Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Visual Biofeedback Balance Training on Functional Ability in Children with Cerebral Palsy : A Pilot Study

  • Yun, Chang-Kyo (Department of Physical Therapy, College of Rehabilitation Science, Graduate School, Daegu University) ;
  • Yoo, Ji-Na (Rehabilitation Medicine, The Joeun Hospital)
  • Received : 2016.08.02
  • Accepted : 2016.08.05
  • Published : 2016.08.31
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Abstract

PURPOSE: The purpose of this study is to examine the impact of balance training on a three-dimensional balance trainer that provides the up-and-down vertical movement of the knee joint and left-and-right horizontal movement, along with visual feedback on the functional ability of children with spastic cerebral palsy (CPs). METHODS: 8 CPs participated in this study. The experiment was implemented for 40 minutes, three times a week for a total of six weeks. The subjects received general physiotherapy for 15 minutes in each session focused on balance and walking, as based on the neuro-developmental treatment theory. Balance training was performed for 20 minutes on a three-dimensional balance trainer where knee joint movement providing visual feedback is applied. The evaluations were conducted before and after the test, and posture sway was measured using 10 Meter Walking Test (10MWT), Timed Up & Go Test (TUG), and the Good Balance System to evaluate the functional ability and balance of the subjects RESULTS: 10MWT was not statistically significant (p>.05). On the contrary, TUG and postural sway indicate static balance showed a statistically significant decrease (p<.05). In a static balance test using the Good Balance System, the average moving speed statistically significantly decreased in the AP and ML directions (p<.05), and the mean velocity moment also significantly decreased (p<.05). CONCLUSION: These findings suggested that balance training using the three-dimensional balance trainer, with the features of visual feedback and up-and-down knee joint movement effects on increasing dynamic and static balance.

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References

  1. Ballaz L, Robert M, Parent A, et al. Impaired visually guided weight-shifting ability in children with cerebral palsy. Res Dev Disabil. 2014;35(9):1970-7. https://doi.org/10.1016/j.ridd.2014.04.019
  2. Barclay-Goddard R, Stevenson T, Poluha W, et al. Force platform feedback for standing balance training after stroke. Stroke. 2005;36:412-3. https://doi.org/10.1161/01.STR.0000152342.01701.96
  3. Bax M, Flodmark O, Tydeman C. From syndrome toward disease. Dev Med Child Neurol. 2007;49(109):39-41.
  4. Bigongiari A, e Souza FDA, Franciulli PM, et al. Anticipatory and compensatory postural adjustments in sitting in children with cerebral palsy. Hum Mov Sci. 2011;30(3):648-57. https://doi.org/10.1016/j.humov.2010.11.006
  5. Butler C, Darrah J. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: an AACPDM evidence report. Dev Med Child Neurol. 2001;43(11):778-90. https://doi.org/10.1017/S0012162201001414
  6. Byun SD, Cho DH, Choi WD, et al. Effects of the balance control training in chronic hemiplegic stroke patients. Brain Neurorehabil. 2012;5(1):32-8. https://doi.org/10.12786/bn.2012.5.1.32
  7. Carlberg EB, Hadders-Algra M. Postural dysfunction in children with cerebral palsy: some implications for therapeutic guidance. Neural plast. 2005;12(2-3):221-8. https://doi.org/10.1155/NP.2005.221
  8. Cheng PT, Wu SH, Liaw MY, et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Arch Phys Med Rehabil. 2001;82(12):1650-4. https://doi.org/10.1053/apmr.2001.26256
  9. Chen IC, Cheng PT, Chen CL, et al. Effects of balance training on hemiplegic stroke patients. Chang Gung Med J. 2002;25:583-90.
  10. Dewar R, Love S, Johnston LM. Exercise interventions improve postural control in children with cerebral palsy: a systematic review. Dev Med Child Neurol. 2015;57(6):504-20. https://doi.org/10.1111/dmcn.12660
  11. Duarte M, Zatsiorsky VM. Effects of body lean and visual information on the equilibrium maintenance during stance. Exp Brain Res. 2002;146(1):60-9. https://doi.org/10.1007/s00221-002-1154-1
  12. Ferdjallah M, Harris GF, Smith P, et al. Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech. 2002;17(3):203-10. https://doi.org/10.1016/S0268-0033(01)00121-8
  13. Girolami GL, Shiratori T, Aruin AS. Anticipatory postural adjustments in children with hemiplegia and diplegia. J Electromyogr Kinesiol. 2011;21(6):988-97. https://doi.org/10.1016/j.jelekin.2011.08.013
  14. Ha H, Cho K, Lee W. Reliability of the Good Balance System(R) for Postural Sway Measurement in Poststroke Patients. J Phys Ther Sci. 2014;26(1):121-4. https://doi.org/10.1589/jpts.26.121
  15. Hu PT, Lin KH, Lu TW, et al. Effect of a cane on sit-to-stand transfer in subjects with hemiparesis. Am J Phys Med Rehabil. 2013;92(3):191-202. https://doi.org/10.1097/PHM.0b013e318282c8f0
  16. Imms C. Children with cerebral palsy participate: a review of the literature. Disabil Rehabil. 2008;30(24):1867-84. https://doi.org/10.1080/09638280701673542
  17. Iwasaki T, Shiba N, Matsuse H, et al. Improvement in knee extension strength through training by means of combined electrical stimulation and voluntary muscle contraction. Tohoku J Exp Med. 2006;209(1):33-40. https://doi.org/10.1620/tjem.209.33
  18. Jelsma J, Pronk M, Ferguson G, et al. The effect of the Nintendo Wii Fit on balance control and gross motor function of children with spastic hemiplegic cerebral palsy. Dev Neurorehabil. 2013;16(1):27-37. https://doi.org/10.3109/17518423.2012.711781
  19. Ledebt A, Becher J, Kapper J, et al. Balance training with visual feedback in children with hemiplegic cerebral palsy: effect on stance and gait. Motor Control. 2005;9:459-68. https://doi.org/10.1123/mcj.9.4.459
  20. Lee DH, Choi SJ, Choi HS, et al. Comparison of Visual and Auditory Biofeedback during Sit-to-stand Training for Performance and Balance in Chronic Stroke Patients. J Korean Soc Phys Med. 2015;10(4):59-68. https://doi.org/10.13066/kspm.2015.10.4.59
  21. Lee EJ, Kim JS. The Changes of Gross Motor Function and Balance Ability in Children with Spastic Diplegic Cerebral Palsy by Trunk Muscle Strengthening Exercise : Single Group Repeated Measure Study. JKorean Soc Phys Med. 2011;6(2):189-97.
  22. Lee HM. Effects of Virtual Reality Based Video game and Rehabilitation Exercise on theBalance and Activities of Daily Living of Chronic Stroke Patients. JKorean Soc Phys Med. 2013;8(2):201-7. https://doi.org/10.13066/kspm.2013.8.2.201
  23. Nelson KB. Can we prevent cerebral palsy?. N Engl J Med. 2003;349:1765-9. https://doi.org/10.1056/NEJMsb035364
  24. Ng S. Balance ability, not muscle strength and exercise endurance, determines the performance of hemiparetic subjects on the timed-sit-to-stand test. Am J Phys Med Rehabil. 2010;89(6):497-504. https://doi.org/10.1097/PHM.0b013e3181d3e90a
  25. Pavao SL, Santos AN, Oliveira AB, et al. Postural control during sit-to-stand movement and its relationship with upright position in children with hemiplegic spastic cerebral palsy and in typically developing children. Braz J Phys Ther. 2015;19(1):18-25. https://doi.org/10.1590/bjpt-rbf.2014.0069
  26. Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  27. Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function. Disabil Rehabil. 1997;19(12):536-46. https://doi.org/10.3109/09638289709166047
  28. Salbach N, Mayo N, Wood-Dauphinee S, et al. A task-orientated intervention enhances walking distance and speed in the first year post stroke: a randomized controlled trial. Clin rehabil. 2004;18(5):509-19. https://doi.org/10.1191/0269215504cr763oa
  29. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction on balance suggestion from the field. Phys Ther. 1986;66(10):1548-50. https://doi.org/10.1093/ptj/66.10.1548
  30. Shumway‐Cook A, Hutchinson S, Kartin D, et al. Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child Neurol. 2003;45(9):591-602. https://doi.org/10.1111/j.1469-8749.2003.tb00963.x
  31. Sihvonen SE, Sipilä S, Era PA. Changes in postural balance in frail elderly women during a 4-week visual feedback training: a randomized controlled trial. Gerontol. 2004;50(2):87-95. https://doi.org/10.1159/000075559
  32. Van Der Heide JC, Begeer C, Fock JM, et al. Postural control during reaching in preterm children with cerebral palsy. Dev Med Child Neurol. 2004;46(4):253-66.
  33. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886-95.

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