Document Detail


Post-stroke balance training: role of force platform with visual feedback technique.
MedLine Citation:
PMID:  19733860     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the role of balance training on Force Platform with Visual Feedback technique (FPVF) in improving balance and functional outcome in chronic stroke survivors. DESIGN: Prospective, repeated measure study. SETTINGS: Neurological rehabilitation department of a tertiary research center. PARTICIPANTS: First episode of supra-tentorial stroke with more than 3 months duration, ability to follow 3 step commands, and impaired balance and gait with ability to walk independently or with one person support (Functional Ambulation Category II-IV). INTERVENTIONS: Training on "Balance Master" for 20 sessions (20 min/day, 5 days/week for 4 weeks). OUTCOME MEASURES: Balance on Berg Balance Scale, Balance Index and Limits of Stability scores, walking ability on over ground walking speed, and functional ability on Barthel Index. Evaluation was done pre- and post-training and at 3 months follow-up. Statistical analysis was done by Paired t test on SPSS 13.0. RESULTS: Forty five patients (M:W: 36:9, age range: 22-65 years, mean post-stroke duration of 16.51+/-15.14 months) were included. Forty (89.9%) subjects completed training and all primary and secondary outcome measures showed statistically significant improvement (p<0.000) at the end of training. Thirty-four (75.6%) subjects were followed up and statistically significant improvement (p<0.000) was maintained for all outcome measures. CONCLUSION: Balance training by FPVF technique significantly improves balance and functional outcome even in chronic phase after stroke. Large scale, controlled studies are recommended.
Authors:
Abhishek Srivastava; Arun B Taly; Anupam Gupta; Senthil Kumar; Thyloth Murali
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-09-06
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  287     ISSN:  1878-5883     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-09     Completed Date:  2010-02-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  89-93     Citation Subset:  IM    
Affiliation:
Presently at, Center for Physical Medicine and Rehabilitation, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai 400053, India. abhishek.m.srivastava@relianceada.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Disability Evaluation
Exercise Therapy / instrumentation,  methods
Feedback, Sensory / physiology*
Female
Gait Disorders, Neurologic / etiology,  physiopathology,  rehabilitation
Humans
Locomotion / physiology
Male
Middle Aged
Movement Disorders / etiology,  physiopathology,  rehabilitation*
Outcome Assessment (Health Care)
Physical Therapy Modalities / instrumentation*
Postural Balance / physiology*
Prospective Studies
Psychomotor Performance / physiology
Stroke / complications,  rehabilitation*
Treatment Outcome
Young Adult

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


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