Document Detail


Determining the preferred modality for real-time biofeedback during balance training.
MedLine Citation:
PMID:  23022157     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Vestibular rehabilitation therapy has been shown to improve balance and gait stability in individuals with vestibular deficits. However, patient compliance with prescribed home exercise programs is variable. Real-time feedback of exercise performance can potentially improve exercise execution, exercise motivation, and rehabilitation outcomes. The goal of this study is to directly compare the effects of visual and vibrotactile feedback on postural performance to inform the selection of a feedback modality for inclusion in a home-based balance rehabilitation device. Eight subjects (46.6±10.6years) with peripheral vestibular deficits and eight age-matched control subjects (45.3±11.1years) participated in the study. Subjects performed eyes-open tandem Romberg stance trials with (vibrotactile, discrete visual, continuous visual, and multimodal) and without (baseline) feedback. Main outcome measures included medial-lateral (M/L) and anterior-posterior mean and standard deviation of body tilt, percent time spent within a no-feedback zone, and mean score on a comparative ranking survey. Both groups improved performance for each feedback modality compared to baseline, with no significant differences in performance observed among vibrotactile, discrete visual, or multimodal feedback for either group. Subjects with vestibular deficits performed best with continuous visual feedback and ranked it highest. Although the control subjects performed best with continuous visual feedback in terms of mean M/L tilt, they ranked it lowest. Despite the observed improvements, continuous visual feedback involves tracking a moving target, which was noted to induce dizziness in some subjects with vestibular deficits and cannot be used during exercises in which head position is actively changed or during eyes-closed conditions.
Authors:
Kelli E Bechly; Wendy J Carender; James D Myles; Kathleen H Sienko
Related Documents :
24455247 - The good life: assessing the relative importance of physical, psychological, and self-e...
23170747 - Influence of neuromuscular fatigue on accelerometer load in elite australian football p...
11526067 - Egg longevity and time-integrated fertilization in a temperate sea urchin (strongylocen...
11217897 - Unifying the relationships of species richness to productivity and disturbance.
975977 - A comparison of two bipolar exercise electrocardiographic leads to lead v5.
7653737 - Decrease of t-lymphocyte proliferation in exercise-induced asthma.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-09-28
Journal Detail:
Title:  Gait & posture     Volume:  37     ISSN:  1879-2219     ISO Abbreviation:  Gait Posture     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-03-07     Completed Date:  2013-08-20     Revised Date:  2014-06-12    
Medline Journal Info:
Nlm Unique ID:  9416830     Medline TA:  Gait Posture     Country:  England    
Other Details:
Languages:  eng     Pagination:  391-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier B.V. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Biofeedback, Psychology / instrumentation,  methods*
Case-Control Studies
Equipment Design
Feedback, Sensory*
Female
Gait Disorders, Neurologic / rehabilitation
Humans
Male
Middle Aged
Patient Preference
Postural Balance*
Touch
Treatment Outcome
Vestibular Diseases / rehabilitation*
Vestibular Function Tests
Vibration
Vision, Ocular
Grant Support
ID/Acronym/Agency:
P30 AG024824/AG/NIA NIH HHS

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


Previous Document:  Secondary gait deviations in patients with and without neurological involvement: A systematic review...
Next Document:  Photorefractive Keratectomy Followed by Cross-linking versus Cross-linking Alone for Management of P...