depending on the type of task, different semi-autonomous subsystems of the sensorimotor control are more or less recruited and that the control of these systems by supraspinal structures may be different. Training a specific balance task would thus induce adaptations only in the subsystems required for that task and in the control systems responsible for them (Giboin et al 2015). In the present study, subjects may have a different neural (reflex) setting when entering the slackline (Keller et al 2012) compared to a task on a stable surface.…”

Section: Transfer To An Unlearned Balance Taskmentioning

confidence: 99%

“…Also in elder subjects, slackline training showed only weak transfer effects to other tasks . A variety of challenging balance situations should be applied during training as it seems that the neural response is highly specific to the task at hand and the external stimulus/perturbation exerted on the movement system (Giboin et al 2015).…”

Section: Transfer To An Unlearned Balance Taskmentioning

confidence: 99%

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Changes in balance coordination and transfer to an unlearned balance task after slackline training: a self-organizing map analysis

et al. 2017

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effect size was more than three times larger in the slackline. The SOM analysis, followed by a k-means clustering and marginal homogeneity test, showed that the balance coordination pattern was significantly different between pre-and post-test for the slackline task only (χ 2 = 82.247; p < 0.001). The shift in balance coordination on the slackline could be characterized by an increase in range of motion and a decrease in velocity and frequency in nearly all degrees of freedom simultaneously. The observation of low transfer of coordination strategies to the flamingo task adds further evidence for the task-specificity principle of balance training, meaning that slackline training alone will be insufficient to increase postural control in other challenging situations.

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“…It has been shown that balance training induces very task-specific performance improvements (i.e. balance training can improve the performance in trained tasks but may have only minor or no effects on nontrained tasks) (30,31,32). Therefore, we also used the DGI and ABC scales, which are not specific to the Balance System™ SD.…”

Section: Discussionmentioning

confidence: 99%

The Effects of a Postural Balance Training Program on Balance, Gait and Health-Related Quality of Life in Patients with Essential Tremor

Kara¹,

Kahraman²,

Tomruk³

et al. 2018

tnd

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Objective: Although the effectiveness of postural balance training on balance and gait impairment has been proven as an effective treatment approach in several patient and healthy populations, its effectiveness in patients with essential tremor (ET) is yet unknown. The aim was to examine the effects of postural balance training program on balance and gait performance, and health-related quality of life in patients with ET. Materials and Methods: This uncontrolled clinical study included patients with ET. The outcome measures were the Postural Stability Test, Limits of Stability Test, Fall Risk Test, Activities-Specific Balance Confidence scale, Dynamic Gait Index, and Short Form-36. The assessments were performed before and after the training program. The participants underwent an 8-week balance training designed to improve their ability to integrate multisensory inputs and postural control using a computerized balance assessment and training device. Results: In total, 24 patients with ET participated in the study. The compliance rate was 87.5%. There were significant improvements in all outcome measures of balance and gait performance, balance confidence, fall risk, and health-related quality of life (except the mental component, p>0.05) between baseline and 8 weeks (p<0.05). Conclusion: Our results suggest that the balance training program is a feasible method that may have positive effects on balance performance and confidence, gait performance, and health-related quality of life in patients with ET. Keywords: Balance training, essential tremor, gait, quality of life Amaç: Postürel denge eğitiminin çeşitli hastalıklarda ve sağlıklılarda denge ve yürüme bozukluğu için etkin bir tedavi yaklaşımı olarak kanıtlanmış olmasına rağmen esansiyel tremorlu (ET) hastalarda etkinliği henüz bilinmemektedir. Bu çalışmanın amacı, postürel denge eğitim programının ET'li hastalardaki denge, yürüme performansı ve sağlıkla ilgili yaşam kalitesi üzerine etkilerini incelemek idi. Gereç ve Yöntem: Bu kontrolsüz klinik çalışmaya ET'li hastalar dahil edildi. Sonuç ölçümleri Postürel Stabilite Testi, Stabilite Testi Sınırları, Güz Risk Testi, Aktivitelere Özgü Denge Güven Ölçeği, Dinamik Yürüme İndeksi ve Kısa Form-36'dan oluşmaktaydı. Değerlendirmeler, eğitim programından önce ve sonra gerçekleştirildi. Katılımcılar, bilgisayar tabanlı denge değerlendirme ve eğitim cihazı ile çoklu duyusal girdileri ve postürel kontrolleri bütünleştirme yeteneklerini geliştirmek için tasarlanmış 8 haftalık bir denge eğitimine tabi tutuldu. Bulgular: Çalışmaya toplam 24 ET'li hasta katıldı. Programı tamamlama oranı %87,5 idi. Sekiz haftanın sonunda denge ve yürüme performansı, denge güveni, düşme riski ve sağlıkla ilgili yaşam kalitesini içeren (zihinsel bileşen hariç, p>0,05) tüm sonuç ölçümlerinde anlamlı iyileşmeler tespit edildi (p<0,05). Sonuç: Bu çalışmanın bulguları, denge eğitim programının ET'li hastalardaki denge performansı ve güvenini, yürüme performansını ve sağlıkla ilgili yaşam kalitesini olumlu etkileyebilecek uygun bir yöntem olduğun...

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Task-specificity of balance training

Cited by 141 publications

References 30 publications

Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performance in Healthy and Patient Populations: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performance in Healthy and Patient Populations: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Changes in balance coordination and transfer to an unlearned balance task after slackline training: a self-organizing map analysis

The Effects of a Postural Balance Training Program on Balance, Gait and Health-Related Quality of Life in Patients with Essential Tremor

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