Document Detail


Clinical observational gait analysis to evaluate improvement of balance during gait with vibrotactile biofeedback.
MedLine Citation:
PMID:  21207506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: This study explores the effect of vibrotactile biofeedback on gait in 20 patients with bilateral vestibular areflexia using observational gait analysis to score individual balance.
METHODS: A tilt sensor mounted on the head or trunk is used to detect head or body tilt and activates, via a microprocessor, 12 equally distributed vibrators placed around the waist. Two positions of the tilt sensor were evaluated besides no biofeedback in three different gait velocity tasks (slow/fast tandem gait, normal gait on foam) resulting in nine different randomized conditions. Biofeedback activated versus inactivated was compared. Twenty patients (10 males, 10 females, age 39-77 years) with a bilateral vestibular areflexia or severe bilateral vestibular hyporeflexia, severe balance problems and frequent falls participated in this study.
RESULTS: Significant improvements in balance during gait were shown in our patients using biofeedback and sensor on the trunk. Only two patients showed a significant individual gait improvement with the biofeedback system, but in the majority of our patients, it increased confidence and a feeling of balance.
CONCLUSION: This study indicates the feasibility of vibrotactile biofeedback for vestibular rehabilitation and to improve balance during gait.
Authors:
Maurice Janssen; Rianne Pas; Jos Aarts; Yvonne Janssen-Potten; Hans Vles; Christine Nabuurs; Rob van Lummel; Robert Stokroos; Herman Kingma
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2011-01-05
Journal Detail:
Title:  Physiotherapy research international : the journal for researchers and clinicians in physical therapy     Volume:  17     ISSN:  1471-2865     ISO Abbreviation:  Physiother Res Int     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-24     Completed Date:  2012-06-21     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  9612022     Medline TA:  Physiother Res Int     Country:  United States    
Other Details:
Languages:  eng     Pagination:  4-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 John Wiley & Sons, Ltd.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biofeedback, Psychology / methods*
Female
Gait / physiology*
Humans
Male
Middle Aged
Postural Balance / physiology*
Reflex, Abnormal / physiology
Severity of Illness Index
Vestibular Diseases / physiopathology,  rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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