Vibrotactile neurofeedback balance training in patients with Parkinson's disease: Reducing the number of falls

Rossi-Izquierdo, Marcos; Ernst, Arne; Soto-Varela, Andrés; Santos-Pérez, Sofía; Faraldo-García, Ana; Sesar-Ignacio, Ángel; Basta, Dietmar

doi:10.1016/j.gaitpost.2012.07.002

Cited by 126 publications

(65 citation statements)

References 24 publications

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“…Lahr et al [6], for example, showed that PD subjects presented a higher reliance on vision on the dominant side to compensate somatosensory system impairments. Vibrotactile neurofeedback, known to stimulate the proprioception of the subjects, has been proven beneficial to subjects with PD [7].…”

Section: Introductionmentioning

confidence: 99%

Postural instability in subjects with Parkinson’s disease undergoing different sensory pitfalls

et al. 2018

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Purpose. Previous research has reported postural instability in subjects with Parkinson's disease (PD). However, there are still doubts about the effect of sensory stimuli on one's balance. In this study, we further investigated the stabilometric measures of individuals with PD, analysing the impact of different sensory stimuli on the outcomes. Methods. The total of 26 participants (13 with PD and 13 matched control peers) were submitted to 8 sensorimotor dynamics differing in relation to support base (30 cm vs. 10 cm, feet in parallel vs. feet in semi-tandem position), contact surface (foam vs. no foam), and visual conditions (eyes open vs. eyes closed). The measures used to assess one's balance were body position in space, area of support base, and velocity of postural control. The variables involved the anterior-posterior and the mediolateral axes. Participants with PD were evaluated during the off medication state. Mann-Whitney U test and Friedman's test were applied to carry out inter-and intra-group comparisons. Significance was set at 5%. Results. Cross-sectional analyses illustrated that tasks with sensory pitfalls impacted postural stability to a larger extent in PD subjects. The differences were found in anterior-posterior body position, area of support base, anterior-posterior velocity, and mediolateral velocity. Complementary analyses confirmed considerable instability on balance when support bases were small and visual information was absent (p < 0.05). Conclusions. The current results confirm worse postural stability response in subjects with PD and highlight that the interference of the sensory pitfalls is notable when individuals are off medication.

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Section: Introductionmentioning

confidence: 99%

Postural instability in subjects with Parkinson’s disease undergoing different sensory pitfalls

et al. 2018

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“…The most important one is that the sample of the subjects was small and probably not representative of the larger population. However, to test the basic attributes of the method proposed for the study of postural stability in this preliminary study, a sample of ten Pts and eleven HS is sufficient, just as it was in similar works (Rossi-Izquierdo et al, 2013). A second limitation in this study is that only one measurement of each subject was made.…”

Section: Discussionmentioning

confidence: 99%

Trajectory length of pitch vs. roll: Technique for assessment of postural stability

Kutílek¹,

Socha²,

Čakrt³

et al. 2015

Acta Gymnica

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“…Until now, EMG-supported biofeedback training has been applied and examined especially in order to improve the control in pelvic floor muscles in pwMS [8,18,19]. In concern of gait and balance, biofeedback training has been applied in people with PD, because the usage of internal and external cues has been proved successfully in the therapeutic setting of persons suffering from this specific neurodegenerative disease [20][21][22][23]. Internal cues are defined as body signals (e.g.…”

Section: Discussionmentioning

confidence: 99%

EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study

Kersten¹,

Fuchs²,

Liebherr³

2017

JNSK

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Background: Until now, the etiology of Multiple Sclerosis (MS) has not been clarified. The symptoms vary from person to person and can affect motor, sensory, and cognitive body functions.Objectives: Next to pharmacological treatments, non-pharmacological therapy approaches become more and more important for maintaining physical, sensory, psychological and social functions in people with MS (pwMS). Furthermore, Biofeedback (BF) seems to be an interesting treatment option in order to improve motor functions such as postural stability, walking safety and walking speed in pwMS. Methods:In the present case study, an Electromyography-Biofeedback (EMG-BF) has been examined over 6 weeks in a 74-year old female with MS. Functional Gait Assessment (FGA) and 10-Meter-Walking-Test (10MWT) has been tested pre (t0), after three weeks, (t1) and after six weeks (t2) of treatment (2x/week). Results:The results showed an increase in walking speed after 3 and 6 weeks in 10MWT and a decrease of postural stability after 3 weeks. In contrast, postural stability increased after 6 weeks. The participant tolerated the EMG-BF training very well and she felt more secure in everyday life in relating to a better perception of her feet in the moment of foot contact while walking.Conclusions: EMG-BF training has been examined especially in order to improve the control of pelvic floor muscles in pwMS. Additionally, pwMS might benefit from BF training in regard to improve gait and postural control. More research is necessary to examine BF therapy options in order to support pwMS in their current motor impairments.Citation: Kersten S, Fuchs B, Liebherr M (2017) EMG -Supported Biofeedback Training in a Person with Multiple Sclerosis -A Case Study. J Neurol Stroke 7(7): 00268.

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Vibrotactile neurofeedback balance training in patients with Parkinson's disease: Reducing the number of falls

Cited by 126 publications

References 24 publications

Postural instability in subjects with Parkinson’s disease undergoing different sensory pitfalls

Postural instability in subjects with Parkinson’s disease undergoing different sensory pitfalls

Trajectory length of pitch vs. roll: Technique for assessment of postural stability

EMG - Supported Biofeedback Training in a Person with Multiple Sclerosis - A Case Study

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