PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Visual Biofeedback Exercise on the Recovery of Balance in Stroke Patients

시각적 바이오피드백 균형 훈련이 뇌졸중 환자의 균형 회복에 미치는 영향

  • Kim, Jae-Yong (Rehabilitation Center, Busan Medical Center) ;
  • Kim, Dae-Kyung (Korea Proprioceptive Neuromuscular Facilitation Association Busan Branch)
  • 김재용 (부산의료원 재활센터) ;
  • 김대경 (대한고유수용성촉진법학회 부산시회)
  • Received : 2017.05.12
  • Accepted : 2017.06.05
  • Published : 2017.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to determine the effects of visual biofeedback training on the recovery of balance function in stroke patients. Methods: A total of 30 patients with stroke were chosen as the subjects of this study. The subjects were randomly divided into either the visual biofeedback balance training group (experimental group; n=15) or the general balance training group (control group; n=15). The visual biofeedback balance training and general balance training were implemented for 30 minutes a day, three times a week, for a total of four weeks. The subjects' balance ability was measured before and after the interventions. Results: The shift length and surface area of the center of the body decreased in both the experimental group and the control group, with the difference being statistically significant. The shift length and surface area of the center of the body both decreased more in the experimental group than in the control group, and there was a statistically significant between-group difference. Conclusion: The experimental group showed a greater improvement in terms of the balance ability of patients with stroke than the control group. Therefore, we believe that visual biofeedback balance training can be effectively applied for the improvement of balance ability in patients with stroke.

Keywords

References

  1. Adler S, Becker D, Buck M. PNF in Practice. An IIIustrated Guide, 4th ed. Berlin. Springer. 2014.
  2. Badke MB, Sherman J, Boyne P, et al. Tongue-based biofeedback for balance in stroke: results of an 8-week pilot study. Archives of Physical Medicine and Rehabilitation. 2011;92(9):1364-1370. https://doi.org/10.1016/j.apmr.2011.03.030
  3. Bazanova OM, Mernaya EM, Shtark MB. Biofeedback in psychomotor training. Electrophysiological basis. Neuroscience and Behavioral Physiology. 2009;39 (5):437-447. https://doi.org/10.1007/s11055-009-9157-z
  4. Bohannon RW, Larkin PA. Lower extremity weight bearing under various standing conditions in independently ambulatory patients with hemiparesis. Physical Therapy. 1985;65(9):1323-1325. https://doi.org/10.1093/ptj/65.9.1323
  5. Carr JH, Shepherd PB. Strokes rehabilitation: guidelines for exercise and training to optimize motor skill. Boston. Butterworth-Heinemann. 2004.
  6. Cheng PT, Wu SH, Liau MY, et al. Symmetrical body-weight distribution training in stroke patients and its effect on fall prevention. Archives of physical medicine and rehabilitation. 2001;82(12):1650-1654. https://doi.org/10.1053/apmr.2001.26256
  7. Dault MC, de Haart M, Geurts, AC, et al. Effects of visual center of pressure feedback on postural control in young and elderly healthy adults and in stroke patients. Human Movement Science. 2003;22(3):221-236. https://doi.org/10.1016/S0167-9457(03)00034-4
  8. Davies PM. Step to follow: a guide to the treatment of adult hemiplegia. Berlin. Springer-Verlag. 1985.
  9. Day BL, Guerraz M, Cole J. Sensory interactions for human balance control revealed by galvanic vestibular stimulation. Advances in Experimental Medicine and Biology. 2002;508:129-137.
  10. De Seze M, Wiart L, Bon-Saint-Come A, et al. Rehabilitation of postural disturbances of hemiplegic patients by using trunk control retraining during exploratory exercises. Archives of Physical Medicine and Rehabilitation. 2001;82(6):793-800. https://doi.org/10.1053/apmr.2001.0820793
  11. Dornan J, Fernie GR, Holliday PJ. Visual input: its importance in the control of postural sway. Archives of Physical Medicine and Rehabilitation. 1978;59(12):586-591.
  12. Dozza M, Horak FB, Chiari L. Auditory biofeedback substitutes for loss of sensory information in maintaining stance. Experimental brain research. 2007;178(1):37-48. https://doi.org/10.1007/s00221-006-0709-y
  13. Edward S. Neurological physiotherapy: a problem-solving approach. New York. Churchill Livingstone. 1996.
  14. Geurts AC, de Haart M, van Nes IJ, et al. A review of standing balance recovery from stroke. Gait and Posture. 2005;22(3):267-281. https://doi.org/10.1016/j.gaitpost.2004.10.002
  15. Gordon WA, Hibbard MR, Egelko S, et al. Perceptual remediation in patients with right brain damage: A comprehensive program. Archives of Physical Medicine and rehabilitation. 985;66(6):353-359.
  16. Hong SY, Lee JW. The relationship between visual perception ability and balance ability in herniplegic patient. Journal of Korean Society of Occupational Therapy. 2005;13(2):63-71
  17. Ikai T, Kamikubo T, Takehara I, et al. Dynamic postural control in patients with hemiparesis. American journal of physical medicine & rehabilitation. 2003;82(6):463-469. https://doi.org/10.1097/01.PHM.0000069192.32183.A7
  18. Karnath HO, Broetz D. Understanding and treating pusher syndrome. Physical therapy. 2003;83(12):1119-1125.
  19. Kim JH. The effects of virtual reality program on balance, gait and brain activation patterns in stroke patients. Daegu University. Dissertation of Doctorate Degree. 2005.
  20. Kisner C, Colby LA. Therapeutic exercise: foundation and techniques, 5th ed. Philadelphia. FA Davis. 2007.
  21. Laufer Y, Sivan D, Schwarzmann R, et al. Standing balance and functional recovery of patients with right and left hemiparesis in early stages of rehabilitation. Neurorehabilitation and neural repair. 2003;17(4):207-213. https://doi.org/10.1177/0888439003259169
  22. Lee DJ, Lee WH. The effects of visual feedback training on balance and visual perception in stroke patients. Korean Society For Health Promotion And Disease Prevention. 2009;9(2):154-160.
  23. Michael KM, Allen JK, Macko RF. Reduced ambulatory activity after stroke: the role of balance, gait, and cardiovascular fitness. Archives of Physical Medicine and Rehabilitation. 2005;86(8):1552-1556. https://doi.org/10.1016/j.apmr.2004.12.026
  24. Michaelson P, Michaelson M, Jaric S, et al. Vertical posture and head stability in patient with chronic neck pain. Journal of Rehabilitation Medicine. 2003;35(5):229-235. https://doi.org/10.1080/16501970306093
  25. Nichols DS, Glenn TM, Mutchinson KJ. Changes in the mean center of balance during balance testing in young adults. Physical Therapy. 1995;75(8):699-706. https://doi.org/10.1093/ptj/75.8.699
  26. O'sullivan S, Schmitz TJ. Physical rehabilitation: assessment and treatment, 3rd ed. Philadelphia. FA Davis. 1994.
  27. Pedretti LW, Early MB. Occupational therapy: practice skills for physical dysfunction, 5th ed. St. Louis. MO. Mosby. 2001.
  28. Rhee MH. Video game based exercise for locomotion of stroke patients. Catholic University of Pusan. Dissertation of Master's Degree. 2009.
  29. Rizzo AA, Bowerly T, Buckwalter JG, et al. A virtual reality scenario for all seasons: the virtual classroom. CNS Spectrums. 2006;11(1):35-44. https://doi.org/10.1017/S1092852900024196
  30. Rosenthal M, Griffith ER, Bond MR. Rehabilitation of the head injured adult. Philadelpia. FA. Davis. 1983.
  31. Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: Effects on stance symmetry and function. Disability and Rehabilitation. 1997;19(12):536-546. https://doi.org/10.3109/09638289709166047
  32. Schwartz MS, Andrasik F. Biofeedback: A practitioner's guide, 5th ed. New York. Guilford Publications. 2015.
  33. Skilbeck CE, Wade DT, Hewer RL, et al. Recovery after stroke. Journal of Neurology, Neurosurgery and Psychiatry. 1983;46(1):5-8. https://doi.org/10.1136/jnnp.46.1.5
  34. Song CH, SEO SM, Lee KJ, et al. Video game-based exercise for upper-extremity function, strentgth, visual perception of stroke patients. Journal of Special Education & Rehabitation Science. 2011;50(1):155-180
  35. Turnbull GI, Charteris J, Wall JC. A comparison of the range of walking speeds between normal and hemiplegic subjects. Scandian Journal of Rehabilitation Medicine. 1995;27(3):175-182.
  36. Tyson SF, Hanley M, Chillala J, et al. Balance disability after stroke. Physical Therapy. 2006;86(1):30-38. https://doi.org/10.1093/ptj/86.1.30
  37. Varoqui D, Froger J, Pelissier JY, et al. Effect of coordination biofeedback on (re) learning preferred postural patterns in post-stroke patients. Motor Control. 2011;15(2):187-205. https://doi.org/10.1123/mcj.15.2.187
  38. Van Peppen RP, Kortsmit M, Lindeman E, et al. Effects of visual feedback therapy on postural control in bilateral standing after stroke: a systematic review. Journal of Rehabilitation Medicine. 2006;38(1):3-9. https://doi.org/10.1080/16501970500344902
  39. Vuillerme N, Pinsault N, Chenu O, et al. Sensory supplementation system based on electrotactile tongue biofeedback of head position for balance control. Neuroscience Letters. 2008;431(3):206-210. https://doi.org/10.1016/j.neulet.2007.11.049
  40. Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Physical Therapy. 2000;80(9):886-895.
  41. Wernicke-Robinson M, Krebs DE, Giorgetti MM. Functional reach: does it really measure dynamic balance. Archives of physical medicine and rehabilitation. 1999;80(3):262-269. https://doi.org/10.1016/S0003-9993(99)90136-3
  42. Winstein CJ, Gardner ER, Mcneal DR, et al. Standing balance training: effects on balance and locomotion in hemiparetic adults. Archives of Physical Medicine and Rehabilitation. 1989;70(19):755-762.
  43. Woollacott M, Shumway-Cook A, Nashner LM. Aging and posture control: changes in sensory organization and muscular coordination. The international journal of aging & human development. 1986;23(2):97-114. https://doi.org/10.2190/VXN3-N3RT-54JB-X16X
  44. Zijlstra A, Mancini M, Chiari L, et al. Biofeedback for training balance and mobility tasks in older populations: a systematic review. Journal of NeuroEngineering and Rehabilitation, 2010;9(7):58.