Evaluation effectiveness of exercises on the balance platform for using biofeedback to walking function in patients after stroke
Keywords:
stroke, physiotherapy, balance platform, biofeedbackAbstract
Introduction: In recent decades as one of the methods of physiotherapy in patients after stroke are used to exercises on balance platform with using biofeedback.
Material and methods: The study was performed in 55 patients of both sexes after ischemic stroke with hemiparesis. Patients were divided on two groups by the time which has elapsed since the stroke. Group I – up to 6 months. Group II – more than 6 months. In each of these groups were distinguished subgroups of patients. A subgroup in whom physiotherapy was exercises on the balance platform. In a subgroup B these exercises are not used. For the evaluation of the effectiveness of rehabilitation used: gait speed on 10 meters distance and a loading Index of the Symmetry of the lower limbs. Tests were conducted 1 day and after three weeks of rehabilitation.
Results: There was observed a highly statistically significant difference (p<0.001) in the values of Ws after three weeks of rehabilitation in patients between trainees and not trainess on the balance platform to six months after the stroke, and a statistically significant difference (p<0.05) in patients over six months after stroke. There was also observed a highly statistically significant difference (p<0.01) in gait speed on 10 meters distance after three weeks of rehabilitation in patients between trainees and not trainees on the balance platform to six months after the stroke, and a statistically significant difference (p<0.05) in patients over six months after the stroke.
Conclusion: The study was performed in patients with hemiparesis after ischemic stroke confirmed the usefulness of exercises on the balance platform with the use of substitute feedback. Training on the balance platform improves the symmetry of both loading of the lower limbs as well as to increase the speed of walking.
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References
Stan Zdrowia Ludności Polski 2009. Główny Urząd Statystyczny, Warszawa 2011
Kwolek A, Drużbicki M. Wykorzystanie platformy do ćwiczeń równowagi z zastosowaniem biologicznego sprzężenia zwrotnego u chorych po udarze mózgu. Fizjoter Pol 1999;7(3):3-6.
Krekora K, Czernicki J. Przydatność pomiaru prędkości w monitorowaniu reedukacji chodu u chorych z niedowładem spastycznym po udarze mózgu. Balneol Pol 2009; 1(1): 40-45.
Krukowska J. Wpływ obciążania kończyn dolnych na równowagę (stabilność) ciała i sprawność chodu osób po niedokrwiennym udarze mózgu. Balneol Pol 2009;1(1):25-34.
Kinalski R. Neurofiziologia kliniczna dla neurorehabilitacji. Wyd. „MedPharm”, Wrocław 2008.
Ocetkiewicz T, Skalska A, Grodzicki T. Badanie równowagi przy użyciu platformy balansowej – ocena powtarzalności metody. Gerontol Pol 2006;14(3):144-148.
Krekora K, Czernicki J. Ocena rozkładu sił nacisku na podłoże u chorych po udarze niedokrwiennym mózgu. Rehabil Med 2005;9(1):16-20.
Kwolek A., Drużbicki M.: Ocena symetrii obciążenia kończyn dolnych i prędkości chodu chorych po udarze mózgu rehabilitowanych szpitalnie z wykorzystaniem platformy dynamometrycznej. Prz Med Uniw Rzesz Inst Leków 2005;1:52-57.
Krekora K, Czernicki J. Biologiczne sprzężenie zwrotne w rehabilitacji chorych po udarze mózgu. Rehabil Med 2005;9(3):32-36.
Yavuzer G, Eser F, Karakus D, Karaoglan B, Stam HJ. The effects of balance training on gait late after stroke: a randomized controlled trial. Clin Rehabil 2009;20(11):960-969.
Czasopismo
de Haart M, Geurts AC, Dault MC, Nienhuis B, Duysens J. Restoration of weight-shifting capacity in patients with postacute stroke: a rehabilitation cohort study. Arch Phys Med Rehabil 2005;86(4);755-765.
Marigold DS, Eng JJ, Dawson AS, Inglis JT, Harris JE, Gylfadottir S. Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke. J Am Geriatr Soc 2005;53(3):416-423.
Czasopismo
Barclay-Goddard R. Force platform feedback for standing balance traning after stroke. Stroke 2005;36:412-413.
Karla L, Raijv R, Ratan R. Advances in Stroke Regenerative Medicine. Stroke 2008;39:273-275.
Opara J. Neurorehabilitacja. Wyd. „Elamed”, Katowice 2011
Srokowska A, Srokowski G, Kuczma W, Kuczma M, Hagner M. Ocena skuteczności biologicznego sprzężenia zwrotnego w ćwiczeniach na Platformie MTD Control jako czynnika wspomagającego fizjoterapię u osób po przebytym udarze mózgu. Balneol Pol 2008;1(2):116-123.
Nichols D.S. Balance retraining after stroke using platform biofeedback. Phys Ther 1997;77(5):3-8.
Heller F, Beuret-Blanquart F, Weber J. Postural biofeedback and locomotion reeducation in stroke patients. Ann Readapt Med Phys 2005;48(4):187-195.
Jorgensen HS, Nakyama H, Raaschou HO, Vive-Larsen J, Stoiler M, Olsen TS. Outcome and time course of recovery in stroke. The Copenhagen Stroke Study. Arch. Phys Med Rehabil 1995;76:399-405.
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